BiasFairnessAccountabilitycs.CY
Bias Impact Analysis of AI in Consumer Mobile Health Technologies: Legal, Technical, and Policy
Kristine Gloria, Nidhi Rastogi, Stevie DeGroff
August 29, 2022
arXiv.org
4 citations
Key Takeaways
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AI systems in mobile health apps can replicate and amplify existing discrimination: The paper warns that algorithmic bias in mHealth technologies doesn't just introduce new problems—it can reinforce harmful discriminatory patterns that already exist in healthcare, potentially excluding marginalized communities from beneficial health technologies.
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Current safeguards are insufficient: The research finds that existing legal, technical, and policy mechanisms are inadequate for mitigating bias risks in mHealth systems, suggesting that current oversight frameworks fail to adequately protect vulnerable populations using these health apps.
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No technology is truly "value-neutral": The paper challenges the common assumption that health technologies are objective tools, emphasizing that algorithmic systems encode human biases and values—meaning developers and companies must actively acknowledge and address bias rather than treating it as inevitable.
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Technologists and policymakers share responsibility for equitable health outcomes: The authors argue that both technology developers and government regulators have distinct roles and responsibilities in ensuring mHealth systems empower patients fairly, rather than leaving bias mitigation to chance or market forces alone.
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Bias in health apps has real-world consequences: The paper emphasizes that algorithmic bias in mHealth isn't an abstract technical problem—it directly affects patient care decisions and health outcomes, particularly for already-marginalized groups who may rely on these technologies for healthcare access.
Abstract
Today's large-scale algorithmic and automated deployment of decision-making systems threatens to exclude marginalized communities. Thus, the emergent danger comes from the effectiveness and the propensity of such systems to replicate, reinforce, or amplify harmful existing discriminatory acts. Algorithmic bias exposes a deeply entrenched encoding of a range of unwanted biases that can have profound real-world effects that manifest in domains from employment, to housing, to healthcare. The last decade of research and examples on these effects further underscores the need to examine any claim of a value-neutral technology. This work examines the intersection of algorithmic bias in consumer mobile health technologies (mHealth). We include mHealth, a term used to describe mobile technology and associated sensors to provide healthcare solutions through patient journeys. We also include mental and behavioral health (mental and physiological) as part of our study. Furthermore, we explore to what extent current mechanisms - legal, technical, and or normative - help mitigate potential risks associated with unwanted bias in intelligent systems that make up the mHealth domain. We provide additional guidance on the role and responsibilities technologists and policymakers have to ensure that such systems empower patients equitably.
Paper Info
arXiv ID2209.05440
PublishedAugust 29, 2022
Citations
4
Relevance92%
VenuearXiv.org
TypeJournalArticle
Categorycs.CY
Responsible AI Topics
BiasFairnessAccountability
Links
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