精神病学文档和人工智能初级保健的管理 写作 使用 使用 使用
Victor M Castro1,2, Thomas H McCoy1,2, Pilar Verhaak1,2
1Center for Quantitative Health and Department of Psychiatry, Massachusetts General Hospital, Boston.
JAMA psychiatry
|January 21, 2026
概括
人工智能 (AI) 环境书记增加了神经精神病症状的记录,但降低了初级保健中精神病学干预的可能性. 需要进一步的研究来评估这些AI写字变化的临床影响.
科学领域:
- 医疗信息学 医疗信息学
- 临床文档 临床文档
- 医疗保健中的人工智能
背景情况:
- 人工智能环境书记在医学中的广泛采用需要了解它们对临床实践的影响.
- 目前的研究缺乏对人工智能书记与临床医生文档和治疗模式的联系的全面分析.
研究的目的:
- 为了比较人工智能环境书记者生成的初级保健笔记中的精神症状的记录和治疗,与人类或没有书记者相比.
- 描述人工智能环境书记对门诊患者神经精神疾病管理的影响.
主要方法:
- 一项匹配的回顾性病例控制研究分析了来自两个主要医院系统的初级保健年度访问笔记.
- 笔记被分为四组:人工智能写字器,人类写字器,同时没有写字器和写字前部署.
- 用社会人口统计学和临床特征进行1:1匹配,并评估神经精神病症状记录,RDoC水平和精神病学干预措施.
主要成果:
- 人工智能编写的笔记显示,在所有研究领域标准 (RDoC) 领域中,神经精神病症状的估计水平显著更高.
- 精神病学干预 (转诊,新诊断或抗抑郁药物处方) 的可能性在AI规定的访问中明显较低,相比于同时进行的非规定的访问 (aOR,0.83).
- 在人类处方和同时进行的非处方访问之间,没有发现精神病学干预可能性的显著差异 (aOR,0.97).
结论:
- 在初级保健中,人工智能环境书记与神经精神病症状的增强文档相关.
- 然而,它们的使用与记录精神病症状管理的可能性降低有关.
- 需要进一步调查,以确定这些文档和管理变化是否会影响患者的治疗结果.
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