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探索人工智能在精神卫生保健中的作用:进展、陷阱与前景。

Exploring the Role of Artificial Intelligence in Mental Healthcare: Progress, Pitfalls, and Promises.

作者信息

Espejo Gemma, Reiner Wade, Wenzinger Michael

机构信息

Psychiatry and Behavioral Sciences, University of California, Irvine School of Medicine, Irvine, USA.

Psychiatry, University of Washington, Seattle, USA.

出版信息

Cureus. 2023 Sep 5;15(9):e44748. doi: 10.7759/cureus.44748. eCollection 2023 Sep.

Abstract

The rise of artificial intelligence (AI) heralds a significant revolution in healthcare, particularly in mental health. AI's potential spans diagnostic algorithms, data analysis from diverse sources, and real-time patient monitoring. It is essential for clinicians to remain informed about AI's progress and limitations. The inherent complexity of mental disorders, limited objective data, and retrospective studies pose challenges to the application of AI. Privacy concerns, bias, and the risk of AI replacing human care also loom. Regulatory oversight and physician involvement are needed for equitable AI implementation. AI integration and use in psychotherapy and other services are on the horizon. Patient trust, feasibility, clinical efficacy, and clinician acceptance are prerequisites. In the future, governing bodies must decide on AI ownership, governance, and integration approaches. While AI can enhance clinical decision-making and efficiency, it might also exacerbate moral dilemmas, autonomy loss, and issues regarding the scope of practice. Striking a balance between AI's strengths and limitations involves utilizing AI as a validated clinical supplement under medical supervision, necessitating active clinician involvement in AI research, ethics, and regulation. AI's trajectory must align with optimizing mental health treatment and upholding compassionate care.

摘要

人工智能(AI)的兴起预示着医疗保健领域,尤其是心理健康领域的重大变革。人工智能的潜力涵盖诊断算法、来自各种来源的数据分析以及实时患者监测。临床医生了解人工智能的进展和局限性至关重要。精神障碍固有的复杂性、客观数据有限以及回顾性研究给人工智能的应用带来了挑战。隐私问题、偏差以及人工智能取代人类护理的风险也赫然出现。公平实施人工智能需要监管监督和医生的参与。人工智能在心理治疗和其他服务中的整合与应用即将到来。患者信任、可行性、临床疗效和临床医生的接受度是先决条件。未来,管理机构必须就人工智能的所有权、治理和整合方法做出决定。虽然人工智能可以提高临床决策能力和效率,但它也可能加剧道德困境、自主性丧失以及执业范围等问题。在人工智能的优势和局限性之间取得平衡,需要在医疗监督下将人工智能用作经过验证的临床辅助工具,这就需要临床医生积极参与人工智能研究、伦理和监管。人工智能的发展轨迹必须与优化心理健康治疗和坚持富有同情心的护理相一致。

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Unraveling the Ethical Enigma: Artificial Intelligence in Healthcare.解开伦理谜团:医疗保健领域的人工智能
Cureus. 2023 Aug 10;15(8):e43262. doi: 10.7759/cureus.43262. eCollection 2023 Aug.

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