AI-Enabled EHR Mining of SBDOH Enables Diverse Trial Recruitment but Raises Ethical Concerns.

This article focuses on the challenges and ethical considerations of using artificial intelligence (AI) to mine electronic health records (EHR) for social and behavioral determinants of health (SBDOH) to support clinical trial recruitment. It highlights that SBDOH documentation in EHRs is often inco...

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Publicado en:American Journal of Bioethics Vol. 26; no. 8; pp. 46 - 49
Autores principales: Saylor, Katherine Witte, Owens, Kellie
Formato: Journal Article
Publicado: Taylor & Francis Ltd Aug2026
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Taylor & Francis Ltd
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        atl: AI-Enabled EHR Mining of SBDOH Enables Diverse Trial Recruitment but Raises Ethical Concerns.
      aug:
        au:
          Saylor, Katherine Witte
          Owens, Kellie
        affil: Geisinger College of Health Sciences
      sug:
        subj:
          Artificial Intelligence
          Electronic Health Records
          Social Determinants of Health
          Research Subject Recruitment
          Research Ethics
          Data Mining
          Natural Language Processing
          Privacy and Confidentiality
          Health Inequities
          Special Populations
          Consent
          Patient Participation
          Algorithms
      ab: This article focuses on the challenges and ethical considerations of using artificial intelligence (AI) to mine electronic health records (EHR) for social and behavioral determinants of health (SBDOH) to support clinical trial recruitment. It highlights that SBDOH documentation in EHRs is often incomplete, inconsistent, and scattered across structured and unstructured fields, limiting AI’s effectiveness and potentially introducing bias in recruitment pools. The article discusses concerns about privacy, patient consent, and the risk of stigmatization, emphasizing the need for transparency, patient choice, and empirical research on patient perspectives regarding AI use of sensitive SBDOH data. It concludes that addressing these issues requires ongoing public engagement, improved documentation practices, and ethical governance to ensure trust and fairness in AI-enabled research recruitment.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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