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人工智能在南非医疗保健中的应用:一项范围综述。

Use of artificial intelligence in healthcare in South Africa: A scoping review.

作者信息

Chipps Jennifer, Sibindi Thandazile, Cromhout Amanda, Bagula Antoine

机构信息

School of Nursing, Faculty of Community Health Sciences, University of the Western Cape, Cape Town, South Africa.

Department of Computer Science, Faculty of Natural Sciences, University of the Western Cape, Cape Town, South Africa.

出版信息

Health SA. 2025 Jul 14;30:2977. doi: 10.4102/hsag.v30i0.2977. eCollection 2025.

Abstract

BACKGROUND

Artificial intelligence (AI) transformed healthcare worldwide and has the potential to address challenges faced in the South African healthcare sector, such as limited public institutional capacity, staff shortages, and variability in skills levels that exacerbate the demand on the healthcare system that can lead to compromised care and patient safety.

AIM

This study aimed to describe how AI, especially machine learning is used in healthcare in South Africa over the last 5 years.

METHOD

The Joanna Briggs Institute (JBI) methodology for scoping reviews was used. Peer-reviewed articles in English, which were published from 2020 to date were sourced and reviewed using the Population, Concept, Context (PCC) framework.

RESULTS

A total of 35 articles were selected. The results showed a focus on conventional machine learning, a health focus on HIV and/or tuberculosis (TB) and cancer, and a lack of big data in fields other than cancer.

CONCLUSION

There has been an increase in the use of machine learning in the analysis of health data, but access to big data appears to be a challenge.

CONTRIBUTION

There is a need to have access to high-quality big data, inclusive policies that promote access to the benefits of using machine learning in healthcare, and AI literacy in the health sector to understand and address ethical implications.

摘要

背景

人工智能(AI)改变了全球医疗保健状况,并有潜力应对南非医疗保健部门面临的挑战,例如公共机构能力有限、人员短缺以及技能水平参差不齐,这些因素加剧了对医疗保健系统的需求,可能导致医疗服务和患者安全受到影响。

目的

本研究旨在描述过去五年中人工智能,特别是机器学习在南非医疗保健领域的应用情况。

方法

采用乔安娜·布里格斯研究所(JBI)的范围综述方法。检索并使用人群、概念、背景(PCC)框架对2020年至今发表的英文同行评审文章进行审查。

结果

共筛选出35篇文章。结果表明研究重点在于传统机器学习,健康领域主要关注艾滋病毒和/或结核病(TB)以及癌症,且癌症以外的领域缺乏大数据。

结论

机器学习在健康数据分析中的应用有所增加,但获取大数据似乎是一项挑战。

贡献

需要获取高质量的大数据、制定包容性政策以促进在医疗保健中使用机器学习的益处、提高卫生部门的人工智能素养,以理解和应对伦理问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b182/12339887/208ecf2570d8/HSAG-30-2977-g001.jpg

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