Di Palma Gianmarco, Scendoni Roberto, De Benedictis Anna, Tambone Vittoradolfo, De Micco Francesco
Research Unit of Bioethics and Humanities, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Roma, 00128, Italy.
Department of Clinical Affair, Fondazione Policlinico Universitario Campus Bio-Medico, Roma, 00128, Italy.
Open Med (Wars). 2025 Aug 29;20(1):20251232. doi: 10.1515/med-2025-1232. eCollection 2025.
Advance care planning is a critical process that brings patients, their families, and healthcare providers together to set goals and outline preferences for future medical treatments, especially when chronic or terminal illnesses are involved. Recently, artificial intelligence has begun playing a key role in shared decision making, offering personalized recommendations based on detailed data analysis to help refine treatment decisions.
This review explores Artificial Intelligence's role in shared decision making, noting its potential to enhance treatment precision, reduce the workload for healthcare providers, and empower patients to engage more actively in their cares.
The systematic review was conducted using the The Preferred Reporting Items for a Systematic Review and Meta-Analysis Statement 2020 guidelines to ensure a comprehensive and transparent approach. We utilized the online tool Rayyan for screening and selection of relevant studies.
The review highlights the importance of transparency and clinician involvement to ensure that artificial intelligence remains a supportive, rather than dominant, element in patient care. Emphasizing the human aspect of decision-making is essential, as is fostering a collaborative approach between artificial intelligence and healthcare professionals.
Artificial intelligence holds promise in transforming shared decision making, ongoing research must address these implementation challenges to secure its ethical and patient-centered use in healthcare.
预先护理计划是一个关键过程,它将患者及其家人与医疗服务提供者聚集在一起,以设定目标并概述未来医疗治疗的偏好,尤其是在涉及慢性或绝症时。最近,人工智能已开始在共同决策中发挥关键作用,基于详细数据分析提供个性化建议,以帮助完善治疗决策。
本综述探讨人工智能在共同决策中的作用,指出其提高治疗精准度、减轻医疗服务提供者工作量以及使患者更积极参与自身护理的潜力。
使用《系统评价与Meta分析报告规范2020》指南进行系统综述,以确保采用全面且透明的方法。我们利用在线工具Rayyan筛选和选择相关研究。
该综述强调透明度和临床医生参与的重要性,以确保人工智能在患者护理中仍然是一个支持性而非主导性的元素。强调决策中的人文因素至关重要,促进人工智能与医疗专业人员之间的协作方法也同样重要。
人工智能在改变共同决策方面具有潜力,正在进行的研究必须应对这些实施挑战,以确保其在医疗保健中以符合道德且以患者为中心的方式使用。