Algorithmic legitimacy in clinical decision-making
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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Algorithmic legitimacy in clinical decision-making. / Holm, Sune.
I: Ethics and Information Technology, Bind 25, Nr. 3, 35, 2023.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Algorithmic legitimacy in clinical decision-making
AU - Holm, Sune
N1 - Publisher Copyright: © 2023, The Author(s).
PY - 2023
Y1 - 2023
N2 - Machine learning algorithms are expected to improve referral decisions. In this article I discuss the legitimacy of deferring referral decisions in primary care to recommendations from such algorithms. The standard justification for introducing algorithmic decision procedures to make referral decisions is that they are more accurate than the available practitioners. The improvement in accuracy will ensure more efficient use of scarce health resources and improve patient care. In this article I introduce a proceduralist framework for discussing the legitimacy of algorithmic referral decisions and I argue that in the context of referral decisions the legitimacy of an algorithmic decision procedure can be fully accounted for in terms of the instrumental values of accuracy and fairness. I end by considering how my discussion of procedural algorithmic legitimacy relates to the debate on algorithmic fairness.
AB - Machine learning algorithms are expected to improve referral decisions. In this article I discuss the legitimacy of deferring referral decisions in primary care to recommendations from such algorithms. The standard justification for introducing algorithmic decision procedures to make referral decisions is that they are more accurate than the available practitioners. The improvement in accuracy will ensure more efficient use of scarce health resources and improve patient care. In this article I introduce a proceduralist framework for discussing the legitimacy of algorithmic referral decisions and I argue that in the context of referral decisions the legitimacy of an algorithmic decision procedure can be fully accounted for in terms of the instrumental values of accuracy and fairness. I end by considering how my discussion of procedural algorithmic legitimacy relates to the debate on algorithmic fairness.
KW - AI
KW - Algorithm
KW - Clinical decision-making
KW - Decision
KW - Ethics
KW - Fairness
KW - Legitimacy
U2 - 10.1007/s10676-023-09709-7
DO - 10.1007/s10676-023-09709-7
M3 - Journal article
AN - SCOPUS:85164178782
VL - 25
JO - Ethics and Information Technology
JF - Ethics and Information Technology
SN - 1388-1957
IS - 3
M1 - 35
ER -
ID: 359976540