Abstract
Although medicine has been receptive to the benefits of machine learning and artificial intelligence (AI), it has only recently started to adopt this rapidly evolving, disruptive technology, particularly when compared to finance, entertainment, and transport sectors. Machine learning enables the detection of hidden connections and patterns, including outcomes prediction. Data is critical for the development of intelligent models, which harness the potential to improve and redefine disease self-management, treatment, and wellness pathways. The consequences of digital health democratization have significant health and ethical impact. This chapter provides an introduction to machine learning and AI and the development of intelligent healthcare systems. It explores applications of AI in healthcare and how the ubiquity of smartphones and Internet of Things (IoT) has accelerated the global shift from volume-based to value-based healthcare. This chapter will highlight key challenges within machine learning, evaluate machine learning projects, and share examples of best practice healthcare AI. Finally, it will review the ethical concerns surrounding machine learning, including how machines affect human behavior, data ownership, bias, unintended consequences, and the advances that have been made to support the global shift toward value-based population health.
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References
Alyass A, Turcotte M, Meyre D (2015) From big data analysis to personalized medicine for all: challenges and opportunities. BMC Med Genet 8(1):33
American Cancer Society (2018) Limitations of mammograms. Retrieved from https://www.cancer.org/cancer/breast-cancer/screening-tests-and-early-detection/mammograms/limitations-of-mammograms.html
Anand P, Kunnumakara AB, Sundaram C, Harikumar KB, Tharakan ST, Lai OS, … Aggarwal BB (2008) Cancer is a preventable disease that requires major lifestyle changes. Pharm Res 25(9):2097–2116
Arnold M, Leitzmann M, Freisling H, Bray F, Romieu I, Renehan A, Soerjomataram I (2016) Obesity and cancer: an update of the global impact. Cancer Epidemiol 41:8–15
Asimov I (1950) Runaround. I, Robot. Bantam Dell, New York
Bernardi R, Wu PF (2017) The impact of online health communities on patients’ Health self-management. In ICIS.
BoingBoing (2019, December) Abbott Labs kills free tool that lets you own the blood-sugar data from your glucose monitor, saying it violates copyright law. Retrieved from https://boingboing.net/2019/12/12/they-literally-own-you.html
Bryson J, Winfield A (2017) Standardizing ethical design for artificial intelligence and autonomous systems. Computer 50(5):116–119
Cargill K (2016) Sugar highs and lows: is sugar really a drug? NANO: New American Notes Online 9:1f
Conrad DA (2015) The theory of value-based payment incentives and their application to health care. Health Serv Res 50:2057–2089
Contag M, Li G, Pawlowski A, Domke F, Levchenko K, Holz T, Savage S (2017) How they did it: an analysis of emission defeat devices in modern automobiles. In: 2017 IEEE Symposium on Security and Privacy (SP). IEEE, pp 231–250. https://experts.illinois.edu/en/publications/how-they-did-it-an-analysis-of-emission-defeat-devices-in-modern
Corsica JA, Pelchat ML (2010) Food addiction: true or false? Curr Opin Gastroenterol 26(2):165–169
Cousins MS, Shickle LM, Bander JA (2002) An introduction to predictive modeling for disease management risk stratification. Dis Manag 5(3):157–167
D’Alessandro DM, Dosa NP (2001) Empowering children and families with information technology. Arch Pediatr Adolesc Med 155(10):1131–1136
DeepMind (2019, January) AlphaGo. Retrieved from https://deepmind.com/research/case-studies/alphago-the-story-so-far
DiNicolantonio JJ, O’Keefe JH, Wilson WL (2018) Sugar addiction: is it real? A narrative review. Br J Sports Med 52(14):910–913
Dressel J, Farid H (2018) The accuracy, fairness, and limits of predicting recidivism. Sci Adv 4(1):eaao5580
Elfhag K, Rössner S (2005) Who succeeds in maintaining weight loss? A conceptual review of factors associated with weight loss maintenance and weight regain. Obes Rev 6(1):67–85
Gartner (2018, March) Harnessing the power of big data. Srinivasan. N, Rajeev Nayar. Retrieved from https://www.infosys.com/industries/retail/white-papers/documents/big-data-big-opportunity.pdf
Huffington Post (2018, December) Engineer ‘Marries’ Robot He Built and It’s Totally Not Creepy At All. Retrieved from https://www.huffingtonpost.co.uk/entry/zheng-jiajia-robot-marriage_us_58e3c701e4b0d0b7e1651098
IBM (2018) Big data. Retrieved from http://www-01.ibm.com/software/data/bigdata/
Independent (2018, March) Facebook’s AI robots shut down after they start talking to each other in their own language. Retrieved from http://www.independent.co.uk/life-style/gadgets-and-tech/news/facebook-artificial-intelligence-ai-chatbot-new-language-research-openai-google-a7869706.html
Independent (2019a, March) Hackers can make your pacemaker or your insulin pump kill you – and the NHS needs to respond to that threat Cyber-security it not just about keeping data safe – it’s about protecting patients’ health. Retrieved from https://www.independent.co.uk/voices/hackers-medicine-nhs-cyber-attack-medical-device-pacemaker-wifi-a8032251.html
Independent (2019b, November) World Champion Go Player quits because AI has become too powerful. Retrieved from https://www.independent.co.uk/life-style/gadgets-and-tech/news/go-player-world-champion-quits-ai-deepmind-lee-se-dol-a9222116.html
International Telecommunications Union (ITU) (2019) Staistics. Retrieved from https://www.itu.int/en/ITU-D/Statistics/Pages/stat/default.aspx
Isaac M (2017) How Uber deceives the authorities worldwide. New York Times, 3, 2017.
