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现在人工智能医生来为您看病了:人工智能能取代全科医生吗?

Dr AI will see you now: could artificial intelligence replace general practitioners?

作者信息

Cronin Thomas, Travers John

机构信息

Irish College of General Practitioners/Discipline of Public Health and Primary Care, School of Medicine, Trinity College Dublin, Dublin, Ireland.

Discipline of Public Health and Primary Care, School of Medicine, Trinity College Dublin, Dublin, Ireland.

出版信息

Ir J Med Sci. 2025 Jul 21. doi: 10.1007/s11845-025-04006-2.


DOI:10.1007/s11845-025-04006-2
PMID:40690151
Abstract

Artificial intelligence (AI) is a rapidly advancing field aiming to replicate human intelligence in performing complex tasks. Whilst AI is having significant impacts on technology-driven medical specialties like radiology and pathology, its integration into general practice remains limited. This essay explores AI's historical evolution, its applications in healthcare, and potential to replace general practitioners (GPs). Research and development have shown promise for AI's use in triage, risk profiling, and mental health support in the primary care setting. Nevertheless, AI faces challenges with data privacy concerns, diagnostic errors, and the potential loss of human connection. Continuity of care, relational communication, and GPs' intuitive decision-making remain central to effective patient care, aspects that are challenging for AI to replicate. Although AI could make positive contributions to general practice, its ability to replace GPs entirely seems unlikely due to the inherently human nature of empathetic and personalised care.

摘要

人工智能(AI)是一个快速发展的领域,旨在复制人类智能以执行复杂任务。虽然人工智能对放射学和病理学等技术驱动的医学专业产生了重大影响,但其在全科医疗中的整合仍然有限。本文探讨了人工智能的历史演变、其在医疗保健中的应用以及取代全科医生(GP)的潜力。研发表明,人工智能在基层医疗环境中的分诊、风险评估和心理健康支持方面具有应用前景。然而,人工智能面临着数据隐私问题、诊断错误以及可能失去人际联系等挑战。持续护理、关系沟通和全科医生的直观决策仍然是有效患者护理的核心,而这些方面对人工智能来说很难复制。尽管人工智能可以为全科医疗做出积极贡献,但由于共情和个性化护理的固有人性,它完全取代全科医生的能力似乎不太可能。

相似文献

[1]
Dr AI will see you now: could artificial intelligence replace general practitioners?

Ir J Med Sci. 2025-7-21

[2]
Generative Artificial Intelligence in Primary Care: Qualitative Study of UK General Practitioners' Views.

J Med Internet Res. 2025-8-6

[3]
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[4]
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[5]
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[6]
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[7]
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[10]
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本文引用的文献

[1]
Generative artificial intelligence in primary care: an online survey of UK general practitioners.

BMJ Health Care Inform. 2024-9-17

[2]
Artificial intelligence scribes in primary care.

CMAJ. 2024-9-15

[3]
Experiences of remote consultation in UK primary care for patients with mental health conditions: A systematic review.

Digit Health. 2024-3-7

[4]
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BMJ Qual Saf. 2024-8-16

[5]
Comparing Physician and Artificial Intelligence Chatbot Responses to Patient Questions Posted to a Public Social Media Forum.

JAMA Intern Med. 2023-6-1

[6]
Patient perspectives on data sharing regarding implementing and using artificial intelligence in general practice - a qualitative study.

BMC Health Serv Res. 2023-4-4

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BMC Prim Care. 2023-1-14

[8]
Prediction of heart failure 1 year before diagnosis in general practitioner patients using machine learning algorithms: a retrospective case-control study.

BMJ Open. 2022-8-30

[9]
Artificial intelligence and machine learning algorithms for early detection of skin cancer in community and primary care settings: a systematic review.

Lancet Digit Health. 2022-6

[10]
Continuity in general practice as predictor of mortality, acute hospitalisation, and use of out-of-hours care: a registry-based observational study in Norway.

Br J Gen Pract. 2022-2

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