{"id":78318,"date":"2025-05-09T00:21:36","date_gmt":"2025-05-08T22:21:36","guid":{"rendered":"https:\/\/www.infokuryr.cz\/n\/?p=78318"},"modified":"2025-05-08T17:38:31","modified_gmt":"2025-05-08T15:38:31","slug":"tajna-restrukturalizace-jak-trumpova-administrativa-zastavila-celostatni-studijni-sit-a-vydlazdila-cestu-pro-kontrolu-umele-inteligence-ve-vyzkumu","status":"publish","type":"post","link":"https:\/\/www.infokuryr.cz\/n\/2025\/05\/09\/tajna-restrukturalizace-jak-trumpova-administrativa-zastavila-celostatni-studijni-sit-a-vydlazdila-cestu-pro-kontrolu-umele-inteligence-ve-vyzkumu\/","title":{"rendered":"Tajn\u00e1 restrukturalizace: Jak Trumpova administrativa zastavila celost\u00e1tn\u00ed studijn\u00ed s\u00ed\u0165 \u2013 a vydl\u00e1\u017edila cestu pro kontrolu um\u011bl\u00e9 inteligence ve v\u00fdzkumu"},"content":{"rendered":"
<\/div>\n

Tajn\u00e1 restrukturalizace: Jak Trumpova administrativa zastavila celost\u00e1tn\u00ed studijn\u00ed s\u00ed\u0165 \u2013 a vydl\u00e1\u017edila cestu pro kontrolu um\u011bl\u00e9 inteligence ve v\u00fdzkumu<\/strong><\/p>\n

Sotva pov\u0161imnut\u00fd administrativn\u00ed akt Trumpovy administrativy ohro\u017euje tis\u00edce klinick\u00fdch studi\u00ed \u2013 ale za zd\u00e1nliv\u00fdmi \u00fasporn\u00fdmi opat\u0159en\u00edmi se m\u016f\u017ee skr\u00fdvat mnohem hlub\u0161\u00ed restrukturalizace l\u00e9ka\u0159sk\u00e9ho v\u00fdzkumu: posun etick\u00e9ho dohledu k um\u011bl\u00e9 inteligenci.<\/em><\/p>\n

TrialSiteNews<\/em>\u00a0zve\u0159ej\u0148uje znepokojivou\u00a0zpr\u00e1vu<\/a>\u00a0:<\/p>\n

Trumpova administrativa zastavila syst\u00e9m\u00a0SMART IRB<\/strong>\u00a0\u2013 n\u00e1rodn\u00ed infrastrukturu pro\u00a0koordinaci klinick\u00fdch studi\u00ed<\/strong>\u00a0vyvinutou Harvardskou\u00a0univerzitou<\/strong>\u00a0. Tato s\u00ed\u0165 se stala p\u00e1te\u0159\u00ed nespo\u010dtu v\u00fdzkumn\u00fdch projekt\u016f, zejm\u00e9na t\u011bch, kter\u00e9 zahrnovaly v\u00edce klinik nebo v\u00fdzkumn\u00fdch pracovi\u0161\u0165.<\/p>\n

Ofici\u00e1ln\u00edm d\u016fvodem je:\u00a0administrativn\u00ed restrukturalizace, stanoven\u00ed priorit, probl\u00e9my se zdroji<\/strong>\u00a0.
\nD\u016fsledky jsou ale v\u00e1\u017en\u00e9 \u2013 a pozad\u00ed m\u016f\u017ee b\u00fdt v\u00fdbu\u0161n\u011bj\u0161\u00ed, ne\u017e se na prvn\u00ed pohled zd\u00e1.<\/p>\n

Co byl SMART IRB \u2013 a pro\u010d je d\u016fle\u017eit\u00fd?<\/strong><\/h3>\n

SMART IRB (Zjednodu\u0161en\u00e1, v\u00edcem\u00edstn\u00e1, zrychlen\u00e1 rada pro revizi institucion\u00e1ln\u00edch zdroj\u016f pro klinick\u00e9 studie) byla\u00a0n\u00e1rodn\u00ed platforma pro zjednodu\u0161en\u00ed schvalov\u00e1n\u00ed klinick\u00fdch studi\u00ed<\/strong>\u00a0. Propojilo p\u0159es 1 000 americk\u00fdch v\u00fdzkumn\u00fdch instituc\u00ed, klinik a univerzit.<\/p>\n

C\u00edlem bylo:<\/p>\n

    \n
  • sn\u00ed\u017eit byrokracii,<\/li>\n
  • standardizovat etick\u00e9 postupy,<\/li>\n
  • koordinovat studie nap\u0159\u00ed\u010d lokalitami,<\/li>\n
  • a pos\u00edlit d\u016fv\u011bru v integritu klinick\u00e9ho v\u00fdzkumu.<\/li>\n<\/ul>\n