Jeffs L, Law MP, Straus S, Cardoso R, Lyons RF, Bell C (2013) Defining quality outcomes for complex-care patients transitioning across the continuum using a structured panel process. BMJ Qual Saf 22(12):1014–1024
Laboratory of Intelligent Systems (2019, December). Retrieved from https://www.epfl.ch/labs/lis/
Lambert P (2018) Complying with the data protection regime. Int J Data Protect Off Privacy Off Privacy Couns 2:17
Lawlor B (2017) An overview of the NFAIS 2017 annual conference: the big pivot: re-engineering scholarly communication. Inf Serv Use 37(3):283–306
Lesser LI, Ebbeling CB, Goozner M, Wypij D, Ludwig DS (2007) Relationship between funding source and conclusion among nutrition-related scientific articles. PLoS Med 4(1):e5
Løvaas KF, Cooper J, Sandberg S, Røraas T, Thue G (2015) Feasibility of using self-reported patient data in a national diabetes register. BMC Health Serv Res 15(1):553
Lustig RH (2013) Fat chance: beating the odds against sugar, processed food, obesity, and disease. Penguin, New York
McAdams MA, Van Dam RM, Hu FB (2007) Comparison of self-reported and measured BMI as correlates of disease markers in US adults. Obesity (Silver Spring) 15(1):188–196
Mittelstadt BD, Allo P, Taddeo M, Wachter S, Floridi L (2016) The ethics of algorithms: Mapping the debate. Big Data & Society, 3(2):2053951716679679.
Moor J (2009) Four kinds of ethical robots. Philos Now 72:12–14
NHS (2019) Addiction: what is it?. Retrieved from https://www.nhs.uk/live-well/healthy-body/addiction-what-is-it/
Panesar A (2019) Future of healthcare. In: Machine learning and AI for healthcare. Apress, Berkeley, pp 255–304
Patel TA, Puppala M, Ogunti RO, Ensor JE, He T, Shewale JB, … Chang JC (2017) Correlating mammographic and pathologic findings in clinical decision support using natural language processing and data mining methods. Cancer 123(1):114–121
Rabin RL (2016) Perspectives on privacy, Data security and Tort Law. DePaul L. Rev., 66:313.
Sackett DL (1997) Evidence-based medicine. In: Seminars in perinatology, vol 21, no 1. WB Saunders, Philadelphia, pp 3–5
Sarwar A, Boland G, Monks A, Kruskal JB (2015) Metrics for radiologists in the era of value-based health care delivery. Radiographics 35(3):866–876
Saslow LR, Summers C, Aikens JE, Unwin DJ (2018) Outcomes of a digitally delivered low-carbohydrate type 2 diabetes self-management program: 1-year results of a single-arm longitudinal study. JMIR Diabetes 3(3):e12
Simon HA (1983) Why should machines learn? In: Machine learning. Morgan Kaufmann, Los Altos, pp 25–37
Smith R (2003) Thoughts for new medical students at a new medical school. Bmj 327(7429):1430–1433
Stults-Kolehmainen MA, Sinha R (2014) The effects of stress on physical activity and exercise. Sports Med 44(1):81–121
Summers C, Curtis K (2020, January) Can a digitally delivered behaviour change platform focused on carbohydrate restriction reduce food addiction in patients with type 2 diabetes? A six-month observation study
TechCrunch (2019, March) Half of the web is now encrypted. Retrieved from https://techcrunch.com/2017/02/22/eff-half-the-web-is-now-encrypted
Telegragh (2017, December) Microsoft deletes ‘teen girl’ AI after it became a Hitler-loving sex robot within 24 hours. Retrieved from https://www.telegraph.co.uk/technology/2016/03/24/microsofts-teen-girl-ai-turns-into-ahitler-loving-sex-robot-wit/
Telegraph (2019, March) Individual NHS doctors receiving £100,000 per year from drugs firms. Retrieved from https://www.telegraph.co.uk/news/2016/06/30/individual-nhs-doctors-receiving-100000-per-year-from-drugs-firm/
The Guardian (2016, June) The ‘three black teenagers’ search shows it is society, not Google, that is racist. Retrieved from https://www.theguardian.com/commentisfree/2016/jun/10/three-black-teenagers-google-racist-tweet
The Guardian (2018, December) Trump digital director says Facebook helped win the White House. Retrieved from https://www.theguardian.com/technology/2017/oct/08/trumpdigital-director-brad-parscale-facebook-advertising
The Sydney Morning Herald (2016, March) Man dies after three-day internet gaming binge. Retrieved from https://www.smh.com.au/technology/man-dies-after-threeday-internet-gaming-binge-20150117-12sg0a.html
Trifu MR, Ivan ML (2014) Big Data: present and future. Database Syst J 5(1):32–41
University of Reading (2018, December) Turing Test Success Marks Milestone. Retrieved from http://www.reading.ac.uk/news-and-events/releases/PR583836.aspx
Weber GM, Mandl KD, Kohane IS (2014) Finding the missing link for big biomedical data. JAMA 311(24):2479–2480
Yach D, Stuckler D, Brownell KD (2006) Epidemiologic and economic consequences of the global epidemics of obesity and diabetes. Nat Med 12(1):62
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Panesar, A., Panesar, H. (2020). Artificial Intelligence and Machine Learning in Global Healthcare. In: Haring, R., Kickbusch, I., Ganten, D., Moeti, M. (eds) Handbook of Global Health. Springer, Cham. https://doi.org/10.1007/978-3-030-05325-3_75-1
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DOI: https://doi.org/10.1007/978-3-030-05325-3_75-1
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