聊天GPT和其他对话型大语言模型在医疗保健中的应用和关注点:系统审查
Leyao Wang1, Zhiyu Wan2,3, Congning Ni1
1Department of Computer Science, Vanderbilt University, Nashville, TN, United States.
Journal of medical Internet research
|November 7, 2024
概括
大型语言模型 (LLM) 在医疗保健中显示出对总结和医学知识的承诺,但在可靠性和偏见方面面临挑战. 需要进一步的研究来解决这些关于安全整合的担忧.
科学领域:
- 人工智能在医学中的应用
- 自然语言处理自然语言处理.
- 医疗信息学 医疗信息学
背景情况:
- 聊天GPT的出现激发了对医疗保健应用的大型语言模型 (LLM) 的显著兴趣.
- 许多研究探讨了在各种健康相关场景中使用高级LLM的可能性.
研究的目的:
- 系统地审查对话式LLM在医疗保健中的应用和关注点.
- 为医学领域的LLM整合提出未来的研究方向.
主要方法:
- 在2023年9月1日之前发表的同行评审文章的系统审查,来自PubMed,ACM和IEEE.
- 文章使用PRISMA指南进行了选,重点关注医疗保健应用和对话式LLMs.
- 包含的论文按应用类型分类,并确定了存在的问题.
主要成果:
- 在820篇初始论文中,包含了65篇,ChatGPT是研究最多的LLM (92%).
- 确定的主要应用是总结,医学知识调查,预测和管理.
- 可靠性和偏见是最常被引用的担忧 (89%),尽管对其机制的实验研究有限.
结论:
- 对话式LLM在总结信息和提供高准确度的一般医学知识方面表现出潜力.
- 对于需要专业专业知识的复杂诊断任务,可靠性问题仍然存在.
- 解决偏见,隐私和可靠性需要法律,社会和技术方面的努力,以便在医疗保健中负责任地部署LLM.
相关概念视频
Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
Methods of Documentation VI: Case Management Model
559
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
559
Barriers to Effective Communication II
3.6K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.6K
Health Literacy
4.0K
Health literacy is an individual's or a community's capacity to comprehend, receive, read, and use relevant healthcare information and services. The World Health Organization (WHO, 2018) defines health literacy as the cognitive and social skills that determine the ability of individuals to gain access to, understand, and use information in ways that promote and maintain good health. As a result, the WHO helps individuals manage long-term health concerns, participate in preventative...
4.0K
Assessment of the Gastrointestinal System II: Health Perception Pattern
79
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
79
Models of Health Promotion and Illness Prevention I
2.0K
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
2.0K


