"医生ChatGPT,你可以帮我吗?" 患者的视角:横截面研究
Jonas Armbruster1, Florian Bussmann1, Catharina Rothhaas1
1Department of Trauma and Orthopedic Surgery, BG Klinik Ludwigshafen, Ludwigshafen am Rhein, Germany.
Journal of medical Internet research
|October 1, 2024
概括
像ChatGPT这样的人工智能聊天机器人提供比医生更富同情和有用的健康建议. 然而,患者无法识别潜在有害的AI产生的医疗信息.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健中的人工智能
- 患者报告的结果
背景情况:
- 人工智能 (AI) 和像ChatGPT这样的大型语言模型 (LLM) 在医学上表现有前途.
- 聊天GPT可以为健康查询提供专家级的响应,但患者的感知和风险检测是未知的.
研究的目的:
- 确定患者是否可以从人工智能聊天机器人助手那里获得有用和安全的医疗保健建议.
- 将人工智能产生的建议与专家医生的反应进行比较.
主要方法:
- 一项横截面研究评估了5个专业的100个患者健康问题.
- 来自ChatGPT-4.0和专家小组 (EP) 的反应是盲目的,并由患者对同情和有用性进行评分.
- 医生还评估了对伤害和正确性的反应.
主要成果:
- 与EP相比,ChatGPT在同理心 (4.18对2.7) 和实用性 (4.04对2.98) 上获得了更高的分数.
- 在正确性方面,ChatGPT的表现也超过了EP (4.51对3.55).
- 与医生不同的是,患者没有识别潜在的有害AI反应.
结论:
- 聊天GPT产生的健康建议可能会超过医生在互联网平台上的关于同情和有用性的反应.
- 人工智能聊天机器人比本研究中的专家小组产生了更少的潜在有害反应.
- 患者无法独立识别AI产生的医疗建议中的潜在风险.
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