Yaşlı Yetişkinlerde Yapay Zeka Destekli Sağlık Sistemleriyle Etkileşim ve Yaşa Dayalı Dışlanma

Öz

Bu derleme, yaşlı yetişkinlerin yapay zekâ destekli sağlık sistemleriyle kurduğu etkileşimin yalnızca teknolojiye erişim ya da bireysel dijital okuryazarlık düzeyi ile açıklanamayacağını ileri sürmektedir. Çalışmanın temel savı, yaşlı bireylerin bu sistemlerden yeterince yararlanamamasının çoğu zaman bireysel bir uyum sorunu olarak değerlendirilmesine karşın, asıl meselenin veri temsili, tasarım normları, sınırlı açıklanabilirlik, yetersiz kurumsal destek ve yaş temelli önyargıların kesişiminde ortaya çıkan sosyoteknik bir dışlanma biçimi olduğudur. Bu çerçevede konu, yapay zekâ destekli bir kronik hastalık izlem uygulamasını kullanmakta güçlük yaşayan yaşlı bir kadına dayalı örnek üzerinden ele alınmaktadır. Çalışmada öncelikle yapay zekânın yaşlı bakımında sunduğu olanaklar ile bu alandaki temel kavramsal gerilimler tartışılmakta, ardından söz konusu örnek dijital dışlanma, dijital yaş ayrımcılığı, katılımcı tasarım, bakım etiği ve hemşirelik uygulamaları açısından değerlendirilmektedir. Sonuç olarak, sağlık hizmetlerinde yapay zekânın başarısının yalnızca doğruluk, hız ve verimlilik gibi ölçütlerle değil, yaşlı bireyleri bakım sürecine anlaşılır, güvenli, adil ve onurlu bir biçimde dâhil edebilme kapasitesi üzerinden de değerlendirilmesi gerektiği vurgulanmaktadır.

Anahtar Kelimeler

• Yaşlı yetişkinler
• yapay zekâ
• dijital yaş ayrımcılığı
• sağlık teknolojileri
• bakım etiği

Engagement of Older Adults with AI-Supported Healthcare Systems and the Risks of Age-Based Exclusion

Öz

This article argues that older adults’ engagement with healthcare systems supported by artificial intelligence (AI) cannot be explained solely by access to technology or individual levels of digital literacy. The central claim is that when older adults are unable to benefit fully from these systems, the problem is often framed as a personal failure to adapt, whereas the deeper issue is a form of sociotechnical exclusion produced at the intersection of data representation, design norms, limited explainability, inadequate institutional support, and age-based bias. To explore this issue, the article draws on a composite case involving an older woman who struggles to use an AI-supported chronic disease monitoring application. It first examines the opportunities associated with artificial intelligence in the care of older adults and the conceptual tensions surrounding these technologies. It then presents the composite case and analyses it through the lenses of digital exclusion, digital ageism, participatory design, care ethics, and nursing practice. The article concludes that the success of artificial intelligence in healthcare should be assessed not only in terms of accuracy, speed, and efficiency, but also in terms of its capacity to involve older adults in care processes in ways that are understandable, safe, fair, and dignified.

Anahtar Kelimeler

• Older adults
• artificial intelligence
• digital ageism
• health technologies
• care ethics

Kaynakça

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