[人工智能在精神卫生保健:希望还是作?]
Katherine C Bassil1, Edwin van Dellen1,2
1UMC Utrecht, Utrecht. Julius Centrum voor Gezondheidswetenschappen.
Nederlands tijdschrift voor geneeskunde
|May 20, 2025
概括
精神卫生保健中的人工智能 (AI) 提供了潜力,但面临着实施挑战. 仔细的伦理审查和以患者为中心的设计对于人工智能工具 (如决策支持和聊天机器人) 至关重要,以真正改善护理.
科学领域:
- 精神病学是一个精神病学.
- 医疗信息学 医疗信息学
- 数字健康数字健康
背景情况:
- 心理健康保健面临着诸如劳动力短缺和进入障碍等挑战.
- 人工智能 (AI) 提出了个性化诊断和治疗的潜在解决方案.
- 人工智能在心理健康领域的高期望与临床实施的复杂性形成鲜明对比.
研究的目的:
- 批判性地检查人工智能在精神卫生保健中的临床应用.
- 分析与人工智能驱动的临床决策支持工具相关的挑战.
- 评估心理健康聊天机器人的伦理和实际问题.
主要方法:
- 对人工智能在精神卫生保健中的应用进行文献综述和批判性分析.
- 检查临床决策支持系统和心理健康聊天机器人.
- 评估伦理影响,以患者为中心的设计和AI的局限性.
主要成果:
- 人工智能决策支持工具显示出潜力,但引起了人们对公平性,可衡量性和患者观点的担忧.
- 心理健康聊天机器人提高了可访问性,但对患者的自主性,问责制和安全构成风险.
- 滥用人工智能聊天机器人导致了有害的后果,强调了验证需求.
结论:
- 人工智能在精神病学中的整合需要仔细的伦理考虑和以患者为中心的设计.
- 在广泛实施人工智能临床应用之前,强有力的伦理准则和严格的验证是必要的.
- 认识到人工智能的局限性对于确保真正提高患者护理至关重要.
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