Seth Puneet, Carretas Romina, Rudzicz Frank
Department of Family Medicine, McMaster University, Hamilton, ON, Canada.
School of Public Health, University of Alberta, Edmonton, AB, Canada.
JMIR AI. 2024 Oct 4;3:e57673. doi: 10.2196/57673.
Ambient scribe technology, utilizing large language models, represents an opportunity for addressing several current pain points in the delivery of primary care. We explore the evolution of ambient scribes and their current use in primary care. We discuss the suitability of primary care for ambient scribe integration, considering the varied nature of patient presentations and the emphasis on comprehensive care. We also propose the stages of maturation in the use of ambient scribes in primary care and their impact on care delivery. Finally, we call for focused research on safety, bias, patient impact, and privacy in ambient scribe technology, emphasizing the need for early training and education of health care providers in artificial intelligence and digital health tools.
利用大语言模型的环境抄写技术为解决初级保健服务中当前的几个痛点提供了契机。我们探讨了环境抄写员的发展历程及其在初级保健中的当前应用。考虑到患者表现的多样性以及对全面护理的重视，我们讨论了初级保健对集成环境抄写员的适用性。我们还提出了环境抄写员在初级保健中使用的成熟阶段及其对护理服务的影响。最后，我们呼吁针对环境抄写技术中的安全性、偏差、对患者的影响和隐私问题开展重点研究，强调医疗保健提供者尽早接受人工智能和数字健康工具培训与教育的必要性。
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