    Podle serveru TrialSiteNews<\/em>\u00a0zastaven\u00ed t\u00e9to infrastruktury ohro\u017euje\u00a0tis\u00edce studijn\u00edch projekt\u016f<\/strong>\u00a0\u2013 v\u010detn\u011b t\u011bch v oblasti onkologie, neurologie, v\u00fdzkumu vakc\u00edn a vz\u00e1cn\u00fdch onemocn\u011bn\u00ed.<\/p>\n

    Vytv\u00e1\u0159\u00ed to prostor pro etick\u00e9 syst\u00e9my \u0159\u00edzen\u00e9 um\u011blou inteligenc\u00ed?<\/strong><\/h3>\n

    Ofici\u00e1ln\u00ed zd\u016fvodn\u011bn\u00ed je technokratick\u00e9 \u2013 ale vyvst\u00e1v\u00e1 ot\u00e1zka:
    \nPro\u010d je osv\u011bd\u010den\u00e1, transparentn\u00ed a akademicky podporovan\u00e1 platforma zav\u00edr\u00e1na bez n\u00e1hrady?<\/strong><\/p>\n

    P\u0159edpoklad je z\u0159ejm\u00fd:
    \netick\u00fd dohled a schvalov\u00e1n\u00ed klinick\u00e9ho v\u00fdzkumu bude v budoucnu postupn\u011b outsourcov\u00e1no na syst\u00e9my zalo\u017een\u00e9 na um\u011bl\u00e9 inteligenci.<\/strong><\/p>\n

    To, o \u010dem dosud rozhodovaly etick\u00e9 komise pod ve\u0159ejn\u00fdm dohledem, by brzy mohlo\u00a0b\u00fdt nahrazeno\u00a0automatizovan\u00fdmi algoritmy pro hodnocen\u00ed :<\/strong><\/p>\n

      \n
    • Studijn\u00ed protokoly by mohly b\u00fdt skenov\u00e1ny z hlediska rizik pomoc\u00ed NLP (zpracov\u00e1n\u00ed p\u0159irozen\u00e9ho jazyka).<\/li>\n
    • Stratifikaci pacient\u016f a posouzen\u00ed rizik by bylo mo\u017en\u00e9 prov\u00e9st pomoc\u00ed strojov\u00e9ho u\u010den\u00ed.<\/li>\n
    • Rozhodovac\u00ed procesy by byly standardizovan\u00e9 \u2013 ale tak\u00e9\u00a0odd\u011blen\u00e9 od lidsk\u00e9ho \u00fasudku.<\/strong><\/li>\n<\/ul>\n

      A ovl\u00e1d\u00e1n\u00ed?\u00a0Mohlo by to b\u00fdt v rukou velk\u00fdch technologick\u00fdch spole\u010dnost\u00ed.<\/strong><\/p>\n

      Soukrom\u00e9 m\u00edsto ve\u0159ejn\u00e9ho \u2013 nov\u00e1 etick\u00e1 logika<\/strong><\/h3>\n

      Uzav\u0159en\u00ed platformy SMART IRB je sou\u010d\u00e1st\u00ed s\u00e9rie opat\u0159en\u00ed, v r\u00e1mci kter\u00fdch\u00a0jsou ve\u0159ejn\u00e9 akademick\u00e9 struktury demontov\u00e1ny<\/strong>\u00a0a nahrazov\u00e1ny\u00a0soukrom\u00fdmi platformn\u00edmi \u0159e\u0161en\u00edmi zalo\u017een\u00fdmi na um\u011bl\u00e9 inteligenci<\/strong>\u00a0.<\/p>\n

      Zaj\u00edmav\u00e9 je, \u017ee spole\u010dnosti jako nap\u0159\u00edklad:<\/p>\n

        \n
      • Palantir<\/strong>\u00a0(anal\u00fdza dat, anal\u00fdza klinick\u00fdch studi\u00ed),<\/li>\n
      • Oracle<\/strong>\u00a0(datab\u00e1ze a cloudov\u00e1 \u0159e\u0161en\u00ed pro zdravotnictv\u00ed),<\/li>\n
      • Google Health<\/strong>\u00a0(p\u0159edpov\u011bdi zdrav\u00ed zalo\u017een\u00e9 na um\u011bl\u00e9 inteligenci),<\/li>\n
      • Microsoft a Amazon<\/strong>\u00a0(infrastruktura digit\u00e1ln\u00edch studi\u00ed a syst\u00e9my pro pacienty zalo\u017een\u00e9 na um\u011bl\u00e9 inteligenci).<\/li>\n<\/ul>\n

