The disruptive power of Artificial Intelligence. Ethical aspects of gerontechnology in elderly care

Archives of Gerontology and Geriatrics
Giovanni Rubeis

Abstract

Gerontechnology based on Artificial Intelligence (AI) is expected to fulfill the promise of the so-called 4p-medicine and enable a predictive, personalized, preventive, and participatory elderly care. Although empirical evidence shows positive health outcomes, commentators are concerned that AI-based gerontechnology could bring along the disruption of elderly care. A systematic conceptualization of these concerns is lacking. In this paper, such a conceptualization is suggested by analyzing the risks of AI in elderly care as "4d-risks": the depersonalization of care through algorithm-based standardization, the discrimination of minority groups through generalization, the dehumanization of the care relationship through automatization, and the disciplination of users through monitoring and surveillance. Based on the 4d-model, strategies for a patient-centered AI in elderly care are outlined. Whether AI-based gerontechnology will actualize the 4p-perspective or bring about the 4d-scenario depends on whether joint efforts of users, caregivers, care providers, engineers, and policy makers will be made.

Citations

Jan 1, 2021·Geriatrics & Gerontology International·Doha RasheedyHany Ibrahim Hassanin
Sep 27, 2020·Archives of Gerontology and Geriatrics·Liang-Kung Chen
May 25, 2021·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Anna Schneider-Kamp
Jul 10, 2021·Informatics for Health & Social Care·Pireh PirzadaDavid Harris-Birtill
Aug 5, 2021·Computers in Biology and Medicine·Tahereh SahebDavid O Carpenter

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