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Prarthi Parmar

Healthcare Administration and Service Management, Conestoga College


Ethics for Health Care Managers
Prof. Tracey Dingwall
December 11, 2024
Title: The Ethical Dilemmas of Artificial Intelligence (AI) in Canadian Healthcare: Privacy

and Equity Challenges.

As it’s known, AI is now widespread and doing tremendous work in every sector. If I talk about

only the healthcare sector, then there are many works being done by AI, such as assessment,

treatment plans,and data privacy , but it creates ethical dilemmas. This paper includes every

aspect as well as perspectives with citations and references.

A thorough discussion of the issue (what lead up to it and what is the current status):

The first usage when it had developed, was in diagnosis and predictive analytics. Medical

precision is being advanced by using machine learning algorithms to examine vast patient health

records for trends. Nevertheless, commercial companies' handling of and security for sensitive

patient data storage and utilization of artificial intelligence has generated concerns. The risk is

shown in the research paper, for instances such as in the UK, where the patient data was

mishandled by the DeepMind partnership (Alowais et al., 2023).

Ongoing challenges in Canada were (and continue to be) the lack of strong regulatory

frameworks to keep pace with AI’s rapid evolution. AI systems suggest the ability to reduce care

inefficiencies but run the risk of existing biases, disintegrating trust in the healthcare system, and

gaslighting data to breach (Dankwa-Mullan, 2024).

What is the (potential) impact to:

Healthcare:

AI is increasing diagnostic accuracy and operational efficiency, but also threatens to intensify

health disparities, if underserved populations are excluded from the datasets used by these AI
models. Algorithms instructed on biased data run the risk of giving vulnerable populations

inadequate recommendations (Dankwa-Mullan, 2024).

law:

There’s a need for robust legislation governing how AI can fetch and use patient data. Data

sovereignty laws should compel them to keep the data within national borders for penalties of a

breach should be stark (Murdoch, 2021).

Ethics:

In these modes of moral debate about patient autonomy, consent, and the concern of

reidentification of data, it is unethical especially where there is clear harm to society but when it

comes to building ethical AI applications data and transparency become a concern (Murdoch,

2021)(Dankwa-Mullan, 2024).

Future decisions:

If we don’t fix these now, AI’s integration into society will be done in a way that upholds equity,

patient rights, and trust. Such can serve as a baseline discipline in establishing future

advancements responsibly (Dankwa-Mullan, 2024).

As a (PROFESSION) what would your perspective be of the situation

Imperfect and sometimes even dangerous movements, and patterns can be analyzed by AI-

powered tools to improve patient assessment and treatment customizations. However, the use

of biased datasets can lead to recommending poor rehabilitation for musculoskeletal

conditions to diverse populations. Treated fairly, people of all demographics need to be

included in data practices and ethical AI policy be implemented.


As a healthcare leader (in charge of others):

o what would your perspective be of the situation, and

o is it different than that of a clinician?

Balancing innovation with ethical responsibility is a task of healthcare leaders. Clinicians are

looking for how AI will help them improve patient outcomes. Whereas, leaders need to work

on system problems. For example, they must ensure that companies can show employees how

to employ AI in an ethical way, and that companies are using all of their resources as

effectively as possible. This also answers the regulatory and the public questions raised by the

abuse of AI. This may require conflicting the leader's responsibility, equity and transparency

creating a culture, and the clinician's focus on the patient centric.

Other important issues

Collaboration: AI can not take the lace of stakeholders such as patients, ethicists , and

healthcare workers.

Transparency: To create the AI Make models which make is easy to access both healthcare

workers and patients.

Bias in AI development: To avoid algorithmic discrimination, bias in AI development involves

making sure that database has diverse backgrounds.


References

Alowais, S. A., Alghamdi, S. S., Alsuhebany, N., Alqahtani, T., Alshaya, A. I., Almohareb, S. N.,

Aldairem, A., Alrashed, M., Saleh, K. B., Badreldin, H. A., Yami, M. S. A., Harbi, S. A.,

& Albekairy, A. M. (2023). Revolutionizing healthcare: the role of artificial intelligence

in clinical practice. BMC Medical Education, 23(1). Revolutionizing healthcare: the role

of artificial intelligence in clinical practice | BMC Medical Education | Full Text

Dankwa-Mullan, I. (2024). Health equity and ethical considerations in using artificial

intelligence in public health and medicine. Preventing Chronic Disease, 21. Health

Equity and Ethical Considerations in Using Artificial Intelligence in Public Health and

Medicine

Murdoch, B. (2021). Privacy and artificial intelligence: challenges for protecting health

information in a new era. BMC Medical Ethics, 22(1). Privacy and artificial intelligence:

challenges for protecting health information in a new era | BMC Medical Ethics | Full

Text

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