PBESProceedings of Business and Economic Studies2209-26412209-265XBio-Byword Scientific Publishing Pty. Ltd.10.26689/pbes.v8i4.11930ArticleResearch on the Responsibility Traceability Mechanism Based on AI and the Application Boundary of Algorithmic Ethics in Medical Decision Makinghttps://artdesignp.com/journal/PBES/8/4/10.26689/pbes.v8i4.11930HuangBaochen,HuangZhikai2025842025-09-11With the rapid advancement of medical artificial intelligence (AI) technology, particularly the widespread adoption of AI diagnostic systems, ethical challenges in medical decision-making have garnered increasing attention. This paper analyzes the limitations of algorithmic ethics in medical decision-making and explores accountability mechanisms, aiming to provide theoretical support for ethically informed medical practices. The study highlights how the opacity of AI algorithms complicates the definition of decision-making responsibility, undermines doctor-patient trust, and affects informed consent. By thoroughly investigating issues such as the algorithmic “black box” problem and data privacy protection, we develop accountability assessment models to address ethical concerns related to medical resource allocation. Furthermore, this research examines the effective implementation of AI diagnostic systems through case studies of both successful and unsuccessful applications, extracting lessons on accountability mechanisms and response strategies. Finally, we emphasize that establishing a transparent accountability framework is crucial for enhancing the ethical standards of medical AI systems and protecting patients’ rights and interests.

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