超越ChatGPT:GPT-4为医疗保健增加了什么?一个新时代的黎明。

Cardiology journal Pub Date : 2023-01-01 Epub Date: 2023-10-13 DOI:10.5603/cj.97515
Simona Wójcik, Anna Rulkiewicz, Piotr Pruszczyk, Wojciech Lisik, Marcin Poboży, Justyna Domienik-Karłowicz
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引用次数: 0

摘要

在过去的几年里,人工智能显著改善了医疗保健。人工智能曾经是科幻小说中的东西,现在被广泛使用,甚至在我们的日常生活中——通常我们都没有想过。所有医疗保健专业人员——尤其是高管和医生——都需要了解先进人工智能工具和其他突破性创新的能力。这种理解将使他们能够认识到新兴技术可能给其组织带来的机遇和威胁。我们希望为一场有意义的公众讨论做出贡献,讨论这种新型人工智能的作用,以及我们的医疗保健和医学方法如何随着这项技术的快速发展而最好地发展。由于医学是通过例子学习的,因此只提供了人工智能在医学中的几种可能用途,这些用途只是概述了系统的能力。在这些例子中,值得强调的是人工智能在医学笔记、教育、预防计划、咨询、分诊和干预中的作用。作者认为,聊天生成预训练转换器(ChatGPT)等大型语言模型正在达到成熟水平,这将很快影响整个临床医学,并改善个性化、富有同情心和可扩展的医疗保健的提供。人工智能不太可能在不久的将来取代医生。护理的人性方面,包括同理心、同情心、批判性思维和复杂决策,在提供诊断和治疗决策之外的整体患者护理方面是非常宝贵的。GPT-4有很多局限性,即使是看似最简单的咨询,也无法取代经验丰富的医生和患者之间的直接接触,更不用说诊断责任的伦理和法律方面了。
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Beyond ChatGPT: What does GPT-4 add to healthcare? The dawn of a new era.

Over the past few years, artificial intelligence (AI) has significantly improved healthcare. Once the stuff of science fiction, AI is now widely used, even in our daily lives - often without us thinking about it. All healthcare professionals - especially executives and medical doctors - need to understand the capabilities of advanced AI tools and other breakthrough innovations. This understanding will allow them to recognize opportunities and threats emerging technologies can bring to their organizations. We hope to contribute to a meaningful public discussion about the role of this new type of AI and how our approach to healthcare and medicine can best evolve with the rapid development of this technology. Since medicine learns by example, only a few possible uses of AI in medicine are provided, which merely outline the system's capabilities. Among the examples, it is worth highlighting the roles of AI in medical notes, education, preventive programs, consultation, triage and intervention. It is believed by the authors that large language models such as chat generative pre-trained transformer (ChatGPT) are reaching a level of maturity that will soon impact clinical medicine as a whole and improve the delivery of individualized, compassionate, and scalable healthcare. It is unlikely that AI will replace physicians in the near future. The human aspects of care, including empathy, compassion, critical thinking, and complex decision-making, are invaluable in providing holistic patient care beyond diagnosis and treatment decisions. The GPT-4 has many limitations and cannot replace direct contact between an experienced physician and a patient for even the most seemingly simple consultations, not to mention the ethical and legal aspects of responsibility for diagnosis.

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