在初级保健中探索临床医生的人工智能观点:定性系统审查和元合成
Robin Bogdanffy1, Alisa Mundzic1, Peter Nymberg2,3
1General Practice/Family Medicine, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Huvudbyggnad Vasaparken, Universitetsplatsen 1, Gothenburg, 40530, Sweden, 46 317860000.
JMIR AI
|February 5, 2026
概括
临床医生认为人工智能 (AI) 是一种可以改善初级医疗保健但也引入复杂性的工具. 仔细考虑道德,技术和人类监督对于成功的AI集成至关重要.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健中的人工智能
- 定性研究综合 定性研究综合
背景情况:
- 人工智能 (AI) 为医疗保健中的临床和管理任务提供了潜在的好处.
- 显著的挑战包括潜在的偏见,监管差距和与AI相关的技术问题.
- 有限的定性研究存在于临床医生对AI在初级保健环境中的观点.
研究的目的:
- 系统地审查和综合当前关于AI在初级保健中的临床医生的观点的定性研究.
- 了解医疗保健专业人员对人工智能采用和影响的多面观点.
主要方法:
- 在多个数据库 (MEDLINE,Scopus,Web of Science,CINAHL) 进行系统搜索,截至2024年2月.
- 包括使用SPIDER框架进行同行评审的英语定性研究.
- 来自13项研究的数据的主题综合,使用CASP进行质量评估,使用GRADE-CERQual进行信心评估.
主要成果:
- 分析了来自6个国家的13项研究,涉及238名初级保健临床医生.
- 三个分析主题出现了:人机关系,技术增强的诊所,以及人工智能的社会影响.
- 临床医生对人工智能协助,工作场所影响,数据隐私,医疗法律责任和偏见表示了意见.
结论:
- 临床医生认为人工智能是一种双刃剑,能够增强但也使初级医疗保健复杂化.
- 成功的AI整合需要对道德考虑,技术可靠性和保持人类监督的谨慎注意.
- 建议进行进一步的定性研究,以探索AI对临床医生的职业生涯和自主性的影响.
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