生成式人工智能对于医患关系的伦理重构.pdf

医患关系

医学与哲学2024

年2

月第45

卷第

3

期总第734期

生成式人工智能对于医患关系的伦理重构

黄一洲谭郑雨11

摘要：基于对生成式人工智能医学能力、风险以及第三者效应的综合考量，分析生成式人工智能介入医患关系可能构成的四

种伦理转向：即“医−人工智能−患”共同决策模式（可能Ⅰ）、“患−人工智能”深度协作与医生保守立场（可能Ⅱ）、恢复传

统“医−患”关系（可能Ⅲ）以及“医−人工智能”深度协作与患者保守立场（可能Ⅳ）。其中“医−人工智能−患”共同决策模

式的交互本质可能进一步形成两种相互背离的发展取向：一是以患者为中心的医疗实践模式，二是计算机主义的医疗家长主义。

关键词：生成式人工智能，共同决策，医患关系

中图分类号：R-05文献标识码：A文章编号：1002-0772(2024)03-0049-05

DOI：10.12014/j.issn.1002-0772.2024.03.11

1

EthicalReconstructionofDoctor-patientRelationshipsthroughGenerativeArtificialIntelligenceHUANGYizhou,

TAN

1

Zhengyu．1.

DepartmentofPhilosophyResearch,PartySchooloftheGuangdongProvincialCommitteeoftheCommunistPartyof

China,Guangzhou510053,China

Abstract：Based

on

a

comprehensive

assessment

of

the

medical

capabilities,

risks,

and

third-party

effects

of

generative

artificial

intelligence

(AI),

this

paper

analyzes

four

potential

ethical

shifts

in

doctor-patient

relationships

resulting

from

the

intervention

of

generative

AI:

Doctor-AI-Patient

shared

decision-making

model

(possibility

Ⅰ),

Patient-AI

deep

collaboration

with

a

conservative

doctors

stance

(possibility

Ⅱ),

the

restoration

of

the

traditional

Doctor-Patient

relationship

(possibility

Ⅲ),

and

Doctor-AI

deep

collaboration

with

a

conservative

patients

stance

(possibility

Ⅳ).

The

interactive

nature

of

Doctor-AI-

Patient

shared

decision-maki