Turn off MathJax
Article Contents
LU Yao, LIU Jianing, WANG Mian, HUANG Jiajie, HAN Baojin, SUN Mingyao, CHENG Qianji, NING Jinling, GE Long. Discussion on Artificial Intelligence in Shared Decision Making[J]. Medical Journal of Peking Union Medical College Hospital. doi: 10.12290/xhyxzz.2023-0209
Citation: LU Yao, LIU Jianing, WANG Mian, HUANG Jiajie, HAN Baojin, SUN Mingyao, CHENG Qianji, NING Jinling, GE Long. Discussion on Artificial Intelligence in Shared Decision Making[J]. Medical Journal of Peking Union Medical College Hospital. doi: 10.12290/xhyxzz.2023-0209

Discussion on Artificial Intelligence in Shared Decision Making

doi: 10.12290/xhyxzz.2023-0209
Funds:

China Academy of Chinese Medical Sciences Innovation Fund (CI2021A05502)

  • Received Date: 2023-04-23
  • Accepted Date: 2023-08-09
  • Available Online: 2023-08-22
  • Artificial intelligence(AI) empowers the development of the medical industry, providing precise and intelligent assistance for clinical diagnosis, treatment, and rehabilitation.AI has the potential to facilitate shared decision making (SDM). AI interventions used for SDM are currently in their infancy, with new challenges and opportunities. Therefore, this paper describes the application of AI in SDM, explores the problems and challenges of AI-based decision aid used for SDM, and proposes possible solutions, aiming to provide a guide for the development and implementation of AI-based decision aid.
  • loading
  • [1] 陈耀龙, 孙雅佳, 罗旭飞, 等.循证医学的核心方法与主要模型[J].协和医学杂志, 2023, 14:1-8.
    [2] Johnson C.Evidence-based practice in 5 simple steps[J].J Manipulative Physiol Ther, 2008, 31:169-170.
    [3] Hoffmann TC, Lewis J, Maher CG.Shared decision making should be an integral part of physiotherapy practice[J].Physiotherapy, 2020, 107:43-49.
    [4] 余绍福, 王云云, 邓通, 等.医患共同决策系列之一:医患共同决策的国内外发展现状[J].医学新知, 2020, 30:159-167.
    [5] Morrison T, Foster E, Dougherty J, et al.Shared decision making in rheumatology:A scoping review[J]. Semin Arthritis Rheum, 2022, 56:152041.
    [6] Stacey D, Légaré F, Lewis K, et al.Decision aids for people facing health treatment or screening decisions[J]. Cochrane Database Syst Rev, 2017, 4:Cd001431.
    [7] 余绍福, 牟玮, 靳英辉, 等.医患共同决策系列之二:医患共同决策研究典范——渥太华患者决策辅助工具研究小组[J].医学新知, 2021, 31:59-67.
    [8] Kann BH, Hosny A, Aerts H.Artificial intelligence for clinical oncology[J].Cancer Cell, 2021, 39:916-927.
    [9] 黄霖, 车圳, 李明, 等.人工智能在骨科疾病诊治中的研究进展[J].山东大学学报(医学版), 2023, 61:37-45.
    [10] 巫嘉陵, 韩建达.医疗人工智能:知识引导与数据挖掘联合驱动[J].中国现代神经疾病杂志, 2023, 23:1-4.
    [11] 任相阁, 任相颖, 李绪辉, 等.医疗领域人工智能应用的研究进展[J].世界科学技术-中医药现代化, 2022, 24:762-770.
    [12] Begley K, Begley C, Smith V.Shared decision-making and maternity care in the deep learning age:Acknowledging and overcoming inherited defeaters[J].J Eval Clin Pract, 2021, 27:497-503.
    [13] Ji M, Genchev GZ, Huang H, et al.Evaluation Framework for Successful Artificial Intelligence-Enabled Clinical Decision Support Systems:Mixed Methods Study[J].J Med Internet Res, 2021, 23:e25929.
    [14] Jayakumar P, Moore MG, Furlough KA, et al.Comparison of an Artificial Intelligence-Enabled Patient Decision Aid vs Educational Material on Decision Quality, Shared Decision-Making, Patient Experience, and Functional Outcomes in Adults With Knee Osteoarthritis:A Randomized Clinical Trial[J].JAMA Netw Open, 2021, 4:e2037107.
    [15] Gama F, Tyskbo D, Nygren J, et al.Implementation Frameworks for Artificial Intelligence Translation Into Health Care Practice:Scoping Review[J].J Med Internet Res, 2022, 24:e32215.
