临床医生在医学决策中使用生成AI的同行认知
Haiyang Yang1,2, Tinglong Dai3,4,5,6, Nestoras Mathioudakis7
1Carey Business School, Johns Hopkins University, Baltimore, MD, USA.
NPJ digital medicine
|August 18, 2025
概括
使用生成AI (GenAI) 作为医疗决策的主要工具的医生被同行评为较低. 将GenAI视为验证辅助工具可以改善人们的看法,但不能完全消除负面影响.
科学领域:
- 医疗决策 - - 医疗决策
- 医疗保健中的人工智能
- 临床同行评审 临床同行评审
背景情况:
- 生成性人工智能 (GenAI) 越来越多地融入医疗保健,影响临床工作流程.
- 了解临床医生对GenAI使用的看法对于其负责任的采用至关重要.
研究的目的:
- 评估同行临床医生如何看待使用GenAI在医疗决策中的医生.
- 为了比较当GenAI被用作主要工具而不是验证辅助器时的感知.
主要方法:
- 一个随机实验,涉及276名执业临床医生.
- 评价了三个细节:没有GenAI,GenAI-初级和GenAI-验证.
- 评估被认为的临床技能,医疗保健经验和能力.
主要成果:
- 与对照组 (5.93) 相比,使用GenAI-primary的医生在临床技能 (3.79) 中的评分明显低于对照组 (5.93).
- 使用GenAI作为验证 (4.99) 部分减轻了负面看法.
- 临床医生认识到GenAI的准确性好处,并赞成机构定制的版本.
结论:
- 虽然临床医生承认GenAI的实用性,但其在决策中的首要用途可能会对同行评估产生负面影响.
- 将GenAI作为验证工具可以减少但不能完全消除这些负面影响.
- 定制的GenAI工具可能会被临床医生更好地看待.
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