医疗人工智能算法正义实现的三阶困境及其法治回应

[中图分类号]R-052 [文献标志码]A [文章编号]1001-8565（2026）03-0279-08

DOI：10.12026/j.issn.1001-8565.2026.03.01

The three-stage dilemma and its legal response in realizing algorithm justice for medical artificialintelligence

CHENJiaxin1，XUZhuoyu，YUEYuanlei1，2

（1.SchoolofMedical Humanities，Hubei UniversityofChineseMedicine，Wuhan43O65，China;2.Hubei Health Industry Development Research Center，Wuhan 43OO65，China）

Abstract： In the period of digital transformation of the medical service model，maintaining algorithm justice for medical artificial intellgence possesses multiple value implications.However，practical dilemmas exist at different stages of achieving this value goal.At the initial stage of diagnosis and treatment decision-making， there is a risk of imbalance in patients’ rights and interests，such as weakened effectiveness of patients’right to informed consent，as well as low synergy between rights and interests protection and technological innovation. Inthe process of diagnosis and treatment decision-making，the algorithmic model is constrained by the technological botleneck in theunderlying application，deviating from thelegal track of technological neutrality. After the diagnosis and treatment decision-making is generated，it triggers a crisis in the remedy of patients' rightsand interests and breeds the phenomenon ofanambiguous definition ofsubject qualificationand attribution principle.In this regard，it is essential to establish a preemptive safeguard system focusing on the protection of patients’rightsand interests，set technological fairness standards，and shape review norms of technological neutrality.The aim is to ensure the equalization of remedy channels for patients’rights and interests，promote the fairness in the proportion of responsibilities among multiple subjects，and thereby safeguard the digital justice in the field of intelligent diagnosis and treatments.

Keywords： medical artificial intelligence;algorithm justice; informed consent； fairness in health data

近年来，人工智能技术演进至数据驱动与深度学习相融合的新阶段。（剩余13181字）