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理解公众对医疗保健领域人工智能的看法:来自澳大利亚的对话小组研究结果

Understanding Public Judgements on Artificial Intelligence in Healthcare: Dialogue Group Findings From Australia.

作者信息

Frost Emma K, Aquino Yves Saint James, Braunack-Mayer Annette, Carter Stacy M

机构信息

Australian Centre for Health Engagement, Evidence and Values, School of Social Science, Faculty of the Arts, Social Science and Humanities, University of Wollongong, Gwynneville, New South Wales, Australia.

出版信息

Health Expect. 2025 Apr;28(2):e70185. doi: 10.1111/hex.70185.

Abstract

INTRODUCTION

There is a rapidly increasing number of applications of healthcare artificial intelligence (HCAI). Alongside this, a new field of research is investigating public support for HCAI. We conducted a study to identify the conditions on Australians' support for HCAI, with an emphasis on identifying the instances where using AI in healthcare systems was seen as acceptable or unacceptable.

METHODS

We conducted eight dialogue groups with 47 Australians, aiming for diversity in age, gender, working status, and experience with information and communication technologies. The moderators encouraged participants to discuss the reasons and conditions for their support for AI in health care.

RESULTS

Most participants were conditionally supportive of HCAI. The participants felt strongly that AI should be developed, implemented and controlled with patient interests in mind. They supported HCAI principally as an informational tool and hoped that it would empower people by enabling greater access to personalised information about their health. They were opposed to HCAI as a decision-making tool or as a replacement for physician-patient interaction.

CONCLUSION

Our findings indicate that Australians support HCAI as a tool that enhances rather than replaces human decision-making in health care. Australians value HCAI as an epistemic tool that can expand access to personalised health information but remain cautious about its use in clinical decision-making. Developers of HCAI tools should consider Australians' preferences for AI tools that provide epistemic resources, and their aversion to tools which make decisions autonomously, or replace interactions with their physicians.

PATIENT OR PUBLIC CONTRIBUTION

Members of the public were participants in this study. The participants made contributions by sharing their views and judgements.

摘要

引言

医疗保健人工智能(HCAI)的应用正在迅速增加。与此同时,一个新的研究领域正在调查公众对HCAI的支持情况。我们开展了一项研究,以确定澳大利亚人支持HCAI的条件,重点是确定在医疗保健系统中使用人工智能被视为可接受或不可接受的情况。

方法

我们与47名澳大利亚人进行了8个对话小组,旨在实现年龄、性别、工作状态以及信息和通信技术经验方面的多样性。主持人鼓励参与者讨论他们支持医疗保健领域人工智能的原因和条件。

结果

大多数参与者有条件地支持HCAI。参与者强烈认为,人工智能的开发、实施和控制应以患者利益为出发点。他们主要将HCAI视为一种信息工具,并希望它能通过使人们更容易获得有关自身健康的个性化信息来增强人们的能力。他们反对将HCAI用作决策工具或替代医患互动。

结论

我们的研究结果表明,澳大利亚人支持HCAI作为一种增强而非取代医疗保健中人类决策的工具。澳大利亚人重视HCAI作为一种认知工具,它可以扩大获取个性化健康信息的机会,但对其在临床决策中的使用仍持谨慎态度。HCAI工具的开发者应考虑澳大利亚人对提供认知资源的人工智能工具的偏好,以及他们对自主决策或取代与医生互动的工具的厌恶。

患者或公众贡献

公众是本研究的参与者。参与者通过分享他们的观点和判断做出了贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4366/11949843/d00341dd1e7f/HEX-28-e70185-g002.jpg

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