医学伦理上的分歧 大型语言模型与医生之间的问答
Shelly Soffer1, Dafna Nesselroth2, Keren Pragier3
1Rabin Medical Center.
Research square
|November 28, 2024
概括
大型语言模型 (LLM) 在医学伦理场景中显示出比医生更高的一致性. 这表明LLM可以帮助复杂的道德决策,为医疗保健专业人员提供一致的见解.
科学领域:
- 医学伦理 医学伦理
- 医疗保健中的人工智能
- 临床决策支持 临床决策支持
背景情况:
- 医疗伦理涉及不同的观点,使得一致的道德决策具有挑战性.
- 将人工智能,特别是大型语言模型 (LLM) 整合到医疗保健中,需要评估它们的伦理推理能力.
研究的目的:
- 为了比较三个高级LLM (GPT-4,Gemini-pro-1.5,Llama-3-70b) 与一个多学科的医生组在回答伦理上模糊的医学问题时的同意率.
主要方法:
- 一项横截面研究,LLMs产生了1248个医学伦理问题,这些问题是基于美国医生学院伦理手册.
- 医生和法学士回答了生成的问题;医生之间,医生和法学士之间以及法学士之间进行了比较.
主要成果:
- 在中度复杂的伦理问题上,医生同意率为55.9%.
- 医生和LLM之间的一致性为57.9%,而LLM之间的一致性显著高于76.8% (p < 0.001).
结论:
- 在应对复杂的医学伦理场景时,法学士比医生更一致.
- 法律学士在模糊的伦理情况中显示出潜在的顾问潜力,提高医疗保健决策的一致性.
更多相关视频
09:37Navigating MARRVEL, a Web-Based Tool that Integrates Human Genomics and Model Organism Genetics Information
Published on: August 15, 2019
9.7K
09:01The Bovine Lung in Biomedical Research: Visually Guided Bronchoscopy, Intrabronchial Inoculation and In Vivo Sampling Techniques
Published on: July 3, 2014
23.1K
相关概念视频
Ethical Issues
856
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
856
Ethics and Bioethics
1.3K
Ethics is a philosophical study of moral actions. Ethics attempts to determine what is valuable for individuals and society. It examines the rational justification of moral judgments and analyzes what is morally just, fair, and right. Bioethics is a sub-discipline of applied ethics that analyzes the philosophical, social, and legal issues in life sciences and medicine. Ethical theories serve as a foundation for decision-making and represent the viewpoints from which people seek direction. They...
1.3K
Ethical Dilemmas II
936
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
936
Ethical Dilemmas I
842
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
842
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
Nursing Ethical Principles II
920
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
920
