在新西兰初级保健咨询中使用人工智能书记:一项探索性调查
Angela Ballantyne1,2, Rochelle Style3, Maria Stubbe1
1Department of Primary Health Care and General Practice, University of Otago, Wellington, Aotearoa New Zealand.
Journal of primary health care
|October 24, 2025
概括
人工智能书记者在新西兰的初级保健中迅速被采用,提供诸如减少多任务处理和改善患者关系等好处. 然而,在法律合规,数据安全和伦理使用方面存在重大担忧,需要为医疗保健提供者提供更明确的指导.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 人工智能 (AI) 书记者在新西兰 (NZ) 的初级保健机构中越来越多地被使用.
- 快速采用需要对这项技术的优势和潜在风险进行彻底评估.
研究的目的:
- 为了捕捉新西兰初级保健中人工智能写字使用的快照,用于临床笔记生成.
- 了解医疗保健提供者的经验,感知到的好处和担忧.
- 为未来的研究和政策确定道德和法律问题.
主要方法:
- 在新西兰初级保健中,向全科医生 (GP) 和卫生服务提供者分发了一项匿名在线调查.
- 该调查侧重于2024年2月至3月期间的人工智能写字工具的经验.
主要成果:
- 在197名受访者中,有40%的人对人工智能写字有经验,主要是全科医生 (88%).
- 报告的好处包括减少多任务处理 (46),节省时间 (43),改善临床医生与患者的关系 (43).
- 关键问题涉及法律/道德合规 (108),数据安全 (98),错误 (93) 和数据居住 (91). 只有66%的人审查了条款,59%的人寻求了患者的同意.
结论:
- 人工智能写字员在新西兰初级保健中表现出高采用率和感知到的帮助性 (80%),影响了咨询动态 (56%).
- 关键的未解决问题包括法律/道德监督,患者同意,数据安全以及对临床医生和患者互动的影响.
- 更清晰的监管指导和支持对于在医疗保健中安全,道德和合法地实施AI写字工具至关重要.
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