利用生成性人工智能克服医疗保健中的语言障碍
C Mahony Reategui-Rivera1, Joseph Finkelstein1
1Department of Biomedical Informatics, School of Medicine, University of Utah, Salt Lake City, Utah.
Studies in health technology and informatics
|July 1, 2025
概括
GPT-4o有效地总结和翻译英语释放说明到西班牙语,帮助西班牙语患者的沟通. 虽然总体上是准确和完整的,简洁性需要进一步改进,以获得最佳的医疗保健使用.
科学领域:
- 自然语言处理自然语言处理.
- 医学信息学 医学信息学
- 卫生沟通健康沟通
背景情况:
- 超过4000万美国居民讲西班牙语,有限的英语水平与不良的临床结果相关.
- 有效的沟通对于患者安全和公平的医疗保健服务至关重要.
- 在美国的医疗保健机构中,语言障碍构成了重大挑战.
研究的目的:
- 评估GPT-4o在汇总和翻译英语解读说明到西班牙语方面的双重能力.
- 评估人工智能生成的西班牙语摘要的临床准确性和语言流利性.
- 探索GPT-4o作为减轻美国拉丁裔医疗保健中的语言障碍的工具.
主要方法:
- 使用了来自MTsample数据库的66个英语解禁摘要的数据集.
- 通过OpenAI API使用GPT-4o,温度为0.1和思维链推理提示.
- 使用双语医生的利克特尺度 (完整性,正确性,简洁性,写作质量) 和自动化指标 (共乘相似性,压缩比) 评估生成的西班牙语摘要.
主要成果:
- 大多数GPT-4o生成的摘要在完整性,正确性和写作质量方面获得了高评分 (>80%优秀).
- 简洁度评级较为温和,这表明有改进的余地.
- 定量指标显示,共弦相似度为0.44-0.90 (中位数为0.66) 和压缩比为0.3-1.8,在各专业之间没有显著差异.
结论:
- GPT-4o展示了作为一个补充工具的潜力,用于生成临床准确和流利的西班牙语出院摘要.
- 人工智能在解决美国西班牙语患者的语言障碍方面表现有前途.
- 需要进一步的研究来提高总结的简洁性,以改善患者沟通.
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