一个基于社区的智能系统,以优先考虑医疗保健
Micaela Pinho1,2,3, Fátima Leal4
1Research on Economics, Management and Information Technologies, REMIT, Portucalense University, Porto, Portugal. michaelapinho@hotmail.com.
Scientific reports
|October 1, 2025
概括
医疗保健配给需要优先考虑患者使用道德和社会价值观. 一个人工智能模型,即生命优先级系统,使用公众偏好来将患者分类为生命优先级.
科学领域:
- 卫生政策和管理卫生政策和管理
- 医疗保健中的人工智能
- 生物伦理学生物伦理学
背景情况:
- 医疗保健系统面临着资源限制,需要制定配给决策.
- 分配必须平衡效率与社会公认的价值观.
- 在确定患者优先事项时,道德考虑至关重要.
研究的目的:
- 开发一个多标准的决策支持系统 (生命优先级系统) 以确定患者优先级.
- 将公众的偏好运用到基于人工智能的医疗保健配给框架中.
- 为医疗保健专业人员创建一个透明,一致和道德基础的工具.
主要方法:
- 使用了一个随机森林算法,在葡萄牙在线调查的数据上进行训练.
- 纳入了九个配给标准:临床需要,预期寿命增长,生活质量改善,年龄,等待时间,父母身份,生活方式责任和社会角色.
- 将患者分为"优先"或"非优先"组.
主要成果:
- 临床需要,预期的治疗效果,等待时间和年龄是最有影响力的因素.
- 父母身份显示中度影响.
- 生活方式和社会角色因素在优先级模型中权重最小.
结论:
- 重要优先级系统提供了一个可复制的AI框架,用于在葡萄牙更公平地优先考虑患者.
- 该系统使公众的偏好变得可操作,增强医疗保健配给方面的伦理决策.
- 这种由人工智能驱动的方法为医疗保健专业人员提供了一个透明和一致的工具.
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