医疗保健沟通中的对话式人工智能:对健康公平的机会,风险和影响
1Department of Communication, Cornell University, Ithaca, NY, USA.
Journal of communication in healthcare
|November 30, 2025
概括
像ChatGPT这样的对话性AI提供实时医疗保健通信,但存在不准确和偏见的风险. 确保平等的获取需要包容性设计和公共教育,即时识字.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健中的人工智能
- 健康 公平 卫生 公平
背景情况:
- 基于大型语言模型 (LLM) 的聊天机器人在医疗保健中越来越多地用于实时通信.
- 人们对这些工具的准确性,安全性以及与这些工具相关的潜在健康不平等存在担忧.
研究的目的:
- 检查谈话AI在医疗保健中的应用,限制和风险.
- 专注于对数字或健康素养有限的服务不足人群的影响.
主要方法:
- 在医疗保健中对对话性AI进行新兴研究的综合.
- 在临床和非临床环境中分析聊天机器人应用程序.
- 检查聊天机器人的局限性,包括准确性,概括性和偏见.
主要成果:
- 聊天机器人用于临床支持 (分离,诊断) 和非临床角色 (教育,翻译).
- 由于训练数据和迅速依赖,不准确,概括或偏见的反应很常见.
- 这些限制不成比例地影响弱势群体,加剧了健康不平等.
结论:
- 解决聊天机器人的局限性对于公平的医疗保健沟通至关重要.
- 建议包括包容性聊天机器人设计,内容监管和公众教育即时识字.
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