Ghasemi Seyyede Fateme, Amiri Parastoo, Galavi Zahra
Medical Informatics Research Center, Institute for Futures Studies in Health Kerman University of Medical Sciences Kerman Iran.
Department of Health Information Technology, School of Allied Medical Sciences Lorestan University of Medical Sciences Khorramabad Iran.
Health Sci Rep. 2025 Sep 11;8(9):e71219. doi: 10.1002/hsr2.71219. eCollection 2025 Sep.
ChatGPT, an AI language model developed by OpenAI, has emerged as a transformative tool in the healthcare sector. Its ability to process vast amounts of medical data and generate human-like responses offers significant potential for enhancing patient engagement and supporting healthcare professionals. However, despite its advantages, there are significant limitations. This scoping review aims to critically evaluate both the advantages and limitations associated with integrating ChatGPT into healthcare.
In this scoping review, we searched for the original articles published in online databases (PubMed, Web of Science, Scopus, and Google Scholar) from January 1, 2020, to May 30, 2023 using relevant keywords ("ChatGPT," "Health," "Advantage," and "Limitation") in English language. Data collection was done using a researcher's checklist using Excel version 2019 software.
Out of 4982 articles found, 28 articles were included in the study. All articles were conducted in 2023. The type of study in more than half of the articles was cross-sectional. Advantages and limitations extracted from the studies were grouped into eight and nine categories, respectively. The most common advantages were "Clinical Decision Support (CDS)" and "improved medical education," which included enhanced teaching methods and curriculum development. Specific benefits in medical education were comprehensive drug counseling, understanding of radiation oncology, and predicting drug-drug interactions. Research assistance benefits were also notable, such as facilitating data analysis, selecting strong research ideas, and aiding in academic writing. The most frequent limitations were "knowledge limitations and accuracy" and "reliability."
This scoping review has provided a comprehensive analysis of the advantages and limitations of ChatGPT in the healthcare sector. While the model shows significant promise in enhancing CDS and improving medical education, it is essential to remain vigilant about its limitations, particularly concerning knowledge accuracy and reliability.
ChatGPT是OpenAI开发的一种人工智能语言模型,已成为医疗保健领域的一种变革性工具。它处理大量医学数据并生成类似人类回复的能力,为提高患者参与度和支持医疗保健专业人员提供了巨大潜力。然而,尽管它有优势,但也存在重大局限性。本范围综述旨在批判性地评估将ChatGPT整合到医疗保健中的优势和局限性。
在本范围综述中,我们使用英文相关关键词(“ChatGPT”“健康”“优势”和“局限性”)在在线数据库(PubMed、科学网、Scopus和谷歌学术)中搜索2020年1月1日至2023年5月30日发表的原始文章。使用研究人员的清单并借助Excel 2019软件进行数据收集。
在找到的4982篇文章中,有28篇文章被纳入研究。所有文章均在2023年进行。超过一半文章的研究类型为横断面研究。从这些研究中提取的优势和局限性分别分为八类和九类。最常见的优势是“临床决策支持(CDS)”和“改善医学教育”,其中包括增强教学方法和课程开发。医学教育方面的具体益处包括全面的药物咨询、对放射肿瘤学的理解以及预测药物相互作用。研究辅助益处也很显著,例如促进数据分析、选择强有力的研究思路以及协助学术写作。最常见的局限性是“知识局限性和准确性”以及“可靠性”。
本范围综述对ChatGPT在医疗保健领域的优势和局限性进行了全面分析。虽然该模型在增强临床决策支持和改善医学教育方面显示出巨大潜力,但必须对其局限性保持警惕,尤其是在知识准确性和可靠性方面。