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This method excluded many Black patients from disease management programs, effectively expanding long-standing racial inequities in access to care. The dangers of adopting AI without these guardrails were made abundantly clear in the recent example of an algorithm that used historical health care spending as a proxy for illness severity to predict an individual’s future health needs and establish their eligibility for additional services. In health care, this requires systematically building an evidence-base using rigorous, standardized processes for design, validation, implementation, and monitoring grounded in ethics and equity. Trustworthy means dependable and worthy of confidence. As a leading voice in medical ethics and health policy, representing some 270,000 physicians and over 120 national medical specialty and other societies, the American Medical Association (AMA) is uniquely positioned to guide physicians, patients, and the broader health care community in the development and use of trustworthy AI.
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The regulatory systems and operational practices that have been the bedrock upon which physician and patient confidence in medical technology depend are now charged with ensuring that health care AI is evidence-based, free from bias, and promotes equity. As technology evolves, the medical community will need to develop standards for evaluating, integrating, using and monitoring these innovative technologies.
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Earning physicians’ trust is critical for accelerating adoption of AI into patient care. Augmented Intelligence (AI) systems have the power to transform health care by harnessing the promise of artificial intelligence to support clinicians and patients and bringing us closer to achieving the quadruple aim: enhancing patient experience, improving population health, reducing costs, and improving the work life of health care professionals.