Ethical Machine Learning in Healthcare

Annu Rev Biomed Data Sci. 2021 Jul:4:123-144. doi: 10.1146/annurev-biodatasci-092820-114757. Epub 2021 May 6.

Abstract

The use of machine learning (ML) in healthcare raises numerous ethical concerns, especially as models can amplify existing health inequities. Here, we outline ethical considerations for equitable ML in the advancement of healthcare. Specifically, we frame ethics of ML in healthcare through the lens of social justice. We describe ongoing efforts and outline challenges in a proposed pipeline of ethical ML in health, ranging from problem selection to postdeployment considerations. We close by summarizing recommendations to address these challenges.

Keywords: bias; ethics; health; health disparities; healthcare; machine learning.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Delivery of Health Care*
  • Health Facilities
  • Machine Learning
  • Morals
  • Social Justice*