一项定性采访研究,调查患者,卫生专业人员和开发人员对以患者为中心的人工智能系统的现实世界实施的观点
Natalie Benda1, Pooja Desai1, Zayan Reza1
1Columbia University Irving Medical Center.
Research square
|November 24, 2025
概括
实施以患者为中心的人工智能 (AI) 需要解决潜在的伤害,如偏见,并确保临床益处. 透明度和清晰的沟通是医疗保健中安全使用人工智能的关键.
科学领域:
- 医疗信息学 医疗信息学
- 生物伦理学生物伦理学
- 人工智能的人工智能
背景情况:
- 以患者为中心的人工智能 (AI) 的实施需要了解不同利益相关者的观点.
- 生物伦理学和健康信息学的现有框架指导AI的开发和部署.
研究的目的:
- 收集和三角化患者,卫生专业人员和AI开发人员关于实施以患者为中心的AI系统的观点.
- 确定人工智能在临床环境中安全有效整合的关键考虑因素.
主要方法:
- 与18名患者,8名卫生专业人员和8名AI开发人员进行了半结构化采访.
- 作为一个用例,利用了产后抑郁风险的预测算法.
- 分析了采访记录,使用主题,定向内容分析和持续的比较过程.
主要成果:
- 利益相关者强调减轻AI相关的危害 (偏见,耻辱,焦虑) 并确保临床效用.
- 对人工智能准确性和预测因素的透明度对于安全行动至关重要.
- 挑战包括卫生专业人员解释人工智能输出的能力,数据质量,问责制以及数据安全/隐私.
结论:
- 以患者为中心的人工智能在现实世界中实施需要对医疗保健专业人员进行人工智能风险培训.
- 在整个开发过程中,让患者和专业人员参与并确保包容性沟通至关重要.
- 多层AI治理系统是安全有效部署所必需的.
相关概念视频
Patient-centered Care
2.9K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.9K
Current Trends in Nursing II
3.3K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
3.3K
Issues And Trends In Healthcare Delivery System
6.1K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.1K
Ethical Dilemmas I
1.8K
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
1.8K
Ethical Issues
2.0K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
2.0K
Ethical Dilemmas II
2.2K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
2.2K

