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利用类 ChatGPT 解决方案弥合类风湿关节炎患者与医疗保健专业人员之间的沟通差距。

Using ChatGPT-Like Solutions to Bridge the Communication Gap Between Patients With Rheumatoid Arthritis and Health Care Professionals.

机构信息

National Applied Research Laboratories, Taipei, Taiwan.

National Council for Sustainable Development, Taipei, Taiwan.

出版信息

JMIR Med Educ. 2024 Feb 27;10:e48989. doi: 10.2196/48989.

Abstract

The communication gap between patients and health care professionals has led to increased disputes and resource waste in the medical domain. The development of artificial intelligence and other technologies brings new possibilities to solve this problem. This viewpoint paper proposes a new relationship between patients and health care professionals-"shared decision-making"-allowing both sides to obtain a deeper understanding of the disease and reach a consensus during diagnosis and treatment. Then, this paper discusses the important impact of ChatGPT-like solutions in treating rheumatoid arthritis using methotrexate from clinical and patient perspectives. For clinical professionals, ChatGPT-like solutions could provide support in disease diagnosis, treatment, and clinical trials, but attention should be paid to privacy, confidentiality, and regulatory norms. For patients, ChatGPT-like solutions allow easy access to massive amounts of information; however, the information should be carefully managed to ensure safe and effective care. To ensure the effective application of ChatGPT-like solutions in improving the relationship between patients and health care professionals, it is essential to establish a comprehensive database and provide legal, ethical, and other support. Above all, ChatGPT-like solutions could benefit patients and health care professionals if they ensure evidence-based solutions and data protection and collaborate with regulatory authorities and regulatory evolution.

摘要

医患沟通障碍导致医疗领域的纠纷和资源浪费增加。人工智能和其他技术的发展为解决这个问题带来了新的可能性。本文提出了一种新的医患关系——“共同决策”,使双方在诊断和治疗过程中能够更深入地了解疾病并达成共识。然后,本文从临床和患者角度讨论了 ChatGPT 类解决方案在使用甲氨蝶呤治疗类风湿关节炎方面的重要影响。对于临床专业人员,ChatGPT 类解决方案可以在疾病诊断、治疗和临床试验中提供支持,但需要注意隐私、保密和监管规范。对于患者,ChatGPT 类解决方案可以方便地获取大量信息;但是,应该仔细管理信息以确保安全有效的护理。为了确保 ChatGPT 类解决方案在改善医患关系方面的有效应用,需要建立全面的数据库,并提供法律、伦理等方面的支持。最重要的是,如果 ChatGPT 类解决方案能够确保基于证据的解决方案和数据保护,并与监管机构和监管演变合作,那么它们将有益于患者和医疗保健专业人员。

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Where Medical Statistics Meets Artificial Intelligence.医学统计学与人工智能的交汇之处。
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Using ChatGPT to write patient clinic letters.使用ChatGPT撰写患者临床信函。
Lancet Digit Health. 2023 Apr;5(4):e179-e181. doi: 10.1016/S2589-7500(23)00048-1. Epub 2023 Mar 7.

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