科学与社会2024,Vol.14Issue(4) :69-81.DOI:10.19524/j.cnki.10-1009/g3.2024.04.069

人工智能辅助临床诊断对医患主体性的影响分析

Analysis of the Influence of AI-assisted Clinical Diagnosis on Doctor-patient Subjectivity

陈默 张文沛
科学与社会2024,Vol.14Issue(4) :69-81.DOI:10.19524/j.cnki.10-1009/g3.2024.04.069

人工智能辅助临床诊断对医患主体性的影响分析

Analysis of the Influence of AI-assisted Clinical Diagnosis on Doctor-patient Subjectivity

陈默 1张文沛1
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作者信息

  • 1. 广西师范大学政治与公共管理学院
  • 折叠

摘要

当前的人工智能医生体现出某些超人的诊断能力,但仍是不具备完全自主性的弱人工智能,其诊断结果虽然可以影响医患双方的主体性,但能否促进医患双方共同决策尚存疑问.通过对知情同意中医患双方主体性的分析,研究发现,医生的强主体性体现为对疾病的事实判断,患者的强主体性体现为对疾病的价值判断,过分地夸大任意一方都会影响共同决策.人工智能医生的诊断结果仍可能严重影响医患双方的自主性和信任,只有当双方都选择以认知主体性为导向做出医疗决定时,它才可能化解患者对医生业务能力不信任的问题.即使医患双方都选择信任人工智能医生提供的诊断信息,仍然需要加强沟通才能产生交互主体性并最终促进共同决策.

Abstract

The current artificial intelligence doctors show some superhuman diagnostic abilities,but they are still weak artificial intelligence without full autonomy,and their diagnostic results can indeed affect the subjectivity of both doctors and patients,but whether they can promote joint decision-making is still questionable.According to the analysis of the different subjectivity of the doctors and patients in informed consent,the strong subjectivity of the doctors is reflected in the fact judgment of the disease,and the strong subjectivity of the patients is reflected in the value judgment of the disease.Excessive exaggeration of either side will affect the joint decision.The results of an AI doctor's diagnosis may still seriously affect the autonomy and trust of both doctors and patients,and it is only when both sides choose to make medical decisions based on cognitive subjectivity,which is possible to resolve patients'distrust of the doctor's professional competence.Even if both doctors and patients choose to trust the diagnostic information provided by the AI doctor,it is still necessary to strengthen communication in order to generate interactive subjectivity and ultimately promote joint decision-making.

关键词

人工智能/临床诊断/医患主体性

Key words

artificial intelligence/clinical diagnosis/doctor-patient subjectivity

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出版年

2024
科学与社会
中科院科技政策与管理科学研究所 中国科学院学部

科学与社会

CHSSCD
影响因子:0.922
ISSN:2095-1949
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