Information Center, West China Hospital, Sichuan University, Chengdu, China.
Department of Medical Informatics, West China Medical School, Chengdu, China.
J Med Internet Res. 2023 Jun 28;25:e48568. doi: 10.2196/48568.
ChatGPT is receiving increasing attention and has a variety of application scenarios in clinical practice. In clinical decision support, ChatGPT has been used to generate accurate differential diagnosis lists, support clinical decision-making, optimize clinical decision support, and provide insights for cancer screening decisions. In addition, ChatGPT has been used for intelligent question-answering to provide reliable information about diseases and medical queries. In terms of medical documentation, ChatGPT has proven effective in generating patient clinical letters, radiology reports, medical notes, and discharge summaries, improving efficiency and accuracy for health care providers. Future research directions include real-time monitoring and predictive analytics, precision medicine and personalized treatment, the role of ChatGPT in telemedicine and remote health care, and integration with existing health care systems. Overall, ChatGPT is a valuable tool that complements the expertise of health care providers and improves clinical decision-making and patient care. However, ChatGPT is a double-edged sword. We need to carefully consider and study the benefits and potential dangers of ChatGPT. In this viewpoint, we discuss recent advances in ChatGPT research in clinical practice and suggest possible risks and challenges of using ChatGPT in clinical practice. It will help guide and support future artificial intelligence research similar to ChatGPT in health.
ChatGPT 受到越来越多的关注，并在临床实践中有多种应用场景。在临床决策支持中，ChatGPT 已被用于生成准确的鉴别诊断列表，支持临床决策，优化临床决策支持，并为癌症筛查决策提供见解。此外，ChatGPT 还被用于智能问答，为疾病和医疗查询提供可靠信息。在医疗文档方面，ChatGPT 已被证明可有效生成患者临床信函、放射学报告、医疗记录和出院小结，提高医疗保健提供者的效率和准确性。未来的研究方向包括实时监测和预测分析、精准医学和个性化治疗、ChatGPT 在远程医疗和远程保健中的作用，以及与现有医疗保健系统的整合。总体而言，ChatGPT 是一种有价值的工具，可以补充医疗保健提供者的专业知识，改善临床决策和患者护理。然而，ChatGPT 是一把双刃剑。我们需要仔细考虑和研究 ChatGPT 的益处和潜在危险。在这一观点中，我们讨论了 ChatGPT 在临床实践中的最新研究进展，并提出了在临床实践中使用 ChatGPT 可能存在的风险和挑战。这将有助于指导和支持未来类似于 ChatGPT 的人工智能在健康领域的研究。
