Implementing large language models in healthcare while balancing control, collaboration, costs and security

IF 15.1 1区 医学 Q1 HEALTH CARE SCIENCES & SERVICES NPJ Digital Medicine Pub Date : 2025-03-06 DOI:10.1038/s41746-025-01476-7
Fabio Dennstädt, Janna Hastings, Paul Martin Putora, Max Schmerder, Nikola Cihoric
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Abstract

Integrating Large Language Models (LLMs) into healthcare promises substantial advancements but requires careful consideration of technical, ethical, and regulatory challenges. Closed LLMs of private companies offer ease of deployment but pose risks related to data privacy and vendor dependence. Open LLMs deployed on local hardware enable greater model customization but demand resources and technical expertise. Balancing these approaches, with collaboration among clinicians, researchers, and companies is crucial to ensure effective, secure, and ethical implementation.

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在医疗保健中实现大型语言模型,同时平衡控制、协作、成本和安全性
将大型语言模型(LLM)整合到医疗保健领域有望取得重大进展,但需要仔细考虑技术、道德和监管方面的挑战。私营公司的封闭式 LLM 易于部署,但会带来与数据隐私和供应商依赖性相关的风险。在本地硬件上部署的开放式 LLM 可以实现更大程度的模型定制,但需要资源和技术专长。要确保有效、安全和合乎道德地实施,临床医生、研究人员和公司之间的合作对平衡这些方法至关重要。
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来源期刊
CiteScore
25.10
自引率
3.30%
发文量
170
审稿时长
15 weeks
期刊介绍: npj Digital Medicine is an online open-access journal that focuses on publishing peer-reviewed research in the field of digital medicine. The journal covers various aspects of digital medicine, including the application and implementation of digital and mobile technologies in clinical settings, virtual healthcare, and the use of artificial intelligence and informatics. The primary goal of the journal is to support innovation and the advancement of healthcare through the integration of new digital and mobile technologies. When determining if a manuscript is suitable for publication, the journal considers four important criteria: novelty, clinical relevance, scientific rigor, and digital innovation.
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