极权主义技术:人工智能在医疗保健中的隐藏成本
1Bioethics Centre, University of Otago, Dunedin, New Zealand. hugh.brosnahan@otago.ac.nz.
Medicine, health care, and philosophy
|November 24, 2025
概括
人工智能 (AI) 书记可能不会提高效率,但可以从根本上改变医疗保健. 这项技术有可能通过促进计算思维而不是临床直觉和专业知识来缩小护理范围.
科学领域:
- 医疗信息学 医疗信息学
- 技术的哲学技术的哲学
- 认知科学 认知科学
背景情况:
- 人工智能 (AI) 书记被提议减轻医疗保健中的行政负担.
- 这些系统记录和总结患者与临床医生的互动.
- 然而,它们的影响不仅仅是提高效率.
研究的目的:
- 分析AI书记对医疗保健的哲学含义.
- 检查人工智能如何重塑临床互动和医生角色的性质.
- 探索AI对医疗保健实践的影响的理论基础.
主要方法:
- 综合哲学理论的概念分析.
- 基于伊恩·麦克吉尔克里斯特的半球理论.
- 利用易斯·马姆福德的技术哲学来理解技术对注意力的体现.
主要成果:
- 人工智能书记者是转向左半球,计算注意力的转变的典范.
- 这种技术实施例优先考虑可测量和程序方面的因素,而不是直观和关系式的护理.
- 这项研究确定了将人类思想和技术技能外部化的一种血统.
结论:
- 人工智能写作风险通过嵌入机械思维来缩小医疗保健的范围.
- 人工智能书记的广泛采用可能会侵蚀必要的临床专业知识.
- 医生可能会成为一个越来越自动化的医疗保健系统的简单操作员,从而削弱医学艺术.
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