医疗保险中的人工智能应用:范围审查
Maryam Ramezani-A1,2, Ahad Bakhtiari1,2,3, Mohammadreza Mobinizadeh4
1Department of Health Management, Policy and Economics, School of Public Health, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
Cost effectiveness and resource allocation : C/E
|October 7, 2025
概括
人工智能 (AI) 正在通过提供财务管理,欺诈检测和诊断方面的机会来改变医疗保险. 有效实施需要解决道德挑战,并优先考虑数据隐私,以增强客户体验和收入.
科学领域:
- 医疗保险 技术 医疗保险 技术
- 人工智能应用程序 人工智能应用程序
- 保险技术创新公司的创新
背景情况:
- 技术进步,特别是人工智能,正在彻底改变保险业.
- 人工智能是医疗保险行业创新的关键驱动力.
- 本文探讨了人工智能在医疗保险中的影响和潜力.
研究的目的:
- 研究人工智能在医疗保险中的变革性影响.
- 识别人工智能应用及其对该行业进行革命的潜力.
- 审查2000-2024年医疗保险中的AI文献.
主要方法:
- 覆盖范围审查方法.
- 在PubMed,Scopus和Web of Science数据库中进行文学搜索.
- 包括2000年至2024年的出版物,使用相关的关键词.
主要成果:
- 人工智能在财务管理,欺诈检测,诊断和风险管理方面提供了机会.
- 人工智能可以塑造国家和国际医疗保险议程并创造价值.
- 伦理挑战和数据隐私问题对人工智能实施至关重要.
结论:
- 政策必须优先考虑个人健康数据保护,隐私和安全.
- 人工智能实施应专注于增强客户体验和优化风险选择.
- 人工智能可以为保险公司和保险人创造收入.
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