Hu Jian, Ren Lijun, Wang Tingwen, Yao Peng
First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, People's Republic of China.
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, People's Republic of China.
J Multidiscip Healthc. 2025 Aug 4;18:4643-4651. doi: 10.2147/JMDH.S529190. eCollection 2025.
The global aging population is expanding at an unprecedented rate and is projected to reach 2 billion by 2050, presenting significant medical challenges, particularly multimorbidity and heterogeneous responses to treatment. Using diabetes as an illustrative case, this study explores the transformative potential of artificial intelligence (AI)-assisted clinical decision-making to advance personalized precision medicine for older adults. Through systematic analysis of current healthcare practices and emerging AI technologies, we examined the integration of machine learning algorithms, natural language processing, and intelligent monitoring systems into diabetes care for elderly populations. Based on current evidence showing up to 25% reduction in hospitalization rates and 30% increase in treatment adherence, we argue that AI integration represents a transformative approach to improving clinical outcomes in elderly diabetes care. We contend that AI-driven clinical decision support systems (CDSS) offer superior performance in risk prediction and treatment optimization, with studies demonstrating diagnostic accuracy rates of up to 93.07%, supporting our argument for their widespread implementation. Furthermore, AI-enhanced monitoring systems improved medication adherence by 17.9% compared to conventional monitoring approaches. Nonetheless, several challenges persist, including issues related to data standardization, algorithm transparency, and patient privacy protection. These results underscore the necessity of adopting a balanced implementation strategy that addresses both technical limitations and ethical considerations, while upholding patient autonomy. This perspective emphasizes the critical importance of multidisciplinary collaboration among healthcare professionals, technology developers, and regulatory authorities in establishing a comprehensive framework for AI deployment in clinical settings. By demonstrating the capacity of AI-assisted clinical decision-making to enhance healthcare quality and efficiency for elderly patients with diabetes, this study makes a meaningful contribution to the evolving field of personalized medicine.
全球老龄化人口正以前所未有的速度增长,预计到2050年将达到20亿,这带来了重大的医学挑战,尤其是多种疾病并存以及对治疗的异质性反应。本研究以糖尿病为例,探讨人工智能(AI)辅助临床决策在推进老年人群个性化精准医疗方面的变革潜力。通过对当前医疗实践和新兴AI技术的系统分析,我们研究了机器学习算法、自然语言处理和智能监测系统在老年人群糖尿病护理中的整合情况。基于目前有证据表明住院率降低了25%,治疗依从性提高了30%,我们认为AI整合是改善老年糖尿病护理临床结果的一种变革性方法。我们认为,AI驱动的临床决策支持系统(CDSS)在风险预测和治疗优化方面表现卓越,研究表明诊断准确率高达93.07%,支持我们广泛实施这些系统的观点。此外,与传统监测方法相比,AI增强的监测系统使药物依从性提高了17.9%。尽管如此,仍存在一些挑战,包括与数据标准化、算法透明度和患者隐私保护相关的问题。这些结果强调了采取平衡实施策略的必要性,该策略既要解决技术限制和伦理考量,又要维护患者自主权。这一观点强调了医疗保健专业人员、技术开发者和监管机构之间多学科合作在建立临床环境中AI部署综合框架方面的至关重要性。通过证明AI辅助临床决策提高老年糖尿病患者医疗质量和效率的能力,本研究为不断发展的个性化医学领域做出了有意义的贡献。