¿Humanizar o no humanizar? he ahí el dilema

Implicancias socio-jurídicas de los robots sociales destinados a la asistencia de pacientes

Palabras clave: Robótica, Servicio de salud, Paciente, Inteligencia artificial, Tratamiento médico

Resumen

La injerencia de la Inteligencia Artificial (IA) y la robótica en absolutamente todos los ámbitos sobre los que el ser humano se desenvuelve, junto a la pandemia de COVID y el incremento de la brecha demográfica entre la población geriátrica y la disponibilidad de talento humano en el sector salud, han demandado el uso de robots sociales dentro del sector sanitario. Si bien es cierto que, debido a la apariencia física y capacidad de interactuar que poseen los robots sociales, los ha hecho aparentemente idóneos para emplearlos con pacientes como adultos con discapacidad intelectual o psicosocial, se hace imperioso el analizar las cuestiones jurídico sociales provenientes del despliegue de este tipo de autómatas en el ámbito sanitario. Siendo así, las principales problemáticas sociales encontradas fueron: el redimensionamiento de las relaciones que se generan en los centros de salud, la desconfianza de los pacientes hacia los sistemas autónomos y los peligros provenientes de la humanización de la robótica. Finalmente, a nivel jurídico se evidenció la existencia de cuestiones como la posible filtración de data sensible a lo largo del ciclo de vida de los robots y la tan confusa relación entre los accidentes promovidos por las máquinas y la responsabilidad civil.

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Abdul, N., Leow, Y., Klainin, P., Itoh, S. & Xi, V. (2023). The effectiveness of a therapeutic robot, ‘Paro’, on behavioural and psychological symptoms, medication use, total sleep time and sociability in older adults with dementia: A systematic review and meta-analysis. International Journal of Nursing Studies, 145. https://doi.org/10.1016/j.ijnurstu.2023.104530

Alemzadeh, H., Iyer, R., Kalbarczyk, Z., Leveson, N. & Raman, J. (2016). Adverse Events in Robotic Surgery: A Retrospective Study of 14 Years of FDA Data. PLOS one, 11(4). https://doi.org/10.1371/journal.pone.0151470

Amirova, A., Rakhymbayeva, N., Yadollahi, E., Sandygulova, A. & Johal, W. (2021). 10 Years of Human-NAO Interaction Research: A Scoping Review. Frontiers in Robotics and AI, 8. https://doi.org/10.3389/frobt.2021.744526

Aymerich, L. & Gómez, E. (2024). Public perception of socially assistive robots for healthcare in the EU: A large-scale survey. Computers in Human Behavior Reports, 15. https://doi.org/10.1016/j.chbr.2024.100465

Bendix, A. (8 de febrero de 2024). Robotic device burned a woman’s small intestine during surgery, lawsuit alleges. NBC News. https://www.nbcnews.com/health/health-news/robotic-device-burned-womans-small-intestine-surgery-lawsuit-alleges-rcna137998

Bisconti, P. (2024). Hybrid Societies: Living with Social Robots. Routledge.

Breazeal, C. (2003). Emotion and sociable humanoid robots. International Journal of Human-Computer Studies, 59(1), 119-155. https://doi.org/10.1016/S1071-5819(03)00018-1

Bustamante-Cabrera, G., Zuviría-López, Z. & Mondragón-Barrios, L. (2024). Desafíos éticos y humanísticos en la inteligencia artificial y la robótica: Metasíntesis. Apuntes De Bioética, 7(2). https://doi.org/10.35383/apuntes.v7i2.1147

Considine, D. & Considine, G. (1986). Robot Technology Fundamentals. En D. Considine & G. Considine (Eds). Standard Handbook of Industrial Automation (pp. 262–320). Springer.

David, D., Thérouanne, P. & Milhabet, I. (2022). The acceptability of social robots: A scoping review of the recent literature. Computers in Human Behavior, 137. https://doi.org/10.1016/j.chb.2022.107419

Devittori, G., Dinacci, D., Romiti, D., Califfi, A., Petrillo, C., Rossi, P., Ranzani, R., Gassert, R. & Lambercy, O. (2024). Unsupervised robot-assisted rehabilitation after stroke: feasibility, effect on therapy dose, and user experience. Journal of NeuroEngineering and Rehabilitation, 9. https://doi.org/10.1186/s12984-024-01347-4

Elío-Calvo, D. (2021). La Relación Médico Paciente. Revista Médica La Paz, 27(2).

