The disruptive power of artificial intelligence: ethical aspects of gerontechnology in elderly care

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-base...

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Bibliographic Details
Main Author: Rubeis, Giovanni (Author)
Format: Article (Journal)
Language:English
Published: 15 July 2020
In: Archives of gerontology and geriatrics
Year: 2020, Volume: 91
ISSN:1872-6976
DOI:10.1016/j.archger.2020.104186
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.archger.2020.104186
Verlag, lizenzpflichtig, Volltext: http://www.sciencedirect.com/science/article/pii/S0167494320301801
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Author Notes:Giovanni Rubeis

MARC

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520 |a 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. 
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