Paper by Frances Shaw and Anthony McCosker: “Despite the transformative potential of automation and clinical decision support technology in health care, there is growing urgency for more nuanced approaches to ethics. Relational ethics is an approach that can guide the responsible use of a range of automated decision-making systems including the use of generative artificial intelligence and large language models as they affect health care relationships.
There is an urgent need for sector-wide training and scrutiny regarding the effects of automation using relational ethics touchstones, such as patient-centred health care, informed consent, patient autonomy, shared decision-making, empathy and the politics of care.
The purpose of this review is to offer a provocation for health care practitioners, managers and policy makers to consider the use automated tools in practice settings and examine how these tools might affect relationships and hence care outcomes…(More)”.