眼科医生和人工智能聊天机器人对患者问题的反应进行比较
Mostafa Bondok1, Rishika Selvakumar2, Christine Law3
1Section of Ophthalmology, Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary, Canada.
Clinical ophthalmology (Auckland, N.Z.)
|December 1, 2025
概括
人工智能 (AI) 聊天机器人在回答眼睛健康问题时表现出与眼科医生相似的准确性和同理心. 这些人工智能工具可能有助于起草初始患者反应,提高效率并减少医生工作量.
科学领域:
- 眼科医生 眼科 眼科
- 人工智能的人工智能
- 医疗信息学 医疗信息学
背景情况:
- 在线患者门户网站和论坛越来越多地用于健康查询.
- 人工智能 (AI) 聊天机器人在提供医疗信息方面的作用正在迅速发展.
- 评估人工智能聊天机器人的性能与人类专家的反应对安全整合到医疗保健至关重要.
研究的目的:
- 评估ChatGPT (人工智能聊天机器人) 准确响应患者眼睛健康查询的能力.
- 为了比较AI聊天机器人的响应与董事会认证的眼科医生提供的响应.
- 评估眼科医生的偏好,准确度评分,可读性,同情心和AI生成的响应与医生生成的响应的长度.
主要方法:
- 来自美国眼科学院 (AAO) "问眼科医生"论坛 (2016年1月 - 2022年12月) 的眼睛健康问题和答案的回顾性,横截面分析.
- 从董事会认证的眼科医生与ChatGPT (GPT-4o) 的反应进行比较.
- 评估准确性,偏好,可读性 (弗莱什-金凯德等级),同理心和响应长度,使用7分利克特尺度和字数.
主要成果:
- 聊天GPT和眼科医生的反应显示了类似的平均准确度评级 (5.8对5.5,p=0.07).
- 眼科医生的答案显著更容易理解 (弗莱什-金凯德等级11.0对12.7,p<0.001) 和更短 (80.6对337.8字,p<0.001).
- 眼科医生偏好分为两部分,评估人员在49.5%的病例中更喜欢ChatGPT,同理心评分相似 (4.4对4.4,p=0.5).
结论:
- 像ChatGPT这样的AI聊天机器人可以提供对眼睛健康问题的答案,其准确性和同情心与人类眼科医生相美.
- 虽然医生回复更易于阅读和简洁,但AI聊天机器人在近一半的评估案例中更受青.
- 人工智能聊天机器人显示出作为工具的潜力,有助于起草对患者担忧的初步反应,可能提高效率并减轻医生的工作负担.
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