大型语言模型启用编辑患者音频采访从"这是我的故事"对话:比较研究研究
Bikram Bains1, Sampath Rapuri1, Edgar Robitaille1
1Department of Biomedical Engineering, Johns Hopkins University, Baltimore, MD, United States.
JMIR medical informatics
|January 9, 2026
概括
一个由人工智能驱动的工具可以为医疗提供者总结患者的故事,改善同理心和沟通. 虽然人工智能总结与初学者的人类编辑相当,但专家编辑仍然优越,但人工智能显著减少了编辑时间.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健中的人工智能
- 患者沟通 患者沟通
背景情况:
- "这是我的故事" (TIMS) 计划使用指导患者访谈来培养医学中的人文主义方法.
- TIMS采访被缩小为电子医疗记录的简短音频文件,以增强提供者的同情心和沟通.
- 手动编辑TIMS音频采访对节目扩展构成了时间和资源障碍.
研究的目的:
- 开发和评估一个使用大型语言模型 (LLM) 进行TIMS音频采访总结的自动化解决方案.
- 评估使用人工智能来创建简洁和有意义的音频摘要的可行性,解决可扩展性挑战.
主要方法:
- 分析了24个TIMS音频采访,创建了专家编辑,人工智能编辑 (LLM管道) 和初学者编辑的版本.
- 一位失明的专家使用5分利克特尺度评估了音频质量 (流量,节奏,清晰度) 和内容质量 (连贯性,相关性,细微差别).
- 使用词汇和语义指标量化成绩单与专家编辑版本的相似性,以及识别的内容遗漏.
主要成果:
- 专家编辑的采访获得了音频 (4.84) 和内容质量 (4.83) 的最高评分.
- 人工智能编辑的 (3.49音频,3.20内容) 和初学者编辑的 (3.84音频,3.63内容) 访谈得分明显低于专家编辑 (P<.001),但没有明显的差异.
- 与人类编辑器相比,人工智能编辑显著减少了编辑时间,并证明了与初学者编辑相比的转录重叠,尽管有定性遗漏.
结论:
- 基于人工智能的编辑管道可以生成TIMS音频摘要,其质量与初学者人类编辑器相美.
- 人工智能显著减少了编辑时间,并消除了人工培训的需要,为医疗保健机构提供了可扩展的解决方案.
- 需要进一步验证,但人工智能有潜力克服障碍,并扩大像TIMS这样以患者为中心的沟通计划的覆盖范围.
关键词:
这里是 TIMS TIMS 的时间.这是我的故事 这是我的故事音频录制录制音频的记录.通信 通信 通信 通信 通信.减轻危险,减少困境.同理心同理心同情心大型语言模型患者面试 面试 患者面试提供者/患者沟通.更多相关视频
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