The Ethox Centre, Nuffield Department of Population Health, University of Oxford, Old Road Campus, Oxford, OX3 7LF, England.
Bull World Health Organ. 2020 Apr 1;98(4):245-250. doi: 10.2471/BLT.19.237198. Epub 2020 Jan 27.
Empathy, compassion and trust are fundamental values of a patient-centred, relational model of health care. In recent years, the quest for greater efficiency in health care, including economic efficiency, has often resulted in the side-lining of these values, making it difficult for health-care professionals to incorporate them in practice. Artificial intelligence is increasingly being used in health care. This technology promises greater efficiency and more free time for health-care professionals to focus on the human side of care, including fostering trust relationships and engaging with patients with empathy and compassion. This article considers the vision of efficient, empathetic and trustworthy health care put forward by the proponents of artificial intelligence. The paper suggests that artificial intelligence has the potential to fundamentally alter the way in which empathy, compassion and trust are currently regarded and practised in health care. Moving forward, it is important to re-evaluate whether and how these values could be incorporated and practised within a health-care system where artificial intelligence is increasingly used. Most importantly, society needs to re-examine what kind of health care it ought to promote.
同理心、同情心和信任是以患者为中心的、关系模式的医疗保健的基本价值观。近年来，对医疗保健更高效率的追求，包括经济效益，往往导致这些价值观被边缘化，使医疗保健专业人员难以将其纳入实践。人工智能越来越多地应用于医疗保健领域。这项技术有望提高效率，为医疗保健专业人员腾出更多时间，专注于护理的人性化方面，包括培养信任关系，并以同理心和同情心与患者互动。本文考虑了人工智能支持者提出的高效、有同理心和值得信赖的医疗保健愿景。本文提出，人工智能有可能从根本上改变同理心、同情心和信任在医疗保健中当前的被看待和实践方式。向前推进，重要的是重新评估在人工智能越来越多地被使用的医疗保健系统中，这些价值观是否可以被纳入并实践，以及如何纳入和实践。最重要的是，社会需要重新审视它应该提倡什么样的医疗保健。
