The early development and deployment of hospital and healthcare information systems have encouraged the ongoing digitization of processes in hospitals. Many of these processes, which previously required paperwork and telephone arrangements, are now integrated into IT solutions and require physicians and medical staff to interact with appropriate interfaces and tools. Although this shift to digital data management and process support has benefited patient care in many ways, it requires physicians to accurately capture all relevant information digitally for billing and documentation purposes, which takes a lot of time away from actual patient care work. However, systematic collection of healthcare data over a long period of time offers opportunities to improve this process and support medical staff by introducing recommender systems. Based on a practical working example, in this position paper, we will outline the design of a responsible recommender system in the medical context from a technical, application driven perspective and discuss potential design choices and criteria with a specific focus on accountability, safety, and fairness.
翻译:医院和保健信息系统的早期开发和部署鼓励了医院流程的不断数字化,其中许多流程以前需要文书和电话安排,现已被纳入信息技术解决方案,要求医生和医务人员与适当的接口和工具互动,虽然这种向数字数据管理和流程支持的转变在许多方面使病人护理受益,但要求医生以数字方式准确收集所有相关信息,用于计费和文件工作,这离实际病人护理工作很远。然而,长期系统地收集保健数据,为改进这一流程和通过引入推荐系统支持医务人员提供了机会。我们将在这份立场文件中以实际工作实例为基础,从技术、应用驱动的角度,概述医疗方面负责任的建议系统的设计,并讨论可能的设计选择和标准,具体侧重于问责制、安全和公平。