        Tyto spole\u010dnosti ji\u017e vyv\u00edjej\u00ed syst\u00e9my pro automatizovan\u00e9 pl\u00e1nov\u00e1n\u00ed studi\u00ed, etick\u00e9 posouzen\u00ed, monitorov\u00e1n\u00ed dat pacient\u016f v re\u00e1ln\u00e9m \u010dase a dodr\u017eov\u00e1n\u00ed p\u0159edpis\u016f \u2013 pln\u011b algoritmizovan\u00e9 a propriet\u00e1rn\u00ed.<\/p>\n

        Co se ztratilo?<\/strong><\/h3>\n

        S ukon\u010den\u00edm programu SMART IRB v\u00fdzkumn\u00edci nejen ztr\u00e1cej\u00ed platformu, ale tak\u00e9:<\/p>\n

          \n
        • Transparentnost<\/strong>\u00a0v etick\u00e9m hodnocen\u00ed,<\/li>\n
        • ve\u0159ejn\u00e1 kontrola<\/strong>\u00a0nad l\u00e9ka\u0159sk\u00fdm v\u00fdzkumem,<\/li>\n
        • nez\u00e1visl\u00e9 standardy<\/strong>\u00a0, kter\u00e9 nejsou zam\u011b\u0159en\u00e9 na zisk.<\/li>\n<\/ul>\n

          Nebezpe\u010d\u00ed:\u00a0Etick\u00fd rozm\u011br klinick\u00e9ho v\u00fdzkumu je technokraticky redukov\u00e1n \u2013 a posuzov\u00e1n\u00ed \u201ep\u0159im\u011b\u0159enosti\u201c a \u201eochrany pacienta\u201c je ponech\u00e1no na syst\u00e9mu \u010dern\u00e9 sk\u0159\u00ed\u0148ky.<\/strong><\/p>\n

          Z\u00e1v\u011br: Spr\u00e1vn\u00ed akt se syst\u00e9mov\u00fdm rozm\u011brem<\/strong><\/h3>\n

          To, co se jev\u00ed jako technicko-administrativn\u00ed rozhodnut\u00ed Trumpovy administrativy, se p\u0159i bli\u017e\u0161\u00edm zkoum\u00e1n\u00ed uk\u00e1\u017ee jako\u00a0syst\u00e9mov\u00e1 restrukturalizace v\u00fdzkumn\u00e9ho syst\u00e9mu<\/strong>\u00a0.<\/p>\n

          Uzav\u0159en\u00ed SMART IRB nemus\u00ed\u00a0b\u00fdt n\u00e1hoda<\/strong>\u00a0, ale sp\u00ed\u0161e\u00a0za\u010d\u00e1tek nov\u00e9 \u00e9ry kontroly v\u00fdzkumu \u2013 kontrolovan\u00e9 um\u011blou inteligenc\u00ed, zorganizovan\u00e9 soukrom\u00fdmi technologick\u00fdmi spole\u010dnostmi, legitimizovan\u00e9 r\u00e9torikou politick\u00e9 deregulace.<\/strong><\/p>\n

          Ot\u00e1zky, kter\u00e9 je nyn\u00ed t\u0159eba si polo\u017eit, jsou:<\/p>\n

            \n
          • Kdo bude v budoucnu \u0159\u00eddit klinick\u00e9 studie \u2013 lid\u00e9 nebo stroje?<\/strong><\/li>\n
          • Komu pat\u0159\u00ed data \u2013 v\u011bd\u011b, nebo poskytovatel\u016fm cloudov\u00fdch slu\u017eeb?<\/strong><\/li>\n
          • A co znamen\u00e1 \u201eetick\u00fd\u201c, kdy\u017e algoritmy rozhoduj\u00ed o blahu pacient\u016f?<\/strong><\/li>\n<\/ul>\n

            Odpov\u011b\u010f ur\u010d\u00ed budoucnost l\u00e9ka\u0159sk\u00e9 svobody \u2013 a to, zda v\u011bda slou\u017e\u00ed lidstvu, nebo se sama zbavuje moci.<\/p>\n

            \"\"<\/p>\n

             <\/p>\n","protected":false},"excerpt":{"rendered":"

            Tajn\u00e1 restrukturalizace: Jak Trumpova administrativa zastavila celost\u00e1tn\u00ed studijn\u00ed s\u00ed\u0165 \u2013 a vydl\u00e1\u017edila cestu pro kontrolu…<\/p>\n","protected":false},"author":2,"featured_media":78319,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[7],"tags":[2194,1820,21],"_links":{"self":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/78318"}],"collection":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/comments?post=78318"}],"version-history":[{"count":1,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/78318\/revisions"}],"predecessor-version":[{"id":78320,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/78318\/revisions\/78320"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media\/78319"}],"wp:attachment":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media?parent=78318"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/categories?post=78318"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/tags?post=78318"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}