Intelligent clinical decision support and current medical practice An Exploration of Compatibility and Epistemological Issues

Boer, Jan Yme de (2017) Intelligent clinical decision support and current medical practice An Exploration of Compatibility and Epistemological Issues.

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Abstract:Applications of artificial intelligence continue to find their way into society. The driving force behind these implementations is often the promise of performing tasks beyond human capability autonomously. Medicine is no exception to this trend, and efforts are increasingly invested to provide support to the diagnostic and therapeutic processes within clinical practice. The ability to perform statistical analyses on large amounts of clinical data makes that a role in processes of knowledge production is foreseen as well. The complicatedness of medical practice that makes visions of AI-supported medicine attractive and promising, also suggests that implementation of intelligent clinical decision support systems (ICDSS) into that same complicated medical practice may not be straight-forward, but instead be complicated. In other words, questions can be asked about the compatibility of ICDSS with current medical practice. This thesis explores these questions and identifies issues with regard to this compatibility in terms of issues of transparency, issues of dealing with scientific controversy, issues of prediction, personalised knowledge and standardisation, and methodological issues. It furthermore identified issues with regard to the compatibility with narrative medicine, evidence-based medicine, consensus conferences and translational medicine. In order to do so this thesis provides a methodological characterisation of current medical practice, and constructs an understanding of what ICDSS may come to consist of. The thesis ultimately concludes with a discussion of trust and responsibility and the inevitability of scenarios of compatibility.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:08 philosophy
Programme:Philosophy of Science, Technology and Society MSc (60024)
Link to this item:http://purl.utwente.nl/essays/73321
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