人工智能和医生患者关系扩大了共享决策的范式
Georgia Lorenzini1, Laura Arbelaez Ossa1, David Shaw1,2
1University of Basel, Institute for Biomedical Ethics, Basel, Switzerland.
Bioethics
|December 12, 2025
概括
基于人工智能 (AI) 的临床决策支持系统 (CDSS) 正通过影响医生与患者的互动来改变医疗保健. 这一分析探讨了AI.
科学领域:
- 医疗信息学 医疗信息学
- 生物伦理学生物伦理学
- 医疗保健中的人工智能
背景情况:
- 基于人工智能 (AI) 的临床决策支持系统 (CDSS) 越来越多地融入医疗保健.
- 这些系统影响诊断和治疗决策,影响了传统的医生与患者关系.
- 人工智能的整合可能会将医生-病人动态转变为涉及人工智能系统的三位一体.
研究的目的:
- 分析基于AI的CDSS在共享决策 (SDM) 中的作用.
- 了解AI在临床实践中的伦理影响和潜在好处.
- 调查人工智能对SDM培养父权主义的风险.
主要方法:
- 对人工智能在医生与患者之间的沟通和决策中的作用的概念分析.
- 检查围绕在医疗保健中实施人工智能的伦理考虑.
- 对人工智能如何影响共享决策与父权主义方法的审查.
主要成果:
- 基于人工智能的CDSS可以显著影响医生与患者的关系,可能改变决策过程.
- 人工智能有双重潜力,可以增强共享决策或促进父权主义.
- 了解人工智能对沟通的影响对于道德医学实践至关重要.
结论:
- 基于人工智能的CDSS既为改善医疗保健提供了机会,也带来了道德挑战.
- 仔细考虑人工智能对医生和患者自主权的影响至关重要.
- 促进道德的人工智能集成需要专注于在决策三位一体中保持患者和医生的自主权.
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