首页|期刊导航|中国医学伦理学|生成式人工智能用于医学知情同意中的伦理挑战及对策——以ChatGPT为例

生成式人工智能用于医学知情同意中的伦理挑战及对策——以ChatGPT为例OA

Ethical challenges and countermeasures of generative artificial intelligence in medical informed consent:a case study of Chat Generative Pre-trained Transformer

中文摘要英文摘要

知情同意是医学实践的基本伦理准则,随着以 ChatGPT 为代表的生成式人工智能与医学的深度融合,其为传统知情同意带来革新式发展的同时,也引发了新的伦理挑战,ChatGPT具有改善知情同意内容可读性、提高知情同意内容的全面性和准确性,增强知情同意获取的便捷性等特点.而由于 ChatGPT用于知情同意仍处于探索阶段,亟须前瞻性地对其伴生的信息安全、责任判定、透明度、公平性等伦理问题予以充分考量.对以 ChatGPT 为代表的生成式人工智能用于知情同意面临的挑战进行伦理分析,并提出坚持自由且充分的知情同意、强化知情同意中责任与义务平衡,构建透明且公正的监督机制等对策,旨在推动生成式人工智能在医学知情同意领域符合伦理规范、有序可控的发展.

Informed consent constitutes a fundamental ethical principle in medical practice.With the in-depth integration of generative artificial intelligence(AI)represented by Chat Generative Pre-trained Transformer(ChatGPT)with medicine,it has brought revolutionary development to traditional informed consent while also introducing new ethical challenges.ChatGPT offers features such as improving the readability of informed consent content,enhancing its comprehensiveness and accuracy,and increasing the convenience of obtaining informed consent.However,as the application of ChatGPT in informed consent is still in the exploratory stage,it is imperative to proactively and fully consider the accompanying ethical issues,such as information security,liability determination,transparency,and fairness.This paper conducted an ethical analysis on the challenges faced by generative AI,represented by ChatGPT,in the application of informed consent and proposed countermeasures,such as upholding free and fully informed consent,strengthening the balance of rights and obligations in informed consent,and establishing a transparent and fair supervision mechanism.The aim was to promote the ethically compliant,orderly,and controllable development of generative AI in the field of medical informed consent.

任永琪;李梦圆;刘星;王晓敏

中南大学湘雅三医院临床试验研究中心,湖南 长沙 410000||中南大学人文学院,湖南 长沙 410012中南大学人文学院,湖南 长沙 410012中南大学湘雅医院医学伦理委员会,湖南 长沙 410008中南大学湘雅三医院临床试验研究中心,湖南 长沙 410000

医药卫生

生成式人工智能ChatGPT知情同意伦理挑战

generative artificial intelligenceChat Generative Pre-trained Transformer,informed consentethical challenge

《中国医学伦理学》 2026 (3)

307-313,7

湖南省卫生健康委科研计划项目"卓越医师视域下住院医师的医学伦理学培训实践研究"(B202315018734)2024年度湖南省社会科学基金一般项目"人工智能医疗的伦理问题及对策研究"(24YBA036)中南大学中央高校基本科研业务费专项资金资助(2025ZZTS0375)

10.12026/j.issn.1001-8565.2026.03.04

评论