Ethox Centre, Nuffield Department of Population Health, University of Oxford, Big Data Institute, Old Road Campus, Oxford, OX3 7LF, UK.
BMC Med Inform Decis Mak. 2023 Apr 20;23(1):73. doi: 10.1186/s12911-023-02162-y.
Artificial intelligence (AI) is often cited as a possible solution to current issues faced by healthcare systems. This includes the freeing up of time for doctors and facilitating person-centred doctor-patient relationships. However, given the novelty of artificial intelligence tools, there is very little concrete evidence on their impact on the doctor-patient relationship or on how to ensure that they are implemented in a way which is beneficial for person-centred care.Given the importance of empathy and compassion in the practice of person-centred care, we conducted a literature review to explore how AI impacts these two values. Besides empathy and compassion, shared decision-making, and trust relationships emerged as key values in the reviewed papers. We identified two concrete ways which can help ensure that the use of AI tools have a positive impact on person-centred doctor-patient relationships. These are (1) using AI tools in an assistive role and (2) adapting medical education. The study suggests that we need to take intentional steps in order to ensure that the deployment of AI tools in healthcare has a positive impact on person-centred doctor-patient relationships. We argue that the proposed solutions are contingent upon clarifying the values underlying future healthcare systems.
人工智能(AI)常被视为解决医疗体系当前面临问题的一种可能方案。这包括为医生腾出时间,并促进以患者为中心的医患关系。然而,鉴于人工智能工具的新颖性,几乎没有确凿的证据表明它们对医患关系的影响,或者如何确保以有利于以患者为中心的护理的方式实施人工智能工具。
鉴于同理心和同情心在以患者为中心的护理实践中的重要性,我们进行了文献综述,以探讨人工智能如何影响这两个价值观。除了同理心和同情心之外,共同决策和信任关系也成为了综述文献中的关键价值观。我们确定了两种具体的方法,可以帮助确保人工智能工具的使用对以患者为中心的医患关系产生积极影响。这是(1)以辅助角色使用 AI 工具,(2)调整医学教育。该研究表明,我们需要采取有意识的步骤,以确保在医疗保健中部署人工智能工具对以患者为中心的医患关系产生积极影响。我们认为,所提出的解决方案取决于明确未来医疗体系的基本价值观。
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