npj Digital Medicine (Sep 2024)
Ethical debates amidst flawed healthcare artificial intelligence metrics
Abstract
Healthcare AI faces an ethical dilemma between selective and equitable deployment, exacerbated by flawed performance metrics. These metrics inadequately capture real-world complexities and biases, leading to premature assertions of effectiveness. Improved evaluation practices, including continuous monitoring and silent evaluation periods, are crucial. To address these fundamental shortcomings, a paradigm shift in AI assessment is needed, prioritizing actual patient outcomes over conventional benchmarking.