对环境文档的知情同意使用在门诊护理中的生成人工智能
Katharine Lawrence1,2, Vasudev S Kuram2, Defne L Levine1
1Department of Population Health, New York University Grossman School of Medicine, New York.
JAMA network open
|July 22, 2025
概括
对人工智能辅助环境文档的知情同意有所不同. 灵活的多式联络方式,包括教育和明确的退出选择,可以提高患者的舒适性和对这些工具的接受度.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健服务研究 医疗服务研究
- 人与计算机的交互
背景情况:
- 人工智能 (AI) 辅助的环境文档工具越来越多地用于医疗保健,以减少行政负担.
- 对这些技术的最佳患者参与和知情同意流程仍未得到充分探索.
研究的目的:
- 调查临床医生和患者的经验,以知情同意为环境文档工具.
- 检查环境文档对患者与临床医生的关系的影响.
主要方法:
- 通过现场考察,观察,采访和调查进行了定性评估.
- 121名试点用户 (18名临床医生,103名患者) 参加了门诊实践.
主要成果:
- 口头同意是主要的方法,患者的舒适度有所不同.
- 患者的舒适性和同意意图与信任,详细讨论和对工具使用的理解有关.
- 提供技术细节降低了同意率,而感知到的好处包括减轻负担和改善沟通.
结论:
- 对人工智能环境文档的知情同意严重依赖于口头沟通,受时间和关系动态的影响.
- 一个灵活的多式联通同意模式,包括教育,数字资源和选择退出选项,可以增强接受和信任.
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