缩小医疗差距:关于人工智能、深度学习和大型语言模型在缓解医疗沙漠问题中的作用的范围综述。

IF 3.6 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Zdeslav Strika, Karlo Petkovic, Robert Likic, Ronald Batenburg
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引用次数: 0

摘要

"医疗沙漠 "是指医疗服务水平较低的地区,对医疗服务的可及性、质量和可持续性提出了挑战。这篇定性叙事综述探讨了人工智能(AI),尤其是大型语言模型(LLM)如何通过与电子医疗和医疗物联网相结合来应对这些挑战,从而提高资源匮乏地区的服务水平。报告探讨了人工智能驱动的远程医疗平台,这些平台克服了语言和文化障碍,提高了可及性。报告强调了 LLM 在专家不足的地方提供诊断援助的实用性,展示了人工智能在补充医疗专业知识和改善治疗效果方面的作用。此外,人工智能聊天机器人的开发提供了初步的医疗建议,成为偏远地区的初始联络点。综述还讨论了人工智能在加强医学教育和培训方面的作用,支持这些地区医护人员的专业发展。它评估了人工智能在数据分析方面的战略用途,以实现有效的资源分配,找出医疗服务的缺口。人工智能,尤其是 LLMs,被视为弥合 "医疗荒漠 "中医疗差距、改善服务可及性、质量和分布的一种有前途的解决方案。然而,要充分发挥人工智能在应对医疗沙漠挑战方面的潜力,持续的研究和开发必不可少。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Bridging healthcare gaps: a scoping review on the role of artificial intelligence, deep learning, and large language models in alleviating problems in medical deserts.

"Medical deserts" are areas with low healthcare service levels, challenging the access, quality, and sustainability of care. This qualitative narrative review examines how artificial intelligence (AI), particularly large language models (LLMs), can address these challenges by integrating with e-Health and the Internet of Medical Things to enhance services in under-resourced areas. It explores AI-driven telehealth platforms that overcome language and cultural barriers, increasing accessibility. The utility of LLMs in providing diagnostic assistance where specialist deficits exist is highlighted, demonstrating AI's role in supplementing medical expertise and improving outcomes. Additionally, the development of AI chatbots offers preliminary medical advice, serving as initial contact points in remote areas. The review also discusses AI's role in enhancing medical education and training, supporting the professional development of healthcare workers in these regions. It assesses AI's strategic use in data analysis for effective resource allocation, identifying healthcare provision gaps. AI, especially LLMs, is seen as a promising solution for bridging healthcare gaps in "medical deserts," improving service accessibility, quality, and distribution. However, continued research and development are essential to fully realize AI's potential in addressing the challenges of medical deserts.

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来源期刊
Postgraduate Medical Journal
Postgraduate Medical Journal 医学-医学:内科
CiteScore
8.50
自引率
2.00%
发文量
131
审稿时长
2.5 months
期刊介绍: Postgraduate Medical Journal is a peer reviewed journal published on behalf of the Fellowship of Postgraduate Medicine. The journal aims to support junior doctors and their teachers and contribute to the continuing professional development of all doctors by publishing papers on a wide range of topics relevant to the practicing clinician and teacher. Papers published in PMJ include those that focus on core competencies; that describe current practice and new developments in all branches of medicine; that describe relevance and impact of translational research on clinical practice; that provide background relevant to examinations; and papers on medical education and medical education research. PMJ supports CPD by providing the opportunity for doctors to publish many types of articles including original clinical research; reviews; quality improvement reports; editorials, and correspondence on clinical matters.
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