开放的AI与开放的笔记相遇:监控资本主义,患者隐私和在线记录访问
1Women's and Children's Health, Uppsala Universitet, Uppsala, Sweden charlotte.blease@uu.se.
Journal of medical ethics
|December 5, 2023
概括
患者在线记录访问 (ORA) 提供了好处,但也带来了数据暴露的风险. 本研究探讨了互联网资源和LLM聊天机器人的隐私风险,并提出了缓解策略.
科学领域:
- 医疗信息学 医疗信息学
- 数字健康数字健康
- 患者赋权是患者赋权的一种方式.
背景情况:
- 患者在线记录访问 (ORA) 正在全球范围内扩大,从2023年10月起在英国强制实施全科医生 (GP).
- 患者报告通过ORA.提高了对治疗方法和药物的理解.
- 然而,在线访问记录可能需要使用基于互联网的资源进行解释,这可能会带来隐私风险.
研究的目的:
- 检查患者在线记录访问 (ORA) 和与互联网相关的隐私风险的交叉点.
- 确定如何通过ORA和补充在线资源暴露敏感的患者信息.
- 提出多层次的策略,以减轻这些确定的隐私风险.
主要方法:
- 文献综述调查了ORA和互联网隐私的现有证据.
- 通过基于互联网的解释工具分析潜在的数据暴露途径.
- 检查与大型语言模型 (LLM) 驱动的聊天机器人在医疗保健中的风险.
主要成果:
- 患者在线记录访问 (ORA) 可以导致患者增强权力和治疗坚持.
- 通过互联网资源,特别是LLM聊天机器人来补充ORA,增加了暴露敏感患者数据给第三方技术公司的风险.
- 由于ORA,临床医生的工作量可能会增加,进一步复杂化隐私管理.
结论:
- 缓解与ORA相关的隐私风险需要采取多层次的方法.
- 战略应解决基于互联网的资源和LLM技术的安全使用,以解释电子健康记录.
- 平衡患者访问与数据保护对于ORA的安全实施至关重要.
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