在ChatGPT制作的临床笔记中评估同情沟通的存在,使用既定的沟通框架
Sydney Bowden1, Keyline Moreno1, Frederick Million1
1Internal Medicine, Howard University College of Medicine, Washington, D.C., USA.
Cureus
|March 5, 2026
概括
像ChatGPT这样的生成人工智能可以在提示时产生同情的临床笔记,但同情往往是公式的. 这突显了AI在以患者为中心的文档方面的潜力和局限性.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健中的人工智能
- 临床交流 临床沟通
背景情况:
- 同理心对于有效的医生-病人沟通至关重要,增强关系和患者体验.
- 正在探索生成性AI (AI) 模型用于临床文档,需要对它们的同情沟通能力进行评估.
研究的目的:
- 评估通过ChatGPT生成的临床笔记中的同情沟通.
- 用既定的框架量化衡量语言标记,并定性地描述 empathic 风格.
主要方法:
- 使用ChatGPT (版本5.1) 对20个精神病学和胃肠道学标准化儿科病例进行的模拟研究.
- 在中立和明确同情的提示条件下生成SOAP笔记.
- 使用咨询和关系同理心 (CARE) 措施和同情沟通编码系统 (ECCS) 评估的笔记.
主要成果:
- 用同情提示生成的笔记比中立笔记有显著更高的CARE分数 (3.8比2.6).
- empathic-tone 笔记显示,每 ECCS 的 empathic 陈述的频率更高.
- 共感语言在很大程度上是通用的,包括支持性的措辞和保证,情感细微差别有限.
结论:
- 当明确提示时,ChatGPT可以在临床笔记中产生可测量的同情心.
- 生成的同理心在很大程度上是公式的,并且高度依赖于即时设计.
- 研究结果表明,人工智能在以患者为中心的文档中既有潜在的实用性,也有其固有的局限性.
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