Two sides of the same algorithm: ART Professionals’ and Patients’ Views on the Use of AI for Embryo Selection in Australia
Amy Webb1, Molly Johnston1, Julian Koplin1, Catherine Mills1, Andrea Whittaker1, Monash University Clayton 1Monash University, Clayton, VIC, Australia
Abstract
Background: Australian assisted reproductive treatment (ART) clinics have started using artificial intelligence (AI) to aid embryo selection. Ethical and regulatory analysis have not kept pace with this technology. As interest in the use of AI in the ART sector grows, evidence of key stakeholders’ views on this technology is needed to ensure it is implemented responsibly. In this paper we explore ART professionals’ and patients’ views on the use of AI for embryo selection in Australian ART clinics, with the aim to identify considerations relevant to ethical clinical implementation.
Method: ART professionals from clinics currently using AI for embryo selection and ART patients were invited to participate in qualitative semi-structured interviews. Ten ART professionals and ten ART patients were interviewed. Interview data was thematically analysed.
Results: Our preliminary analysis revealed five overlapping themes from the interviews with ART professional and ART patient groups: (1) Usage of AI, (2) Transparency, (3) Accountability, (4) Disclosure, and (5) Dehumanisation. While these groups shared similar views about many aspects of the use of AI for embryo selection, there were clear differences of opinion on whether the use of the technology should be disclosed to patients and its potential to dehumanise ART patients’ experiences of receiving treatment.
Conclusion: We conclude that in order to successfully implement AI embryo selection into clinical practice, it is important to address patients’ and ART professionals’ concerns. Appropriate regulation, education, and disclosure, are critical to ensure continuation of trust and confidence in patient-healthcare provider relationships in the ART sector.
Biography
Amy is a reproductive biologist and women’s health researcher at Monash University. She is a qualified clinical embryologist and has a research background in assisted reproductive technology, fertility, and e-health development. She is particularly interested in exploring how psychosocial support can be improved for those experiencing miscarriage and infertility.