评估基于人工智能的聊天机器人在患者教育中的实用性:系统性审查和元分析
Sameh Hany Emile1,2, Nir Horesh1,3, Zoe Garoufalia1
1Ellen Leifer Shulman and Steven Shulman Digestive Disease Center, Cleveland Clinic Florida, Weston, FL, USA.
The American surgeon
|August 12, 2025
概括
聊天机器人提供准确和适当的患者教育,优于谷歌搜索. 然而,他们的高级阅读水平可能会限制采用,尽管有良好的指导方针一致性.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健中的人工智能
- 患者教育 患者教育
背景情况:
- 对聊天机器人和大型语言模型 (LLM) 的兴趣日益增加,如ChatGPT,用于患者教育.
- 需要系统地评估聊天机器人响应在医疗保健中的适当性和准确性.
研究的目的:
- 对聊天机器人的适宜性和准确性进行系统审查和元分析,以教育患者.
- 评估聊天机器人的响应质量,可读性以及与指南和搜索引擎的一致性.
主要方法:
- 基于PRISMA的系统审查和PubMed和Scopus研究的元分析 (2023年1月至8月).
- 包括评估聊天机器人在患者教育中的实用性的研究.
- 随机效应的比例元分析,用于汇集适当性,质量,可读性和一致性数据.
主要成果:
- 包括21项研究;聊天机器人答案的合并适当率为89.1%.
- 聊天GPT是最受研究的聊天机器人;响应的平均水平是大学阅读水平 (Flesch-Kincaid 13.1).
- 在患者教育方面,聊天机器人与指南一致78.6%-95%,比谷歌搜索得分更高 (87%对78%).
结论:
- 聊天机器人主要提供准确和适当的患者教育内容.
- 聊天机器人响应的高级阅读水平构成了广泛使用的潜在障碍.
- 聊天机器人在患者教育方面显示出巨大的潜力,超越了传统的搜索引擎,并与临床指南保持一致.
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