人工智能如何改变医生与患者的关系? 从医学伦理学的角度来看
Gianluca Montanari Vergallo1, Laura Leondina Campanozzi2, Matteo Gulino3
1Department of Anatomical, Histological, Medico-Legal and Orthopaedic Sciences, «Sapienza» University of Rome, 00185 Roma, Italy.
Healthcare (Basel, Switzerland)
|September 27, 2025
概括
医疗保健中的人工智能 (AI) 提供了管理上的好处,但也带来了道德上的挑战. 人工智能集成危及患者的保密性和医生与患者的关系,需要对未来的医疗实践进行仔细的伦理考虑.
科学领域:
- 医学伦理 医学伦理
- 医疗信息学 医疗信息学
- 人工智能在医学中的应用
背景情况:
- 人工智能 (AI) 融入医疗保健提出了新的伦理考虑.
- 医生与患者的关系是评估人工智能的影响的核心焦点.
研究的目的:
- 为医生与患者关系中人工智能所带来的挑战提供道德概述.
- 分析人工智能在临床实践中对医疗专业性和患者护理的影响.
主要方法:
- 一个叙事文学评论从2015-2025.
- 在主要的科学数据库 (PubMed,Scopus,Web of Science,Google Scholar) 中进行搜索.
- 包括来自世卫组织,联合国教科文组织,世界农业协会和监管框架 (欧盟,中国,美国) 的官方文件.
主要成果:
- 人工智能可以改善行政任务,并支持临床决策.
- 诊断AI应用 (放射学,皮肤病学) 可能会对医生与患者的关系和专业自主性产生负面影响.
- 生成型人工智能可能会增加成本,危及患者的保密性,并减少同情心和个性化.
结论:
- 人工智能对医疗保健的影响取决于应用.
- 将人工智能与核心伦理价值观结合在一起,对医学的未来至关重要.
- 需要仔细考虑,以保持医生和患者关系的完整性和医疗专业精神.
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