Ethical Machine Learning in Health Care

Chen, Irene Y.; Pierson, Emma; Rose, Sherri; Joshi, Shalmali; Ferryman, Kadija; Ghassemi, Marzyeh
Annual Review of Biomedical Data Science

The use of machine learning (ML) in health care raises numerous ethical concerns, especially as models can amplify existing health inequities. Here, we outline ethical considerations for equitable ML in the advancement of health care. Specifically, we frame ethics of ML in health care through the lens of social justice. We describe ongoing efforts and outline challenges in a proposed pipeline of ethical ML in health, ranging from problem selection to post-deployment considerations. We close by summarizing recommendations to address these challenges.