人工智能聊天机器人应用于响应来自癌症患者的异步文本消息:比较研究
Xuexue Bai1,2, Shiyong Wang3, Yuanli Zhao2
1Department of Neurosurgery, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Journal of medical Internet research
|May 21, 2025
概括
聊天机器人GPT-4在癌症护理患者教育方面表现出色,提供全面的响应. 然而,由于准确性和可信度问题,其在医疗决策中的使用是有限的,需要医生监督.
科学领域:
- 人工智能在医学中的应用
- 数字健康数字健康
- 在瘤学瘤学.
背景情况:
- 通过人工智能聊天机器人增强的远程医疗对医疗保健有很大的希望.
- 人工智能聊天机器人与人类医生在复杂的癌症护理中的比较有效性,特别是在基于文本的交互中,尚不清楚.
研究的目的:
- 评估GPT-4在响应来自癌症患者的异步文本医疗信息方面的性能.
- 为了将GPT-4的反应与患者教育和医疗决策场景中的医生反应进行比较.
主要方法:
- 收集了来自瘤学家的4257个未被识别的异步医疗咨询.
- 将记录分类为患者教育和医疗决策场景.
- 使用医学和患者小组评估完整性,准确性,安全性,可信度和同情心,评估了GPT-4和医生反应.
主要成果:
- 与医生相比,GPT-4在患者教育方面的完整性得分更高,但在医疗决策方面的准确性和可信度较低.
- 医疗小组对聊天机器人的同理心评价更高,而患者小组则偏爱医生.
- 聊天机器人错误源于误解术语或过时的指导方针,不良结果的可能性略高.
结论:
- 在患者教育方面,GPT-4与医生相似,提供全面和同情的反应.
- 聊天机器人在医疗决策中的可靠性有限,需要谨慎的临床判断.
- 人工智能聊天机器人显示出在远程医疗中作为补充工具的潜力,但医生监督对于安全性和准确性至关重要.
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