Burry Nicolas, Nakagawa Shunichi, Blinderman Craig D
Adult Palliative Care Service, Department of Medicine, Columbia University Irving Medical Center, New York, New York, USA.
J Palliat Med. 2024 Jan;27(1):7-9. doi: 10.1089/jpm.2023.0471. Epub 2023 Nov 21.
Artificial intelligence (AI) is changing the way clinicians practice medicine, and recent technological advancements have resulted in consumer-facing products that can respond to users with dynamic and nuanced language. Clinicians typically struggle with serious illness communication, such as delivering news about a poor prognosis. Palliative care clinicians receive extensive training in serious illness communication, but there is a paucity of such highly trained specialists. This article explores the allure of employing AI-powered chatbots to assist nonspecialist clinicians with serious illness communication and highlights the ethical and practical drawbacks. While outsourcing communication to new AI chatbot technologies may be inappropriate, there is a role for AI in training clinicians on effective language to use when discussing serious illness with their patients.
人工智能(AI)正在改变临床医生的行医方式,最近的技术进步催生了面向消费者的产品,这些产品能够用动态且细致入微的语言回应用户。临床医生在传达严重病情等方面通常面临困难,比如告知预后不良的消息。姑息治疗临床医生在严重病情沟通方面接受了广泛培训,但这类训练有素的专家数量稀少。本文探讨了使用人工智能驱动的聊天机器人协助非专科临床医生进行严重病情沟通的吸引力,并强调了伦理和实际方面的弊端。虽然将沟通外包给新的人工智能聊天机器人技术可能不合适,但人工智能在培训临床医生在与患者讨论严重病情时使用有效语言方面可以发挥作用。