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人工智能在老年人群慢性病管理中的应用:机器学习与自然语言处理应用的系统综述

Artificial Intelligence in Chronic Disease Management for Aging Populations: A Systematic Review of Machine Learning and NLP Applications.

作者信息

Feng Gang, Weng Falin, Lu Wei, Xu Libin, Zhu Wenxiang, Tan Man, Weng Pengjuan

机构信息

The Department of Geriatrics at Wushan County People's Hospital, Chongqing Municipality, Chongqing, People's Republic of China.

出版信息

Int J Gen Med. 2025 Jun 12;18:3105-3115. doi: 10.2147/IJGM.S516247. eCollection 2025.

Abstract

As China's elderly population grows rapidly and the aging society arrives, the number of elderly patients with chronic diseases (mainly including chronic cardiovascular and cerebrovascular diseases, respiratory diseases, etc) continues to increase, significantly impacting individuals, families, and society. Geriatric Chronic Disease Management in China faces multiple challenges, including unequal distribution of medical resources, lack of professional management teams, insufficient health education, improper medication management, inadequate psychological support, insufficient medical insurance coverage, and insufficient family support. The rise of artificial intelligence (AI) technology (eg, machine learning, deep learning, NLP, computer vision) offers possibilities for improving Geriatric Chronic Disease Management, including optimizing the distribution of medical resources, supplementing professional management teams, popularizing health education, optimizing medication management, enhancing psychological support, improving medical insurance efficiency and accuracy, and strengthening family support. However, the application of AI in Geriatric Chronic Disease Management still faces challenges such as the data scarcity, model generalization, clinician adoption, alignment of AI decision-making with clinical guidelines, Integration with existing healthcare systems, privacy and security, user acceptance, ethics and law. To overcome these challenges, interdisciplinary collaboration is needed to promote the rational and effective application of AI technology, aiming to achieve healthy aging. This paper systematically reviews the current status, challenges, and future directions of AI application in Geriatric Chronic Disease Management.

摘要

随着中国老年人口的迅速增长以及老龄化社会的到来,老年慢性病患者(主要包括慢性心脑血管疾病、呼吸系统疾病等)数量持续增加,对个人、家庭和社会产生了重大影响。中国的老年慢性病管理面临着诸多挑战,包括医疗资源分配不均、缺乏专业管理团队、健康教育不足、用药管理不当、心理支持不够、医疗保险覆盖不足以及家庭支持不足等。人工智能(AI)技术(如机器学习、深度学习、自然语言处理、计算机视觉)的兴起为改善老年慢性病管理提供了可能性,包括优化医疗资源分配、补充专业管理团队、普及健康教育、优化用药管理、加强心理支持、提高医疗保险效率和准确性以及强化家庭支持等。然而,AI在老年慢性病管理中的应用仍面临数据稀缺、模型泛化、临床医生接受度、AI决策与临床指南的一致性、与现有医疗系统的集成、隐私和安全、用户接受度、伦理和法律等挑战。为克服这些挑战,需要跨学科合作以促进AI技术的合理有效应用,旨在实现健康老龄化。本文系统综述了AI在老年慢性病管理中的应用现状、挑战及未来方向。

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