{"title":"Mettre les sciences au cœur du système de santé pour le guider.","authors":"Arnaud Chiolero","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 947","pages":"242"},"PeriodicalIF":0.0,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146086992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Primary care medicine is under increasing strain, which limits access to both quality of care and medical information. The confIAnce project, developed by the Division of Primary Care Medicine (SMPR) at Geneva University Hospitals, offers a chatbot providing general information on common chronic diseases. Based on the SMPR strategies (documents), the chatbot delivers medical information to patients and is accessible 24/7. It includes rigorous control systems (matching, groundedness, harmfulness, automated testing, semantic routing) to ensure safety. Tested since February 2025, the chatbot has already answered over 11,000 questions. confIAnce supports both patients and physicians by improving access to information and consultation quality, without replacing the doctor-patient relationship.
{"title":"[confIAnce: the chatbot for primary care medicine].","authors":"Mayssam Nehme, Franck Schneider, Frédérique Tissandier, Idris Guessous","doi":"10.53738/REVMED.2026.22.947.48268","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.947.48268","url":null,"abstract":"<p><p>Primary care medicine is under increasing strain, which limits access to both quality of care and medical information. The confIAnce project, developed by the Division of Primary Care Medicine (SMPR) at Geneva University Hospitals, offers a chatbot providing general information on common chronic diseases. Based on the SMPR strategies (documents), the chatbot delivers medical information to patients and is accessible 24/7. It includes rigorous control systems (matching, groundedness, harmfulness, automated testing, semantic routing) to ensure safety. Tested since February 2025, the chatbot has already answered over 11,000 questions. confIAnce supports both patients and physicians by improving access to information and consultation quality, without replacing the doctor-patient relationship.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 947","pages":"199-203"},"PeriodicalIF":0.0,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146086923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-28DOI: 10.53738/REVMED.2026.22.947.48120
Alice Baras, Sylvain De Lucia, Nicolas Senn, Gaël Brule
{"title":"Santé-environnement. Low-tech et high-tech en santé, innover pour le meilleur et pour l’avenir.","authors":"Alice Baras, Sylvain De Lucia, Nicolas Senn, Gaël Brule","doi":"10.53738/REVMED.2026.22.947.48120","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.947.48120","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 947","pages":"238-240"},"PeriodicalIF":0.0,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146087066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-28DOI: 10.53738/REVMED.2026.22.947.48324
Déborah Lidsky-Haziza, Melissa Dominicé Dao, Sylvain De Lucia, Carole Clair, Patrick Bodenmann, Sara Arsever, Yves Jackson, Magda Schellongova
{"title":"12 mois 12 actions pour plus d’équité dans les soins de santé.","authors":"Déborah Lidsky-Haziza, Melissa Dominicé Dao, Sylvain De Lucia, Carole Clair, Patrick Bodenmann, Sara Arsever, Yves Jackson, Magda Schellongova","doi":"10.53738/REVMED.2026.22.947.48324","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.947.48324","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 947","pages":"215-216"},"PeriodicalIF":0.0,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146087061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-28DOI: 10.53738/REVMED.2026.22.947.48142
Mina Bjelogrlic, Laëtitia Gosetto, Hugues Turbe, Ines Espinhal Amaro, Julie Guebey, Christophe Gaudet-Blavignac, Christian Lovis
Whether generative, specialized, agentic, or all the later, artificial intelligence (AI) is gradually taking root in the daily lives of part of the French-speaking Swiss population. In healthcare, some applications are already in clinical use and shaping patient care. But what do we truly know about these learning systems? What blind spots remain in our understanding? To what extent can debates on transparency help maximize benefits while limiting unnecessary risks? Central or not, the issue is divisive. Without being exhaustive, this article highlights the value and challenges of AI transparency, as well as current debates on its usefulness and feasibility.
