地平线上的云:临床决策支持系统,控制问题和医生与患者的对话
1Medicine School, History of Medicine and Ethics Department, Istanbul Medeniyet University, Kuzey Kampus - Unalan Mahallesi, Unalan Sok D-100 Karayolu Yanyol, 34700, Uskudar/Istanbul, Turkey. alpertunga.kara@medeniyet.edu.tr.
Medicine, health care, and philosophy
|December 7, 2024
概括
人工智能临床决策支持系统风险医生与患者的对话. 设计系统以避免用户过度依赖对于保持临床接触中的信任和同理心至关重要.
科学领域:
- 医疗信息学 医疗信息学
- 临床决策支持 临床决策支持
- 人与计算机的交互
背景情况:
- 人工智能 (AI) 系统为临床实践提供了潜在的好处.
- 然而,由于"控制问题",人工智能集成可能会对医生与患者的对话产生负面影响.
- 医生与患者的对话依赖于人类的品质,如同情心和对共享理解的信任.
研究的目的:
- 分析AI临床决策支持系统对医生与患者对话的潜在负面影响.
- 探索"控制问题"及其对信任和沟通的影响.
- 提出设计人工智能系统的策略,以保持临床接触的质量.
主要方法:
- 对医生与患者对话动态的定性分析.
- 检查人类品质 (同理心,信任) 在临床决策中的作用.
- 在医疗保健中的人与人工智能交互中对"控制问题"的概念分析.
主要成果:
- 人工智能系统可以通过过度依赖和破坏信任来破坏医生与患者的对话.
- 患者独特的"生活世界" (价值观,意义) 需要超越计算分析的同情理解.
- 人工智能不能取代人类的判断,也不能成为临床实践中的最终决策者.
结论:
- 人工智能临床决策支持系统必须设计以防止"控制问题".
- 当控制问题无法避免时,限制人工智能使用是必要的.
- 保护医生与患者的对话对于有效和道德的医疗保健至关重要.
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