新叙事医学:人工智能对医疗叙事的伦理影响。

IF 1.6 Q2 ETHICS
David Schwartz, Elizabeth Lanphier
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引用次数: 0

摘要

虽然从表面上看,生成式人工智能(AI)在医疗保健领域的迅速采用标志着一种新的技术创新,可能会将包括医学人文学科在内的社会科学、艺术和文学边缘化,但我们认为,理解基于大型语言模型(LLM)的人工智能在医疗保健领域的应用的一种方法是作为一个深度叙事项目。基于法学硕士的人工智能支持叙事和人文价值,因为它将大量叙事数据作为输入进行训练,并以叙事格式生成输出。我们认为,医学人文学科,而不是被医疗保健领域的人工智能所取代,对于理解负责任地使用和整合这些工具的实际和道德机会和限制更为重要。通过分析文献中关于生成式人工智能在医疗保健中的两个案例研究,我们发现叙事医学和医学人文学科提供了关键的理论框架和学科技能,以评估、整合和批评这些技术在医疗保健中的作用和影响。与其通过人工智能抵消叙事实践,在医疗保健中负责任地使用基于法学硕士的人工智能需要关注医学叙事的功能和医学人文学科的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The new narrative medicine: ethical implications of artificial intelligence on healthcare narratives.

While on the surface the rapid adoption of generative artificial intelligence (AI) in healthcare signals a new technological innovation that may sideline the social sciences, arts, and literature comprising the medical humanities, we argue that one way to understand the applications of AI based on large language models (LLM) in healthcare is as a deeply narrative project. LLM-based AI endorses narrative and humanistic value insofar as it is trained on vast amounts of narrative data as inputs and generates outputs in narrative formats. We contend that the medical humanities, rather than being replaced by AI in healthcare, are all the more essential to understand the practical and ethical opportunities and constraints for responsible use and integration of such tools. By analyzing two case studies of generative AI in healthcare reported in literature, we show that narrative medicine and the medical humanities provide crucial theoretical frameworks and disciplinary skills to assess, integrate, and critique the roles and impacts of such technologies in healthcare. Rather than offsetting narrative practice via AI, responsible use of LLM-based AI in healthcare requires attention to the functions of narrative in medicine and the importance of the medical humanities.

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来源期刊
CiteScore
2.70
自引率
6.20%
发文量
16
期刊介绍: Monash Bioethics Review provides comprehensive coverage of traditional topics and emerging issues in bioethics. The Journal is especially concerned with empirically-informed philosophical bioethical analysis with policy relevance. Monash Bioethics Review also regularly publishes empirical studies providing explicit ethical analysis and/or with significant ethical or policy implications. Produced by the Monash University Centre for Human Bioethics since 1981 (originally as Bioethics News), Monash Bioethics Review is the oldest peer reviewed bioethics journal based in Australia–and one of the oldest bioethics journals in the world. An international forum for empirically-informed philosophical bioethical analysis with policy relevance. Includes empirical studies providing explicit ethical analysis and/or with significant ethical or policy implications. One of the oldest bioethics journals, produced by a world-leading bioethics centre. Publishes papers up to 13,000 words in length. Unique New Feature: All Articles Open for Commentary
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