Elwaly, A., Abdellatif, A. & El-Shaer, Y. (2024). New Eldercare Robot with Path-Planning and Fall-Detection Capabilities. Applied Sciences, 14(6). https://doi.org/10.3390/app14062374

Favela, J., Cruz-Sandoval, D., Marques, M. & Muchaluat-Saade, D. (2024). Social Robots for Healthcare and Education in Latin America. Communications of the ACM, 67(8), 70 – 71. https://doi.org/10.1145/3653320

Gasparetto, A. (2016). Robots in History: Legends and Prototypes from Ancient Times to the Industrial Revolution. En C. López & M. Ceccarelli (Eds.), Explorations in the History of Machines and Mechanisms: Proceedings of the Fifth IFToMM Symposium on the History of Machines and Mechanisms (pp. 39-50). Springer.

Ghafurian, M., Chandra, S., Hutchinson, R., Lim, A., Baliyan, I., Rhim, J., Gupta, G., Aroyo, A., Rasouli, S. & Dautenhahn, K. (2024). Systematic Review of Social Robots for Health and Wellbeing: A Personal Healthcare Journey Lens, ACM Transactions on Human-Robot Interaction, 14(1), 1-48. https://doi.org/10.1145/3700446

Giger, J., Piçarra, N., Alves-Oliveira, P., Oliveira, R. & Arriaga, P. (2019). Humanization of robots: Is it really such a good idea? Human Behavior and Emerging Technologies, 1(2), 111-123. https://doi.org/10.1002/hbe2.147

González-González, C. S., Violant-Holz, V. & Gil-Iranzo, R. M. (2021). Social Robots in Hospitals: A Systematic Review. Applied Sciences, 11(13). https://doi.org/10.3390/app11135976

Guizzo, E. (23 de mayo de 2023). Types of Robots: Categories frequently used to classify robots. Robots. https://robotsguide.com/learn/types-of-robots

Haque, S., Rahman, M., Haque, E., Banik, N., Ahmed, U. & Habibur, M. (2023). Assistive robotic technologies: An overview of recent advances in medical applications. En O. Boubaker (Ed.), Medical and Healthcare Robotics: New Paradigms and Recent Advances (pp. 1-23). Academic Press.

Henschel, A., Laban, G. & Cross, E. (2021). What Makes a Robot Social? A Review of Social Robots from Science Fiction to a Home or Hospital Near You. Current Robotics Reports, 2, 9–19. https://doi.org/10.1007/s43154-020-00035-0

Heuvel, R., Lexis, M. & Witte, L. (2017). Robot ZORA in rehabilitation and special education for children with severe physical disabilities: a pilot study. International Journal of Rehabilitation Research, 40(4). https://doi.org/10.1097/MRR.0000000000000248

Heuvel, R., Lexis, M. & Witte, L. (2020). ZORA Robot Based Interventions to Achieve Therapeutic and Educational Goals in Children with Severe Physical Disabilities. International Journal of Social Robotics, 12, 493–504. https://doi.org/10.1007/s12369-019-00578-z

Ho, I., Hwan, D., Hyup, K., Lee, J., Kim, K., Park, J. & Seok, H. (2023). Human-Robot Interaction and Social Robot: The Emerging Field of Healthcare Robotics and Current and Future Perspectives for Spinal Care. Neurospine, 21(3). https://doi.org/10.14245/ns.2448432.216

Iqbal, R., Kunta, S., Nuryadin, I. & Arfawi, N. (2024). Human AI: Social robot decision-making using emotional AI and neuroscience. En M. Garg & D. Koundal (Eds.), Emotional AI and Human-AI Interactions in Social Networking (pp. 255-286). Academic Press.

