同意-GPT:将程序性同意授权给对话性AI是道德上的吗?
Jemima Winifred Allen1,2, Brian D Earp2, Julian Koplin3
1Faculty of Medicine, Nursing & Health Sciences, Monash University, Clayton, Victoria, Australia.
Journal of medical ethics
|October 28, 2023
概括
将医疗同意权委托给人工智能,特别是大型语言模型 (LLM),可以提高患者的理解和自主性. 这种人工智能方法可能比目前的知情同意程序实践提供更大的好处.
科学领域:
- 医学伦理 医学伦理
- 医疗保健中的人工智能
- 临床实践 临床实践
背景情况:
- 在道德医疗程序中,知情同意至关重要.
- 目前的同意授权通常涉及初级医生缺乏时间和专业知识.
- 这可能会损害患者的自主权和知情决策.
研究的目的:
- 探索使用对话式人工智能 (AI) 和大型语言模型 (LLM) 进行程序性同意.
- 分析授权对LLMs同意的伦理影响和潜在益处.
- 将基于LLM的同意与当前的授权实践进行比较.
主要方法:
- 概述了LLM授权进行手术同意的假设场景.
- 审查了关于授权同意的现有临床指南.
- 讨论了伦理考虑和LLM使用的潜在优势.
主要成果:
- 当前的同意授权实践可能不完全符合知情同意的伦理标准.
- 简单的法律程序可能会显著改善患者获得程序信息的机会.
- 法律法学具有提高知情决策的潜力.
结论:
- 将程序同意权委托给LLM可能会比目前的方法有很大的好处.
- 在特定的临床情况下,LLM可以大大改善知情同意过程.
- 像LLM这样的人工智能驱动的工具显示出在医疗保健中提高患者自主性的前景.
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