大型语言模型时代的健康公平
Aaron A Tierney1, Mary E Reed, Richard W Grant
1Kaiser Permanente Northern California Division of Research, 4480 Hacienda Dr, Pleasanton, CA 94588.
The American journal of managed care
|March 7, 2025
概括
美国有八项法规指导医疗保健的公平发展,包括大型语言模型 (LLM). 关键问题包括偏见,可访问性和监督,解决方案侧重于各种数据,绩效评估和人类监督,以防止健康差异.
科学领域:
- 医疗信息学 医疗信息学
- 人工智能伦理学 人工智能伦理学
- 健康 公平 卫生 公平
背景情况:
- 大型语言模型 (LLM) 在医疗保健中越来越多地使用.
- 确保这些人工智能工具的公平设计和实施至关重要.
- 现有法规为解决潜在差异提供了指导.
研究的目的:
- 总结影响公平医疗保健LLM部署的主要美国法规和准则.
- 确定关键的公平领域,并为医疗保健中的LLM提出解决方案.
- 突出LLM提高健康公平的机会.
主要方法:
- 审查和综合8个主要的美国法规和指导方针.
- 将LLM公平问题分类为语言/文化偏见,可访问性/信任以及监督/质量控制.
- 在法规中识别共同的解决方案.
主要成果:
- 条例针对不同的数据表示和开发团队.
- 强调对真实世界的数据对AI性能进行评估.
- 对非歧视性AI的授权,对英语能力有限的患者的访问,以及人类监督.
- 指南促进安全,可访问和有益的AI工具,尊重隐私.
结论:
- 经过深思熟虑设计和部署的LLM可以防止嵌入现有的医疗保健差异.
- 提高健康公平性需要积极地将监管原则纳入人工智能开发.
- 遵守指导方针可以确保LLM对所有患者有益和公平.
更多相关视频
相关概念视频
Improving Translational Accuracy
8.5K
Base complementarity between the three base pairs of mRNA codon and the tRNA anticodon is not a failsafe mechanism. Inaccuracies can range from a single mismatch to no correct base pairing at all. The free energy difference between the correct and nearly correct base pairs can be as small as 3 kcal/ mol. With complementarity being the only proofreading step, the estimated error frequency would be one wrong amino acid in every 100 amino acids incorporated. However, error frequencies observed in...
8.5K
Language and Cognition
308
Language serves as a bridge between ideas and communication, influencing how individuals perceive and interact with the world. Psychologists have long debated whether language shapes thought or vice versa. This discussion gained grip with Edward Sapir and Benjamin Lee Whorf in the 1940s, who proposed that language determines thought, a concept known as linguistic determinism. They suggested that the vocabulary and structure of a language influence how its speakers think and perceive reality.
308
Health Literacy
3.9K
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...
3.9K
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
Bias in Epidemiological Studies
120
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
120
Issues And Trends In Healthcare Delivery System
5.5K
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...
5.5K