Johanson, D., Seok, H., MacDonald, B., Kyu, B., Lim, J., Hwang, E., Sutherland, C. & Broadbent, E. (2020). The Effect of Robot Attentional Behaviors on User Perceptions and Behaviors in a Simulated Health Care Interaction: Randomized Controlled Trial. Journal of Medical Internet Research, 22(3). https://doi.org/10.2196/18362

Johansson, R., Zander, V., Gustafsson, C. & Gusdal, A. (2022). No thank you to humanized robots: attitudes to care robots in elder care services. Home Health Care Services Quarterly, 41(1), 40-53. https://doi.org/10.1080/01621424.2022.2052221

Kravets, D. (25 de enero de 2010). Jan. 25, 1979: Robot Kills Human. Wired. https://www.wired.com/2010/01/0125robot-kills-worker/

Langer, A., Feingold, R., Mueller, O., Kellmeyer, P. & Levy, S. (2019). Trust in socially assistive robots: Considerations for use in rehabilitation. Neuroscience & Biobehavioral Reviews, 104, 231-239. https://doi.org/10.1016/j.neubiorev.2019.07.014

Lázaro, J. & Gracia, D. (2006). La relación médico-enfermo a través de la historia. Anales del Sistema Sanitario de Navarra, 29.

Lee, K., Shin, J. & Lim, J. (2021). Critical Hazard Factors in the Risk Assessments of Industrial Robots: Causal Analysis and Case Studies. Safety and Health at Work, 12(4), 496-504. https://doi.org/10.1016/j.shaw.2021.07.010

Magnenat, N. (2021). Social Robots: Their History and What They Can Do for Us. En H. Werthner, E. Prem, E. Lee & C. Ghezzi (Eds.), Perspectives on Digital Humanism (pp. 9–17). Springer.

Mayor, A. (2018). Gods and robots: Myths, Machines and Ancient Dreams of Technology. Editorial de la Universidad de Princeton.

McColl, D. & Nejat, G. (2013). Meal-time with a socially assistive robot and older adults at a long-term care facility. Journal of Human-Robot Interaction, 2(1), 152–171. https://doi.org/10.5898/JHRI.2.1.McColl

McColl, D., Louie, W. & Nejat, G. (2013). Brian 2.1: A Socially Assistive Robot for the Elderly and Cognitively Impaired. IEEE Robotics & Automation Magazine, 20(1), 74–83. https://doi.org/10.1109/MRA.2012.2229939

Meghdari, A., Shariati, A., Alemi, M., Vossoughi, G., Eydi, A., Ahmadi, E., Mozafari, B., Amoozandeh, A. & Tahami, R. (2018). Arash: A social robot buddy to support children with cancer in a hospital environment. Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, 232(6). https://doi.org/10.1177/0954411918777520

Melkas, H., Hennala, L., Pekkarinen, S. & Kyrki, V. (2020). Impacts of robot implementation on care personnel and clients in elderly-care institutions. International Journal of Medical Informatics, 134. https://doi.org/10.1016/j.ijmedinf.2019.104041

Naneva, S., Gou, M., Webb, T. & Prescott, T. (2020). A Systematic Review of Attitudes, Anxiety, Acceptance, and Trust Towards Social Robots. International Journal of Social Robotics, 12, 1179–1201. https://doi.org/10.1007/s12369-020-00659-4

Nuñez, C. (2019). Inteligencia Artificial y Responsabilidad Civil: Régimen jurídico de los daños causados por robots autónomos con inteligencia artificial. Reus Editorial.

Paipetis, S. (2010). The Unknown Technology in Homer. Springer.

Panch, T., Mattie, H. & Atun, R. (2019). Artificial intelligence and algorithmic bias: implications for health systems. Journal of Global Health, 9(2). https://doi.org/10.7189/jogh.09.020318

Poole, E. (2024). Robot Souls: Programming in Humanity. CRC Press.

Raso, A., Pulcinelli, M., Schena, E., Puglisi, A., Pioggia, G., Carnevale, A. & Longo, U. (2024). A pilot study for assessing NAO humanoid robot assistance in shoulder rehabilitation. Journal of Experimental Orthopaedics, 21(1). https://doi.org/10.1002/jeo2.70122

Reeves, N. & St-Onge, D. (2022). Genealogy of Artificial Beings: From Ancient Automata to Modern Robotics. En D. Herath & D. St-Onge (Eds.), Foundations of Robotics: A Multidisciplinary Approach with Python and ROS (pp. 3-41). Springer Singapore. https://doi.org/10.1007/978-981-19-1983-1_1

Robert, L. P. (2017). The Growing Problem of Humanizing Robots. International Robotics & Automation Journal, 3(1). https://doi.org/10.15406/iratj.2017.03.00043

