がん治療における人工知能に対する患者の態度: スコーピングレビュー
Daniel Hilbers1, Navid Nekain1, Alan Bates2,3
1Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
JMIR cancer
|August 22, 2025
まとめ
がん患者は一般的に医師による人工知能 (AI) ツールを支持しますが,非個性化とデータセキュリティについて懸念しています. これらの患者の視点を理解することは 癌治療におけるAIの統合に 重要な役割を果たします
科学分野:
- 腫瘍学
- 医療情報学
- 医療サービス研究
背景:
- 人工知能 (AI) はがん治療にますます組み込まれていますが,患者の認識はほとんど未知のままです.
- 患者の態度を理解することは 患者中心のAIの導入と採用に不可欠です
- 腫瘍学における個々のニーズと好みに合わせて AI ツールを整えるには 患者の視点が不可欠です
研究 の 目的:
- 癌治療におけるAIに対する患者の態度に関する既存の文献を統合する.
- 腫瘍学におけるAIに関する患者の認識に関する知識のギャップを特定する.
- 癌治療におけるAIに関する将来の研究と臨床実施戦略を参考にすること.
主な方法:
- PRISMA- ScRのガイドラインに従って包括的なスコーピングレビューが行われました.
- MEDLINE,Embase,PsycINFO,CINAHLで AIと癌患者の態度に関する 研究を検索しました
- 定量と質のデータを統合した15カ国の患者2114人を代表する19件の研究が含まれています.
主要な成果:
- 患者は一般的にAIを医師によるツールとして支持しているが,非個性化,バイアス,データセキュリティに関する懸念を表明している.
- AIに対する信頼は,医師の承認と患者の熟知度によって影響を受け,医師によるアプリケーションに対する信頼はより高い.
- 人工知能の受け入れには地理的な違いがあり,アジアでは受け入れが高く,北米とヨーロッパでは懐疑的だった. 転移したがん患者の割合は低かった.
結論:
- このレビューは,AIに対する患者さんの態度を 総合的に分析し,患者さんの独特の懸念を 強調しています
- 臨床医は医師が指導するツールとしての役割を強調することで AIの受け入れを促進できると示唆しています
- AIを患者の価値観と期待に合わせて統合することは がん治療の成功に不可欠です
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