将ChatGPT与医疗保健提供者对家庭肠胃营养问题的反应进行比较
Regina Barrera1,2, Heather Stanner3, Nancy Stoner4
1Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
概括
像ChatGPT这样的生成人工智能在支持家庭肠道营养 (HPN) 护理和患者教育方面表现有前途,在许多常见问题的准确性和同理心方面表现优于临床医生. 然而,复杂的医疗问题仍然需要专家临床医生的指导.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健中的人工智能
- 患者支持系统 患者支持系统
背景情况:
- 接受家庭亲肠道营养 (HPN) 的患者遇到重大挑战,并越来越多地使用在线资源,包括AI聊天机器人.
- 生成型人工智能 (AI) 平台为HPN患者支持提供了一个新的途径.
- 这项研究评估了人工智能生成的响应的有效性,与临床医生对HPN相关查询的专业知识相比.
研究的目的:
- 为了比较ChatGPT产生的答案的准确性,适当性和同理心,与专家临床医生对家庭亲肠道营养 (HPN) 问题进行比较.
- 在HPN护理中,确定临床医生在AI产生的和人类专家响应之间的偏好.
- 确定特定的HPN内容主题,其中AI或临床医生表现更好.
主要方法:
- 在五个主题中,向ChatGPT和HPN专家临床医生提出了20个与HPN相关的问题.
- 对执业的临床医生 (n=23) 进行了一项盲目的在线调查,以在5分尺度上对准确性,适当性和同理心等级响应.
- 临床医生还在人工智能和人类专家答案之间选择了他们喜欢的反应.
主要成果:
- 与临床医生响应相比,ChatGPT响应在准确性,适当性和同理心方面获得了更高的评分 (P < 0.05).
- 参与者在48.5%的病例中更喜欢ChatGPT响应,在33.9%的病例中更喜欢临床医生响应,在17.6%的病例中没有偏好.
- 聊天GPT在"最佳实践,护理和HPN使用/感染风险的安全性"方面表现出色,而临床医生在"生化测试问题"方面的适当性被评为更高.
结论:
- 聊天GPT展示了作为HPN患者教育的支持工具的潜力,特别是对于一般医学和生活方式查询.
- 复杂的临床HPN问题需要医疗专业人员的持续参与.
- 进一步的研究是必不可少的,以确保AI安全有效地融入HPN临床实践和患者护理.
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