Robert, L. P., Fantinato, M., You, S. & Hung, P. C. K. (2024). Social Robotics Business and Computing. Information Systems Frontiers: A Journal of Research and Innovation, 26, 1–8. https://doi.org/10.1007/s10796-023-10413-6

Rossi, S., Santini, S., Di Genova, D., Maggi, G., Verrotti, A., Farello, G., Romualdi, R., Alisi, A., Tozzi, A. & Balsano, C. (2022). Using the Social Robot NAO for Emotional Support to Children at a Pediatric Emergency Department: Randomized Clinical Trial. Journal of Medical Internet Research, 24(1). https://doi.org/10.2196/29656

Sánchez-Martín, F., Millán, F., Salvador-Bayarri, J., Monllau, V., Palou, J., Villavicencio, H. & Jiménez, P. (2007). Historia de la robótica: de Arquitas de Tarento al robot Da Vinci (Parte I). Actas Urológicas Españolas, 31(2), 69-76. https://doi.org/10.1016/S0210-4806(07)73602-1

Sanders, N., Şener, E. & Chen, K. (2024). Robot-related injuries in the workplace: An analysis of OSHA Severe Injury Reports. Applied Ergonomics, 121. https://doi.org/10.1016/j.apergo.2024.104324

Schneider, J. Brünett, M., Gebert, A., Gisa, K., Hermann, A., Lengenfelder, C., Roennau, A., Schuh, S. & Steffen, L. (2024). HoLLiECares - Development of a multi-functional robot for professional care. Frontiers in Robotics and AI, 11. https://doi.org/10.3389/frobt.2024.1325143

Shamsuddin, S., Yussof, H., Idzhar, L., Mohamed, S., Akhtar, F. & Ismarrubie, N. (2012). Humanoid Robot NAO Interacting with Autistic Children of Moderately Impaired Intelligence to Augment Communication Skills. Procedia Engineering, 41, 1533-1538. https://doi.org/10.1016/j.proeng.2012.07.346

Shentu, X. (2024). A review on legal issues of medical robots. Medicine (Baltimore), 103(21). https://doi.org/10.1097/MD.0000000000038330

Sheridan, T. (2020). A review of recent research in social robotics. Current Opinion in Psychology, 36, 7-12. https://doi.org/10.1016/j.copsyc.2020.01.003

Shibata, T., Hung, L., Petersen, S., Darling, K., Inoue, K., Martyn, K., Hori, Y., G. Lane., Park, D., Mizoguchi, R., Takano, C., Harper, S., Leeson, G. & Coughlin, J. (2021). PARO as a Biofeedback Medical Device for Mental Health in the COVID-19 Era. Sustainability, 13(20). https://doi.org/10.3390/su132011502

Sommer, D., Kasbauer, J., Jakob, D., Schmidt, S. & Wahl, F. (2024). Potential of Assistive Robots in Clinical Nursing: An Observational Study of Nurses’ Transportation Tasks in Rural Clinics of Bavaria, Germany. Nursing Reports, 14(1), 267-286. https://doi.org/10.3390/nursrep14010021

Steffen, L., Schulze, M., Eichmann, C., Koch, R., Hermann, A., Mussulin, R., Graaf, F., Wilbrandt, R., Große, M., Roennau, A. & Dillmann, R. (2024). HoLLiE C—A Multifunctional Bimanual Mobile Robot Supporting Versatile Care Applications. En S. Lee, J. An, N. Young, M. Strand & J. Kim (Eds.), Intelligent Autonomous Systems 18 (pp. 127–140). Springer.

Triantafyllidis, A., Alexiadis, A., Votis, K. & Tzovaras, D. (2023). Social robot interventions for child healthcare: A systematic review of the literature. Computer Methods and Programs in Biomedicine Update, 3. https://doi.org/10.1016/j.cmpbup.2023.100108

Truitt, E. (2015). Medieval Robots: Mechanism, Magic, Nature, and Art. Editorial de la Universidad de Pensilvania.

Winfield, A. (2012). Robotics: A Very Short Introduction. Editorial de Oxford.

Publicado
2025-06-30
Cómo citar
Coaquira-Flores, A. J. (2025). ¿Humanizar o no humanizar? he ahí el dilema: Implicancias socio-jurídicas de los robots sociales destinados a la asistencia de pacientes. Apuntes De Bioética, 8(1), AdB1250. https://doi.org/10.35383/apuntes.v8i1.1250