Ethical Considerations of Using ChatGPT in Health Care

被引:215
作者
Wang, Changyu [1 ,2 ]
Liu, Siru [3 ]
Yang, Hao [4 ]
Guo, Jiulin [4 ]
Wu, Yuxuan [1 ]
Liu, Jialin [1 ,4 ,5 ]
机构
[1] Sichuan Univ, West China Med Sch, Dept Med Informat, Chengdu, Peoples R China
[2] Sichuan Univ, West China Coll Stomatol, Chengdu, Peoples R China
[3] Vanderbilt Univ, Med Ctr, Dept Biomed Informat, Nashville, TN USA
[4] Sichuan Univ, West China Hosp, Informat Ctr, 37 Guo Xue Xiang, Chengdu 610041, Peoples R China
[5] Sichuan Univ, West China Hosp, Dept Otolaryngol Head & Neck Surg, Chengdu, Peoples R China
关键词
ethics; ChatGPT; artificial intelligence; AI; large language models; health care; artificial intelligence development; development; algorithm; patient safety; patient privacy; safety; privacy; ARTIFICIAL-INTELLIGENCE; AUTOMATION BIAS; MEDICINE;
D O I
10.2196/48009
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
ChatGPT has promising applications in health care, but potential ethical issues need to be addressed proactively to prevent harm. ChatGPT presents potential ethical challenges from legal, humanistic, algorithmic, and informational perspectives. Legal ethics concerns arise from the unclear allocation of responsibility when patient harm occurs and from potential breaches of patient privacy due to data collection. Clear rules and legal boundaries are needed to properly allocate liability and protect users. Humanistic ethics concerns arise from the potential disruption of the physician-patient relationship, humanistic care, and issues of integrity. Overreliance on artificial intelligence (AI) can undermine compassion and erode trust. Transparency and disclosure of AI-generated content are critical to maintaining integrity. Algorithmic ethics raise concerns about algorithmic bias, responsibility, transparency and explainability, as well as validation and evaluation. Information ethics include data bias, validity, and effectiveness. Biased training data can lead to biased output, and overreliance on ChatGPT can reduce patient adherence and encourage self-diagnosis. Ensuring the accuracy, reliability, and validity of ChatGPT-generated content requires rigorous validation and ongoing updates based on clinical practice. To navigate the evolving ethical landscape of AI, AI in health care must adhere to the strictest ethical standards. Through comprehensive ethical guidelines, health care professionals can ensure the responsible use of ChatGPT, promote accurate and reliable information exchange, protect patient privacy, and empower patients to make informed decisions about their health care.
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页数:9
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