孕产妇健康数据AI应用自主权保障研究

[关键词]孕产妇；人工智能；健康数据；自主权

[中图分类号]R-052 [文献标志码]A [文章编号]1001-8565（2026）03-0314-06

DOI：10.12026/j. issn.1001-8565.2026.03.05

Research on safeguarding the autonomy of artificial intelligence applications for pregnant and postpartumwomen'shealthdata

LI Deshun1，LIUJiahui²，HONGYan³，CHENJingxi4

（1. School of Journalism and Communication， Huaiyin Normal University， Huai'an 2233Oo， China; 2.College of Communication Arts and Sciences，Michigan State University，State ofMichigan 48824，the United States;3.Department ofHealth Management，the Afiliated Huai'an No.1 People's Hospital of Nanjing Medical University，Huai'an 2233Oo， China; 4. College of Arts & Media， Tongji University， Shanghai ，China）

Abstract：From the patient's perspective，taking the control right of artificial intelligence（AI） in the analysis of pregnant and postpartum women's health data as the entry point，this paper constructed a patientcentered governance framework for AI medical data control.It defined the diferent stages and scenarios of applications related to the health data analysis of pregnant and postpartum women，conducted a comparative analysis that combines existing ethical issues concerning AI data control in the medical field，and discussed autonomyissuesin health management scenarios from three dimensions，namely，voluntariness， purposiveness，and steadfastness.Based on these discussions，this paper highlighted the reflection on autonomy under the behavioral research paradigm. Starting from the basic actions such as provision，deletion，analysis， triggering，presentation，revision，and response，it regarded technical behaviors as a form of instrumental communication and emphasized ensuring patients’ample opportunities to participate in interactive links such as “informationprovision and adoption”“analysis and judgment”“presentation and summarization，” and “feedback and revision.”This will lay a foundation for expanding the existing discussion on medical AI

autonomy to the ethical category of information usage.

Keywords： pregnant and postpartum woman;artificial intelligence; health data; autonomy

0 引言

随着人工智能在医疗领域应用的不断扩大，世界卫生组织（WHO）于2021年发布了第一版关于卫生领域人工智能应用的伦理和治理指南，从保护人类的自主性、增加人类福祉、确保透明、培养责任感和实行问责制、确保包容和公平、推广反应迅速且可持续的人工智能等六个角度概述了全世界应当坚持的伦理原则。（剩余9326字）