"医生-医疗人工智能-患者"新型医患关系建构路径探析
Exploring the construction path of the new doctor-patient relationships of"doctor-medical artificial intelligence-patient"
张如意 1周运翱 1彭迎春2
作者信息
- 1. 首都医科大学附属北京地坛医院伦理委员会办公室,北京 100015
- 2. 首都医科大学医学人文学院,北京 100069
- 折叠
摘要
医疗人工智能的广泛应用为传统诊断和治疗带来了技术突破,也改变了传统医患交互行为模式,形成"医生-医疗人工智能-患者"新型医患关系,这一关系面临一系列挑战:人工智能的介入可能形成新的"家长式作风",影响共同决策模式;当其建议缺乏解释时,可能导致临床决策瘫痪,影响医患信任关系;人工智能在医疗实践过程中与医生的角色和责任可能存在混淆,影响富有情感负责任的医患关系构建.通过深入分析医疗人工智能对医患关系的影响及原因,提出应当建立人工智能与专业医生互补的协作机制,明确人工智能的辅助地位,强化医生的主导角色,完善监管机制并动态改善医患关系,以促进智慧医疗的健康有序发展.
Abstract
The widespread application of medical artificial intelligence(AI)has brought technological breakthroughs to traditional diagnosis and treatment and has also altered the traditional doctor-patient interaction mode and formed a new doctor-patient relationship of"doctor-medical AI-patient"which faces a series of challenges.The intervention of AI may form a new"paternalistic style,"affecting the shared decision-making model.When its recommendations lack explanation,it may lead to clinical decision-making paralysis and affect the doctor-patient trust relationships.There may be confusion between the roles and responsibilities of AI and doctors in the process of medical practice,affecting the establishment of an emotionally responsible doctor-patient relationship.Through an in-depth analysis of the impact and causes of medical AI on the doctor-patient relationships,this paper proposed that a collaborative mechanism should be established between AI and professional doctors to complement each other,clarifying the auxiliary status of AI,reinforcing the dominant role of doctors,enhancing the regulatory mechanism,and dynamically improved the doctor-patient relationships to promote the healthy and orderly development of smart healthcare.
关键词
医疗人工智能/医患关系/信任/共同决策Key words
medical artificial intelligence/doctor-patient relationship/trust/shared decision-making引用本文复制引用
出版年
2025
国家科技期刊平台
NSTL
万方数据