文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

人工智能、ChatGPT 及其他用于健康社会决定因素的大语言模型:现状与未来方向。

Artificial intelligence, ChatGPT, and other large language models for social determinants of health: Current state and future directions.

机构信息

Division of Pharmacy, Singapore General Hospital, Singapore, Singapore; SingHealth Duke-NUS Medicine Academic Clinical Programme, Singapore, Singapore.

MOHH Holdings (Singapore) Pte., Ltd., Singapore, Singapore; SingHealth Duke-NUS Family Medicine Academic Clinical Programme, Singapore, Singapore.

出版信息

Cell Rep Med. 2024 Jan 16;5(1):101356. doi: 10.1016/j.xcrm.2023.101356.


DOI:10.1016/j.xcrm.2023.101356
PMID:38232690
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10829781/
Abstract

This perspective highlights the importance of addressing social determinants of health (SDOH) in patient health outcomes and health inequity, a global problem exacerbated by the COVID-19 pandemic. We provide a broad discussion on current developments in digital health and artificial intelligence (AI), including large language models (LLMs), as transformative tools in addressing SDOH factors, offering new capabilities for disease surveillance and patient care. Simultaneously, we bring attention to challenges, such as data standardization, infrastructure limitations, digital literacy, and algorithmic bias, that could hinder equitable access to AI benefits. For LLMs, we highlight potential unique challenges and risks including environmental impact, unfair labor practices, inadvertent disinformation or "hallucinations," proliferation of bias, and infringement of copyrights. We propose the need for a multitiered approach to digital inclusion as an SDOH and the development of ethical and responsible AI practice frameworks globally and provide suggestions on bridging the gap from development to implementation of equitable AI technologies.

摘要

本观点强调了在患者健康结果和健康不平等方面解决健康的社会决定因素(SDOH)的重要性,这是一个由 COVID-19 大流行加剧的全球性问题。我们广泛讨论了数字健康和人工智能(AI)的当前发展,包括大型语言模型(LLM),它们是解决 SDOH 因素的变革性工具,为疾病监测和患者护理提供了新的能力。同时,我们注意到了一些挑战,如数据标准化、基础设施限制、数字素养和算法偏见,这些因素可能会阻碍公平地获得 AI 带来的好处。对于 LLM,我们强调了可能存在的独特挑战和风险,包括环境影响、不公平的劳工实践、无意中的虚假信息或“幻觉”、偏见的扩散以及侵犯版权。我们提出需要采取多层次的数字包容方法来解决 SDOH 问题,并在全球范围内制定道德和负责任的 AI 实践框架,并就弥合从开发到实施公平的 AI 技术的差距提出建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7693/10829781/4b94bdb50959/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7693/10829781/cf23edcfb33d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7693/10829781/5a5e64873b96/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7693/10829781/4b94bdb50959/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7693/10829781/cf23edcfb33d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7693/10829781/5a5e64873b96/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7693/10829781/4b94bdb50959/gr3.jpg

相似文献

[1]
Artificial intelligence, ChatGPT, and other large language models for social determinants of health: Current state and future directions.

Cell Rep Med. 2024-1-16

[2]
Large Language Models and User Trust: Consequence of Self-Referential Learning Loop and the Deskilling of Health Care Professionals.

J Med Internet Res. 2024-4-25

[3]
Proficiency, Clarity, and Objectivity of Large Language Models Versus Specialists' Knowledge on COVID-19's Impacts in Pregnancy: Cross-Sectional Pilot Study.

JMIR Form Res. 2025-2-5

[4]
The influence of the COVID-19 pandemic on the adoption and impact of AI ChatGPT: Challenges, applications, and ethical considerations.

Acta Psychol (Amst). 2024-6

[5]
The Role of AI in Nursing Education and Practice: Umbrella Review.

J Med Internet Res. 2025-4-4

[6]
Pros, Cons and Limits of AI in Public Health.

Stud Health Technol Inform. 2025-5-15

[7]
Charting a Path to the Quintuple Aim: Harnessing AI to Address Social Determinants of Health.

Int J Environ Res Public Health. 2024-5-31

[8]
Challenges and barriers of using large language models (LLM) such as ChatGPT for diagnostic medicine with a focus on digital pathology - a recent scoping review.

Diagn Pathol. 2024-2-27

[9]
Revolutionizing Health Care: The Transformative Impact of Large Language Models in Medicine.

J Med Internet Res. 2025-1-7

[10]
Artificial intelligence in vaccine research and development: an umbrella review.

Front Immunol. 2025-5-8

引用本文的文献

[1]
Development and evaluation of a lightweight large language model chatbot for medication enquiry.

PLOS Digit Health. 2025-9-4

[2]
Comparative Evaluation of Diagnosis and Treatment Plan Given by Pediatric Dentists and Generated by ChatGPT: A Cross-Sectional Pilot Study.

Cureus. 2025-7-22

[3]
Assessing the adherence of large language models to clinical practice guidelines in Chinese medicine: a content analysis.

Front Pharmacol. 2025-7-25

[4]
Unveiling social determinants of health impact on adverse pregnancy outcomes through natural language processing.

Sci Rep. 2025-8-9

[5]
Machine learning approaches for EGFR mutation status prediction in NSCLC: an updated systematic review.

Front Oncol. 2025-7-10

[6]
Comparative Analysis of Generative Artificial Intelligence Systems in Solving Clinical Pharmacy Problems: Mixed Methods Study.

JMIR Med Inform. 2025-7-24

[7]
AI-Y: An AI Checklist for Population Ethics Across the Global Context.

Curr Epidemiol Rep. 2025

[8]
Artificial intelligence in atrial fibrillation: emerging applications, research directions and ethical considerations.

Front Cardiovasc Med. 2025-6-24

[9]
Can artificial intelligence revolutionize healthcare in the Global South? A scoping review of opportunities and challenges.

Digit Health. 2025-6-30

[10]
Public Versus Academic Discourse on ChatGPT in Health Care: Mixed Methods Study.

JMIR Infodemiology. 2025-6-23

本文引用的文献

[1]
Social and Behavioral Determinants of Health in the Era of Artificial Intelligence with Electronic Health Records: A Scoping Review.

Health Data Sci. 2021-8-24

[2]
Large language models to identify social determinants of health in electronic health records.

NPJ Digit Med. 2024-1-11

[3]
SHAP Model Explainability in ECMO - PAL mortality prediction: A Critical Analysis. Author's reply.

Intensive Care Med. 2023-12

[4]
Generative Artificial Intelligence Through ChatGPT and Other Large Language Models in Ophthalmology: Clinical Applications and Challenges.

Ophthalmol Sci. 2023-9-9

[5]
Large language models propagate race-based medicine.

NPJ Digit Med. 2023-10-20

[6]
Considerations for addressing bias in artificial intelligence for health equity.

NPJ Digit Med. 2023-9-12

[7]
Creation and Adoption of Large Language Models in Medicine.

JAMA. 2023-9-5

[8]
Large language models in medicine.

Nat Med. 2023-8

[9]
Health system-scale language models are all-purpose prediction engines.

Nature. 2023-7

[10]
ChatGPT is not the solution to physicians' documentation burden.

Nat Med. 2023-6

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索