    [16] Abbasgholizadeh Rahimi S, Cwintal M, Huang Y, et al.Application of Artificial Intelligence in Shared Decision Making:Scoping Review[J].JMIR Med Inform, 2022, 10:e36199.
    [17] 吕健.医疗的确定性、不确定性与医患共同决策[J].医学与哲学, 2021, 42:5-10.
    [18] Peiffer-Smadja N, Rawson TM, Ahmad R, et al.Machine learning for clinical decision support in infectious diseases:a narrative review of current applications[J].Clin Microbiol Infect, 2020, 26:584-595.
    [19] Wang L, Chen X, Zhang L, et al.Artificial intelligence in clinical decision support systems for oncology[J].Int J Med Sci, 2023, 20:79-86.
    [20] 杨宇辉, 李素姣, 喻洪流, 等.临床决策支持系统研究进展[J].生物医学工程学进展, 2021, 42:203-207.
    [21] Chewning B, Bylund CL, Shah B, et al.Patient preferences for shared decisions:a systematic review[J].Patient Educ Couns, 2012, 86:9-18.
    [22] Selmouni F, Guy M, Muwonge R, et al.Effectiveness of Artificial Intelligence-Assisted Decision-making to Improve Vulnerable Women's Participation in Cervical Cancer Screening in France:Protocol for a Cluster Randomized Controlled Trial (AppDate-You)[J].JMIR Res Protoc, 2022, 11:e39288.
    [23] Li WH, Dong B, Wang HS, et al.Artificial intelligence promotes shared decision-making through recommending tests to febrile pediatric outpatients[J].World J Emerg Med, 2023, 14:106-111.
    [24] Kökciyan N, Chapman M, Balatsoukas P, et al.A Collaborative Decision Support Tool for Managing Chronic Conditions[J].Stud Health Technol Inform, 2019, 264:644-648.
    [25] Kökciyan N, Sassoon I, Sklar E, et al.Applying Metalevel Argumentation Frameworks to Support Medical Decision Making[J].IEEE Intell Syst, 2021, 36:64-71.
    [26] Frize M, Yang L, Walker RC, et al.Conceptual framework of knowledge management for ethical decisionmaking support in neonatal intensive care[J].IEEE Trans Inf Technol Biomed, 2005, 9:205-215.
    [27] Wang Y, Li PF, Tian Y, et al.A Shared Decision-Making System for Diabetes Medication Choice Utilizing Electronic Health Record Data[J].IEEE J Biomed Health Inform, 2017, 21:1280-1287.
    [28] Twiggs JG, Wakelin EA, Fritsch BA, et al.Clinical and Statistical Validation of a Probabilistic Prediction Tool of Total Knee Arthroplasty Outcome[J].J Arthroplasty, 2019, 34:2624-2631.
    [29] Bertsimas D, Dunn J, Pawlowski C, et al.Applied Informatics Decision Support Tool for Mortality Predictions in Patients With Cancer[J].JCO Clin Cancer Inform, 2018, 2:1-11.
    [30] 刘伶俐, 王端, 王力钢.医疗人工智能应用中的伦理问题及应对[J].医学与哲学, 2020, 41:5.
    [31] 林伟.人工智能数据安全风险及应对[J].情报杂志, 2022, 41:105-111.
    [32] 刘轩, 陈海彬.人工智能监管:理论、模式与趋势[J].情报理论与实践, 2023, 46:17-23, 37.
    [33] 中华人民共和国科学技术部《新一代人工智能伦理规范》发布.[EB/OL](. 2021-09-26)[2023-04-23]. https://www.most.gov.cn/kjbgz/202109/t20210926_177063.html.
    [34] 中华人民共和国中央人民政府.中共中央办公厅国务院办公厅印发《关于加强科技伦理治理的意见》[EB/OL]. (2022-03-20)[2023-04-23]. https://www.gov.cn/zhengce/2022-03/20/content_5680105.htm.
    [35] 徐云山, 贺丹, 严贞龙, 等.面向医疗数据的隐私保护方法研究[J].电脑知识与技术, 2023, 19:116-118, 122.
    [36] 陈龙, 曾凯, 李莎, 等.人工智能算法偏见与健康不公平的成因与对策分析[J].中国全科医学, 2023, 26:2423-2427.
    [37] 赵延玉, 赵晓永, 王磊, 等.可解释人工智能研究综述[J].计算机工程与应用, 2023, 59:1-14.
    [38] 王冬丽, 杨珊, 欧阳万里, 等.人工智能可解释性:发展与应用[J].计算机科学, 2023, 50:19-25.
    [39] Kostick-Quenet KM, Cohen IG, Gerke S, et al.Mitigating Racial Bias in Machine Learning[J].J Law Med Ethics, 2022, 50:92-100.
