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

Research output: Journal article (peer-reviewed)Journal article

49 Citations (Scopus)

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.

Original languageEnglish
Article number104186
JournalArchives of Gerontology and Geriatrics
Volume91
Issue number91
DOIs
Publication statusPublished - 01 Nov 2020
Externally publishedYes

Keywords

  • 4p-medicine
  • Artificial intelligence
  • Big data
  • Elderly care
  • Ethics
  • Gerontechnology

ASJC Scopus subject areas

  • Health (social science)
  • Geriatrics and Gerontology
  • Gerontology
  • Aging

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