Acknowledgment Is Not Enforcement: Closing Commercial AI Recruitment's Transparency Gap.

This article critically examines the ethical framework for AI-enabled clinical trial recruitment proposed by Rentzepis et al., highlighting a key structural vulnerability related to the lack of enforceable transparency for commercial AI recruitment tools. It emphasizes that while Rentzepis et al. id...

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Publicado en:American Journal of Bioethics Vol. 26; no. 8; pp. 67 - 70
Autores principales: Ahiafor, Maxwell, Zhong, Wang, Zhou, Boda
Formato: commentary Journal Article
Publicado: Taylor & Francis Ltd Aug2026
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Acknowledgment Is Not Enforcement: Closing Commercial AI Recruitment's Transparency Gap.
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          Ahiafor, Maxwell
          Zhong, Wang
          Zhou, Boda
        affil: Tsinghua University
      sug:
        subj:
          Artificial Intelligence Ethical Issues
          Patient Selection Ethical Issues
          Clinical Trials
          Research Ethics
          Research Subject Recruitment Ethical Issues
          Audit
          Consent
          Data Security
          Health Services Accessibility
          Electronic Health Records
          Algorithms
          Quality Assurance
      ab: This article critically examines the ethical framework for AI-enabled clinical trial recruitment proposed by Rentzepis et al., highlighting a key structural vulnerability related to the lack of enforceable transparency for commercial AI recruitment tools. It emphasizes that while Rentzepis et al. identify transparency challenges and recommend academic reporting standards, they do not specify mechanisms to ensure commercial vendors disclose algorithmic details, which are often protected as trade secrets. The authors propose a concrete solution: conditional regulatory approval requiring post-market, third-party audits of recruitment algorithms to assess model architecture, demographic performance, stability, and agreement with human eligibility determinations. This approach aims to uphold ethical principles of respect, beneficence, nonmaleficence, and justice by enabling verification of AI tools used in regulated trials, addressing bias, and ensuring equitable participant selection.
      pubtype: Academic Journal
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        Journal Article
      ougenre: Article
    language: English
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