    [40] Zhang J, Zhang ZM.Ethics and governance of trustworthy medical artificial intelligence[J].BMC Med Inform Decis Mak, 2023, 23:7.
    [41] Elwyn G.Shared decision making:What is the work?[J].Patient Educ Couns, 2021, 104:1591-1595.
    [42] Elwyn G, Frosch DL, Kobrin S.Implementing shared decision-making:consider all the consequences[J]. Implement Sci, 2016, 11:114.
    [43] McDougall RJ.Computer knows best? The need for value-flexibility in medical AI[J].J Med Ethics, 2019, 45:156-160.
    [44] Doorn N, Schuurbiers D, van de Poel I, et al.Early engagement and new technologies:Opening up the laboratory[M].Berlin:Springer, 2013.
    [45] Dullabh P, Sandberg SF, Heaney-Huls K, et al.Challenges and opportunities for advancing patientcentered clinical decision support:findings from a horizon scan[J].J Am Med Inform Assoc, 2022, 29:1233-1243.
    [46] 白宇, 陈理, 易岚, 等.中医临床决策支持系统研发的现状与思考[J].江苏中医药, 2022, 54:66-69.
    [47] 赵国桢, 郭诗琪, 庞华鑫, 等.人工智能技术在辅助中医诊疗及诊疗标准化中的应用[J].中医杂志, 2022, 63:2306-2310.
    [48] Waddell A, Lennox A, Spassova G, et al.Barriers and facilitators to shared decision-making in hospitals from policy to practice:a systematic review[J].Implement Sci, 2021, 16:74.
    [49] Légaré F, Ratté S, Gravel K, et al.Barriers and facilitators to implementing shared decision-making in clinical practice:update of a systematic review of health professionals' perceptions[J].Patient Educ Couns, 2008, 73:526-535.
    [50] Printz C.Artificial intelligence platform for oncology could assist in treatment decisions[J].Cancer,2017, 123:905.
    [51] Ward P.Trust and communication in a doctor-patient relationship:a literature review[J].Arch Med, 2018, 3:36.
    [52] Kerasidou A.Artificial intelligence and the ongoing need for empathy, compassion and trust in healthcare[J].Bull World Health Organ, 2020, 98:245-250.
    [53] Sauerbrei A, Kerasidou A, Lucivero F, et al.The impact of artificial intelligence on the personcentred, doctor-patient relationship:some problems and solutions[J].BMC Med Inform Decis Mak, 2023, 23:73.
    [54] Sepucha KR, Borkhoff CM, Lally J, et al.Establishing the effectiveness of patient decision aids:key constructs and measurement instruments[J].BMC Med Inform Decis Mak, 2013, 13:S12.
    [55] Gundersen T, Bærøe K.The Future Ethics of Artificial Intelligence in Medicine:Making Sense of Collaborative Models[J].Sci Eng Ethics, 2022, 28:17.
    [56] Stacey D, Ludwig C, Archambault P, et al.Feasibility of Rapidly Developing and Widely Disseminating Patient Decision Aids to Respond to Urgent Decisional Needs due to the COVID-19 Pandemic[J].Med Decis Making, 2021, 41:233-239.
    [57] Chen Y,Clayton EW,Novak LL,et al.Human-Centered Design to Address Biases in Artificial Intelligence[J]. J Med Internet Res, 2023, 25:e43251.
    [58] Stacey D, Volk RJ.The International Patient Decision Aid Standards (IPDAS) Collaboration:Evidence Update 2.0[J].Med Decis Making, 2021, 41:729-733.
    [59] 杨垠红.欧盟《数据法案》规范使用者权利和义务[N].中国社会科学报, 2022-04-11(007).
    [60] 周杰, 宋扬.临床决策支持系统应用中的伦理思考[J].医学与哲学, 2022, 43:16-19.
    [61] 谢新水.人工智能内容生产:功能张力、发展趋势及监管策略——以ChatGPT为分析起点[J].电子政务, 2023, 20:25-35.
    [62] Lee P, Bubeck S, Petro J.Benefits, Limits, and Risks of GPT-4 as an AI Chatbot for Medicine[J].N Engl J Med, 2023, 388:1233-1239.
    [63] Dullabh P, Heaney-Huls K, Lobach DF, et al.The technical landscape for patient-centered CDS:progress, gaps, and challenges[J].J Am Med Inform Assoc, 2022, 29:1101-1105.
    [64] Haug CJ, Drazen JM.Artificial Intelligence and Machine Learning in Clinical Medicine, 2023[J].N Engl J Med, 2023, 388:1201-1208.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (262) PDF downloads(46) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return