交互与共享：人工智能医疗决策的伦理向度

人工智能在医疗健康领域的应用打破传统医−患决策格局，使其演变成医−机−患或机−患之间的多维医疗决策模式。人−机交互在医疗决策上存在三种可能性，分别为人工智能辅助医疗决策、人−机混合智能医疗决策以及人工智能替代医疗决策。然而，技术蕴含负面性，三种交互模式潜在着伦理风险。人工智能替代人类决策违背道德要求，混合智能才是未来发展趋势。因此，以混合智能为基础提出人−机共享医疗决策的伦理框架，通过构建信任、公正和责任的伦理基础，谋求实现以人为本的价值目标，用于增进人类福祉。

Interaction and Sharing: The Ethical Dimension of AI Medical Decision-making

The application of artificial intelligence in the field of medical health has broken the traditional pattern of doctor-patient decision-making and evolved into a multidimensional medical decision-making model between doctor-machine-patient or machine-patient. There are three possibilities for human-machine interaction in medical decision-making, namely, artificial intelligence assisted medical decision-making, human-machine hybrids intelligent medical decision-making and artificial intelligence replaces medical decision-making. However, science and technology is a double-edged sword, the three interaction modes have ethical risks. Artificial intelligence is not allowed to replace human decision-making in morality, and hybrid intelligence is the future development trend. Therefore, based on hybrid intelligence, the ethical framework of human-machine shared medical decision-making is proposed, and seek to achieve the people-oriented value goal for improving human well-being by building an ethical basis of trust, justice and responsibility.