{"title":"[Opaque technologies and transparency : what do users expect?]","authors":"Mina Bjelogrlic, Laëtitia Gosetto, Hugues Turbe, Ines Espinhal Amaro, Julie Guebey, Christophe Gaudet-Blavignac, Christian Lovis","doi":"10.53738/REVMED.2026.22.947.48142","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.947.48142","url":null,"abstract":"<p><p>Whether generative, specialized, agentic, or all the later, artificial intelligence (AI) is gradually taking root in the daily lives of part of the French-speaking Swiss population. In healthcare, some applications are already in clinical use and shaping patient care. But what do we truly know about these learning systems? What blind spots remain in our understanding? To what extent can debates on transparency help maximize benefits while limiting unnecessary risks? Central or not, the issue is divisive. Without being exhaustive, this article highlights the value and challenges of AI transparency, as well as current debates on its usefulness and feasibility.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 947","pages":"234-237"},"PeriodicalIF":0.0,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146086893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Arrêt de l’anticoagulation après thermoablation d’une fibrillation auriculaire ?","authors":"Nicolas Fourré","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 947","pages":"243"},"PeriodicalIF":0.0,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146086997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-28DOI: 10.53738/REVMED.2026.22.947.48275
Chloé Anaïs Rosenfeld, Marc Reynaud De La Jara
{"title":"Études de médecine en Suisse: 30 000 ou 120 000 CHF par étudiant et par an ?","authors":"Chloé Anaïs Rosenfeld, Marc Reynaud De La Jara","doi":"10.53738/REVMED.2026.22.947.48275","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.947.48275","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 947","pages":"241"},"PeriodicalIF":0.0,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146087045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-28DOI: 10.53738/REVMED.2026.22.947.48264
Kevin Villat, Simone Ackermann, Romain Bühler, Roxane De La Harpe, Carlos Fidalgo, Nicolas Fourré, Christel Gerber, Sara Gironda Cuellar, Andreas Konasch, Jean Regina, Claudio Sartori
This article presents a selection of 10 essential topics that were carefully analyzed and commented on by the chief residents of the Department of Internal Medicine at CHUV, summarizing major advances and key updates for 2025. Based on the year's most notable publications, this synthesis highlights progress in diagnostic and therapeutic approaches for both hospitalized patients and outpatient continuity of care. The selected articles emphasize developments in cardiology, infectious diseases, and hematology, while also addressing ethical challenges in medical practice. In addition, the growing impact of artificial intelligence on diagnosis and patient management is explored. This synthesis provides a valuable resource to support clinicians in updating their practices.
{"title":"[A perspective on the year 2025 by hospital internists].","authors":"Kevin Villat, Simone Ackermann, Romain Bühler, Roxane De La Harpe, Carlos Fidalgo, Nicolas Fourré, Christel Gerber, Sara Gironda Cuellar, Andreas Konasch, Jean Regina, Claudio Sartori","doi":"10.53738/REVMED.2026.22.947.48264","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.947.48264","url":null,"abstract":"<p><p>This article presents a selection of 10 essential topics that were carefully analyzed and commented on by the chief residents of the Department of Internal Medicine at CHUV, summarizing major advances and key updates for 2025. Based on the year's most notable publications, this synthesis highlights progress in diagnostic and therapeutic approaches for both hospitalized patients and outpatient continuity of care. The selected articles emphasize developments in cardiology, infectious diseases, and hematology, while also addressing ethical challenges in medical practice. In addition, the growing impact of artificial intelligence on diagnosis and patient management is explored. This synthesis provides a valuable resource to support clinicians in updating their practices.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 947","pages":"190-193"},"PeriodicalIF":0.0,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146086896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-28DOI: 10.53738/REVMED.2026.22.947.48255
Philippe Conus, Aude Eggimann, Marianna Gorgellino, Carolina Spanevello
In this paper three points are discussed: the diagnosis of High Intellectual Potential (HPI) is mentioned with increasing frequency. While it is suspected to be linked with many negative consequences, this is not the case; HPI is rather associated with greater life expectancy, better professional performance, and higher levels of well-being. Exposure to childhood trauma is linked to alterations of mentalization capacities, which are essential for understanding one's own mental states as well as those of others. And finally, the trajectories of alcohol and cannabis misuse follow different patterns during treatment for a first psychotic episode, suggesting both that these substances are used by distinct subgroups of patients and that they require differentiated clinical approaches.
{"title":"[Psychiatry : what's new in 2025].","authors":"Philippe Conus, Aude Eggimann, Marianna Gorgellino, Carolina Spanevello","doi":"10.53738/REVMED.2026.22.947.48255","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.947.48255","url":null,"abstract":"<p><p>In this paper three points are discussed: the diagnosis of High Intellectual Potential (HPI) is mentioned with increasing frequency. While it is suspected to be linked with many negative consequences, this is not the case; HPI is rather associated with greater life expectancy, better professional performance, and higher levels of well-being. Exposure to childhood trauma is linked to alterations of mentalization capacities, which are essential for understanding one's own mental states as well as those of others. And finally, the trajectories of alcohol and cannabis misuse follow different patterns during treatment for a first psychotic episode, suggesting both that these substances are used by distinct subgroups of patients and that they require differentiated clinical approaches.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 947","pages":"223-225"},"PeriodicalIF":0.0,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146086901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号