The medicine of the past, present, and future generations: From Sir William Osler to ChatGPT

Q4 Medicine

Medicina Clinica Practica Pub Date : 2024-03-18 DOI:10.1016/j.mcpsp.2024.100433

Caterina Delcea , Catalin Adrian Buzea

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Abstract

Innovation and discovery are the drivers of progress in medicine, which is an ever-changing science. Core concepts in current medical practice include patient-centered and high-value care, evidence-based and personalized medicine, and digital health, that is gaining momentum. Rampant progress is seen in technology development, artificial intelligence, machine learning, large language models such as ChatGPT. Their use in medicine has promising perspectives, conditioned by adequate regulations, based on ethical principles and human-rights, to ensure safety of patient data, fact accuracy, and general applicability.

The future of medicine should aim for universal health coverage, facilitated by digital medicine and guided by empathy and compassion. Human interaction will remain a mainstay in medical practice, and ideally technology will provide the much-needed time for doctor–patient bonding. Climate change, cyber security, and access to basic care are some of the challenges to be resolved in the years to come.

Future medical care should find the balance between high tech and high touch and aim to for global availability.

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过去、现在和未来世代的医学：从威廉-奥斯勒爵士到 ChatGPT

医学是一门日新月异的科学，创新和发现是推动医学进步的动力。当前医疗实践中的核心理念包括以患者为中心的高价值护理、循证医学和个性化医学，以及势头日益强劲的数字医疗。在技术开发、人工智能、机器学习、大型语言模型（如 ChatGPT）等方面都取得了突飞猛进的进展。这些技术在医疗领域的应用前景广阔，但前提是要有适当的法规，以伦理原则和人权为基础，确保患者数据的安全性、事实的准确性和普遍适用性。人与人之间的互动仍将是医疗实践的主流，理想情况下，技术将为医患关系提供急需的时间。气候变化、网络安全和获得基本医疗服务是未来几年需要解决的一些挑战。未来的医疗服务应在高科技和高接触性之间找到平衡，并以全球普及为目标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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