临床采用环境数字写字技术的伦理考虑
Taylor N Anderson1,2, Vishnu Mohan2,3, Jeffrey A Gold2,4
1Department of Surgery, Stanford University, Stanford, CA 94305, United States.
Journal of the American Medical Informatics Association : JAMIA
|December 26, 2025
概括
环境数字写字器 (ADS) 平台提供了效率提升,但也引发了伦理方面的担忧. 本研究探讨了安全性,偏见,数据所有权和正义,并提出了负责实施的建议.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健中的人工智能
- 临床文档技术技术 临床文档技术
背景情况:
- 环境数字写字器 (ADS) 平台整合了环境语音识别和临床文档的大型语言模型.
- 快速采用ADS正在发生,早期数据表明减少了文档负担和提高了提供者的效率.
- 这种在很大程度上不受监管的技术的伦理影响需要审查.
研究的目的:
- 识别和探索围绕ADS技术的关键伦理问题.
- 从不同利益相关者的角度分析这些问题.
- 审查当前的国际监管政策,并确定对标准化准则的需求.
主要方法:
- 探索四个关键的伦理问题:安全,偏见,数据所有权和正义.
- 利益相关者的视角分析.
- 审查国际监管政策和评估指南.
主要成果:
- 确定了四个关键的伦理问题:安全,偏见,数据所有权和正义.
- 强调需要为ADS制定标准化的评估和报告准则.
- 目前的监管政策对于这种快速发展的技术是不够的.
结论:
- 为安全和公平的ADS实施提出了可行的建议.
- 强调需要标准化的评估指标,监管监督和保障措施.
- 伦理实施对于实现ADS的好处至关重要,同时保持安全,公平和透明度.
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