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全球公平编码中的患者能动性与大语言模型

Patient agency and large language models in worldwide encoding of equity.

作者信息

Armoundas Antonis A, Loscalzo Joseph

机构信息

Cardiovascular Research Center, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Broad Institute, Massachusetts Institute of Technology, Cambridge, MA, USA.

出版信息

NPJ Digit Med. 2025 May 8;8(1):258. doi: 10.1038/s41746-025-01598-y.

DOI:10.1038/s41746-025-01598-y
PMID:40341689
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12062359/
Abstract

Large language models progressively result in improved ways of patient engagement and access to healthcare, reaching both an exciting and concerning time, as they no longer serve solely as a guide to clinicians, but, for the first time enable patients to make decisions that directly affect their health. We present the benefits and risks of this paradigm-shift in the practice of medicine, that offers the possibility of promoting health equity.

摘要

大语言模型逐渐带来了改善患者参与度和获得医疗保健的方式,这正处于一个既令人兴奋又令人担忧的时期,因为它们不再仅仅作为临床医生的指导工具,而是首次使患者能够做出直接影响自身健康的决策。我们阐述了医学实践中这种范式转变的益处和风险,它提供了促进健康公平的可能性。

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Patient agency and large language models in worldwide encoding of equity.全球公平编码中的患者能动性与大语言模型
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本文引用的文献

1
Towards accurate differential diagnosis with large language models.迈向使用大语言模型进行准确的鉴别诊断。
Nature. 2025 Apr 9. doi: 10.1038/s41586-025-08869-4.
2
Transdiagnostic alterations in white matter microstructure associated with suicidal thoughts and behaviours in the ENIGMA Suicidal Thoughts and Behaviours consortium.在ENIGMA自杀想法与行为联盟中,与自杀想法和行为相关的白质微观结构的跨诊断改变。
medRxiv. 2024 Nov 7:2024.11.07.24316876. doi: 10.1101/2024.11.07.24316876.
3
Toward expert-level medical question answering with large language models.迈向使用大语言模型实现专家级医学问答
Nat Med. 2025 Mar;31(3):943-950. doi: 10.1038/s41591-024-03423-7. Epub 2025 Jan 8.
4
Large language models facilitating modern molecular biology and novel drug development.大型语言模型助力现代分子生物学和新型药物研发。
Front Pharmacol. 2024 Dec 24;15:1458739. doi: 10.3389/fphar.2024.1458739. eCollection 2024.
5
Can Machine Learning Help Us Understand Social Connection and Its Impact on Health?机器学习能帮助我们理解社会联系及其对健康的影响吗?
JAMA Netw Open. 2024 Dec 2;7(12):e2451545. doi: 10.1001/jamanetworkopen.2024.51545.
6
Understanding Healthcare Barriers for Latino/a/e/x Families with Alzheimer's Disease: Insights from Primary Care Provider interviews.了解患有阿尔茨海默病的拉丁裔家庭的医疗保健障碍:来自初级保健提供者访谈的见解
medRxiv. 2024 Dec 12:2024.12.06.24318619. doi: 10.1101/2024.12.06.24318619.
7
Assessing Large Language Models for Oncology Data Inference From Radiology Reports.评估用于从放射学报告中进行肿瘤学数据推断的大语言模型。
JCO Clin Cancer Inform. 2024 Dec;8:e2400126. doi: 10.1200/CCI.24.00126. Epub 2024 Dec 11.
8
Large language models in patient education: a scoping review of applications in medicine.用于患者教育的大语言模型:医学应用的范围综述
Front Med (Lausanne). 2024 Oct 29;11:1477898. doi: 10.3389/fmed.2024.1477898. eCollection 2024.
9
Artificial Intelligence Algorithms in Cardiovascular Medicine: An Attainable Promise to Improve Patient Outcomes or an Inaccessible Investment?心血管医学中的人工智能算法:是改善患者预后的可实现承诺还是难以企及的投资?
Curr Cardiol Rep. 2024 Dec;26(12):1477-1485. doi: 10.1007/s11886-024-02146-y. Epub 2024 Oct 29.
10
A framework for human evaluation of large language models in healthcare derived from literature review.一个源自文献综述的用于医疗保健领域大语言模型人工评估的框架。
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