ISSN 1008-2204
CN 11-3979/C

人机协作的法律形态及过失认定人类医生与医疗AI的共处之道

Legal Form of Human-machine Collaboration and Identification of NegligenceThe Way of Coexistence Between Human Doctors and Medical AI

  • 摘要: 人机协作始终是诊疗决策的基本形态,根据功能定位的不同,人机协作可以划分为医疗AI辅助诊疗和医疗AI主导诊疗两种形态、两个阶段。不同的人机协作形态决定了不同的过失认定逻辑和人机共处方式。在辅助诊疗阶段,医疗AI仅为医生决策提供参考信息,医疗AI与传统医疗器械的法律定位并无本质不同,人类医生不可过度依赖医疗AI,除参考AI的诊疗建议以外,还应全面分析其他病症素材,不能怠于不借助医疗AI时所应进行的诊疗工作。医疗AI主导诊疗应当满足两个法律条件:第一,医疗AI相较于人类医生具备显著和全面的诊疗优势;第二,医疗AI具备充分的临床适用性。当主导诊疗的法律条件成就,人类医生应当及时调整行为模式,原则上,人类医生应当忠实传递和执行医疗AI的诊疗决策,非经审慎程序并具充分理由,不得否决或变更;同时,当医疗AI的诊疗决策存在明显的错误、疏漏或其他重大风险情形时,人类医生应及时提请专家会诊,审慎做出最终决策。

     

    Abstract: Human-machine collaboration will always be the basic form of diagnosis and treatment. According to different functional orientations, human-machine collaboration can be divided into two forms and two stages: medical AI-assisted stage, and medical AI-dominated stage. Different forms of human-machine collaboration determine different logic for identifying fault and ways of coexistence between humans and machines. In the stage of assisted diagnosis and treatment, medical AI only provides referential information for doctors. The legal status of medical AI is not fundamentally different from traditional medical devices. Human doctors should not rely too much on medical AI. In addition to referring to AI's suggestions, they should also comprehensively analyze other materials and not neglect the work that should be carried out without the help of medical AI. Form of Medical AI-domination should meet two legal conditions. Firstly, medical AI has significant and comprehensive advantages over human doctors in diagnosis and treatment. Secondly, medical AI has sufficient clinical applicability. When the legal conditions are met, human doctors should adjust their patterns of behavior in time. In principle, human doctors should faithfully convey and implement the decisions of medical AI, and should not veto or change them without careful procedures and sufficient reasons. At the same time, when there are obvious errors, misconduct, or other significant risks in the decisions of medical AI, human doctors should promptly request expert consultation and make final decisions prudently.

     

/

返回文章
返回