视而不见地分析骨科患者教育材料的质量和真实性,通过ChatGPT和人类简化
Joseph E Nassar1, Maxwell Sahhar, Lama A Ammar
1Department of Orthopedics, Warren Alpert Medical School of Brown University, East Providence, Rhode Island.
The Journal of bone and joint surgery. American volume
|February 26, 2026
概括
人工智能 (AI) 显著提高了骨科患者教育材料 (PEMs) 的可读性,使其在英语和西班牙语中更容易理解. 像ChatGPT-5这样的新型人工智能模型展示了增强的忠实性,减少了可靠的患者通信错误.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健中的人工智能
- 患者教育 患者教育
背景情况:
- 在Epic的Elsevier图书馆中的骨科患者教育材料 (PEM) 经常超过推的阅读水平,影响患者的理解和遵守.
- 现有的PEM提出了挑战,平均阅读成绩为8.6英语和5.8西班牙语.
- 本研究探讨了人工智能驱动的文本简化的潜力,以提高PEM可读性和准确性.
研究的目的:
- 建立英语和西班牙语PEM的基线可读性数据.
- 评估人类和人工智能 (ChatGPT) 简化对阅读年级水平的影响.
- 将简化PEM的临床准确性 (忠实性) 与原始版本进行比较.
主要方法:
- 在2025年3月使用ChatGPT提示的简化806个骨科PEM.
- 使用验证的英语和西班牙语公式重新评估可读性.
- 通过将人工智能和人类简化的版本与原始版本进行比较,评估幻觉,遗漏和不一致性,对86个PEM的忠实性进行了评估.
主要成果:
- 聊天GPT-4o简化将平均阅读成绩水平降至6.1 (英语) 和3.5 (西班牙语).
- 聊天GPT-4o在英语中显示的遗漏和不一致性比人类简化更少.
- 聊天GPT-5进一步提高了西班牙语的忠实度,在保持英语表现的同时,实现了与人类相比的幻觉率.
结论:
- 由人工智能驱动的简化有效地提高了骨科PEM的可读性,同时保持了可接受的临床准确性.
- 聊天GPT-5在临床医生监督下生成可访问和可靠的患者教育材料方面显示出显著的前景.
- 人工智能简化的PEM提供了一种可扩展的策略,以改善患者对骨科护理的理解,同意和坚持.
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