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本文引用的文献

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Developing Effective Frameworks for Large Language Model-Based Medical Chatbots: Insights From Radiotherapy Education With ChatGPT.为基于大语言模型的医学聊天机器人开发有效框架:放疗教育中使用ChatGPT的见解
JMIR Cancer. 2025 Feb 18;11:e66633. doi: 10.2196/66633.
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Large language models in patient education: a scoping review of applications in medicine.用于患者教育的大语言模型:医学应用的范围综述
Front Med (Lausanne). 2024 Oct 29;11:1477898. doi: 10.3389/fmed.2024.1477898. eCollection 2024.
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Accuracy of Prospective Assessments of 4 Large Language Model Chatbot Responses to Patient Questions About Emergency Care: Experimental Comparative Study.前瞻性评估 4 种大型语言模型聊天机器人对患者关于急救护理问题的回答的准确性:实验性对比研究。
J Med Internet Res. 2024 Nov 4;26:e60291. doi: 10.2196/60291.
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Ethical Considerations in Human-Centered AI: Advancing Oncology Chatbots Through Large Language Models.以人类为中心的人工智能中的伦理考量:通过大语言模型推进肿瘤学聊天机器人
JMIR Bioinform Biotechnol. 2024 Nov 6;5:e64406. doi: 10.2196/64406.
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The effect of using a large language model to respond to patient messages.使用大语言模型回复患者信息的效果。
Lancet Digit Health. 2024 Jun;6(6):e379-e381. doi: 10.1016/S2589-7500(24)00060-8. Epub 2024 Apr 24.
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Challenges and barriers of using large language models (LLM) such as ChatGPT for diagnostic medicine with a focus on digital pathology - a recent scoping review.使用大型语言模型(如 ChatGPT)进行诊断医学的挑战和障碍,重点是数字病理学——近期的范围综述。
Diagn Pathol. 2024 Feb 27;19(1):43. doi: 10.1186/s13000-024-01464-7.
7
A review of the explainability and safety of conversational agents for mental health to identify avenues for improvement.对用于心理健康的对话代理的可解释性和安全性进行综述,以确定改进途径。
Front Artif Intell. 2023 Oct 12;6:1229805. doi: 10.3389/frai.2023.1229805. eCollection 2023.
8
Application of Artificial Intelligence to Patient-Targeted Health Information on Kidney Stone Disease.人工智能在肾结石病患者靶向健康信息中的应用。
J Ren Nutr. 2024 Mar;34(2):170-176. doi: 10.1053/j.jrn.2023.10.002. Epub 2023 Oct 13.
9
Artificial Intelligence-Based Chatbots for Promoting Health Behavioral Changes: Systematic Review.基于人工智能的聊天机器人促进健康行为改变:系统评价。
J Med Internet Res. 2023 Feb 24;25:e40789. doi: 10.2196/40789.
10
Artificial intelligence in healthcare: transforming the practice of medicine.医疗保健领域的人工智能:变革医学实践。
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消费健康领域的生成式人工智能:借助数字健康框架利用大语言模型提升健康素养并保障临床安全。

Generative AI in consumer health: leveraging large language models for health literacy and clinical safety with a digital health framework.

作者信息

Tilton Annemarie K, Caplan Brian E, Cole Brian J

机构信息

Independent Researcher, Park City, UT, United States.

Department of Orthopaedics, Rush University Medical Center, Chicago, IL, United States.

出版信息

Front Digit Health. 2025 Aug 26;7:1616488. doi: 10.3389/fdgth.2025.1616488. eCollection 2025.

DOI:10.3389/fdgth.2025.1616488
PMID:40933812
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12417475/
Abstract

Generative AI, powered by large language models, is transforming consumer health by enhancing health literacy and delivering personalized health education. However, ensuring clinical safety and effectiveness requires a robust digital health framework to address risks like misinformation and inequitable communication. This mini review examines current use cases for generative AI in consumer health education, highlights persistent challenges, and proposes a clinician-informed framework to evaluate safety, usability, and effectiveness. The RECAP model-Relevance, Evidence-based, Clarity, Adaptability, and Precision-offers a pragmatic lens to guide responsible implementation of AI in patient-facing tools. By connecting insights from past digital health innovations to the opportunities and pitfalls of large language models, this paper provides both context and direction for future development.

摘要

由大语言模型驱动的生成式人工智能正在通过提高健康素养和提供个性化健康教育来改变消费者健康状况。然而,要确保临床安全性和有效性,就需要一个强大的数字健康框架来应对错误信息和沟通不平等之类的风险。本微型综述探讨了生成式人工智能在消费者健康教育中的当前应用案例,突出了持续存在的挑战,并提出了一个由临床医生提供信息的框架,以评估安全性、可用性和有效性。RECAP模型(相关性、循证性、清晰度、适应性和精确性)提供了一个实用视角,以指导在面向患者的工具中负责任地实施人工智能。通过将过去数字健康创新的见解与大语言模型的机遇和陷阱联系起来,本文为未来发展提供了背景和方向。