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医疗伦理与人工智能:一项英国医生调查

Healthcare ethics and artificial intelligence: a UK doctor survey.

作者信息

Warrington Daniel Joseph, Holm Søren

机构信息

Manchester University NHS Foundation Trust, Manchester, UK.

Centre for Social Ethics and Policy, Department of Law, School of Social Sciences, University of Manchester, Manchester, UK.

出版信息

BMJ Open. 2024 Dec 20;14(12):e089090. doi: 10.1136/bmjopen-2024-089090.

Abstract

OBJECTIVES

To survey UK doctors on their uses of artificial intelligence (AI) and of their views on the ethics and regulation of AI in healthcare.

DESIGN

Anonymous cross-sectional e-survey.

SETTING

An online survey of UK General Medical Council (GMC) registered doctors.

PARTICIPANTS

272 individuals.

MAIN OUTCOME MEASURES

Likert-scale responses to questions covering personal use of AI, concerns about AI, requirements for introduction of AI and views on necessary AI regulation in healthcare.

RESULTS

Most doctors rated themselves as slightly or moderately knowledgeable about AI, with men rating their knowledge levels higher than women. Doctors in training are more likely to have used AI than doctors after training. 37% of doctors who use AI reported using AI to help write the required reflective pieces for their portfolio. Doctors reported concerns about AI regarding patient safety and patients' right to confidentiality. They also expressed a strong desire for further regulation of AI in healthcare and, specifically, for their professional bodies to draft guidelines for the use of AI by doctors.

CONCLUSIONS

This study provides useful insights into UK doctors' uses of AI in healthcare and their opinions on its introduction and regulation. It provides a case for guidance on the use of AI in the reflective practices of doctors and for further evaluation of doctors' concerns about AI in healthcare. We call on doctors' professional bodies (GMC, BMA and royal colleges) to draft professional guidance for doctors using AI.

摘要

目的

对英国医生使用人工智能(AI)的情况及其对医疗保健领域人工智能伦理和监管的看法进行调查。

设计

匿名横断面电子调查。

背景

对英国医学总会(GMC)注册医生进行在线调查。

参与者

272人。

主要观察指标

对涵盖人工智能个人使用、对人工智能的担忧、引入人工智能的要求以及对医疗保健领域必要的人工智能监管看法等问题的李克特量表回答。

结果

大多数医生将自己对人工智能的了解程度评为稍有或中等了解,男性对自身知识水平的评分高于女性。接受培训的医生比培训后的医生更有可能使用过人工智能。37%使用人工智能的医生报告称使用人工智能来帮助撰写其业务档案所需的反思性文章。医生们报告了对人工智能在患者安全和患者保密权方面的担忧。他们还强烈希望对医疗保健领域的人工智能进行进一步监管,特别是希望其专业机构为医生使用人工智能起草指导方针。

结论

本研究为英国医生在医疗保健领域使用人工智能的情况及其对人工智能引入和监管的看法提供了有益见解。它为医生反思性实践中使用人工智能的指导以及进一步评估医生对医疗保健领域人工智能的担忧提供了依据。我们呼吁医生专业机构(GMC、BMA和皇家医学院)为使用人工智能的医生起草专业指导方针。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4233/11667393/8dba563cbe87/bmjopen-14-12-g001.jpg

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