arXiv:2506.05030cs.HCcs.AI2025-06被引 83

AI医疗工具应支持医生真实诊疗思维,而非追求虚高指标。

Artificial Intelligence Should Genuinely Support Clinical Reasoning and Decision Making To Bridge the Translational Gap

  • 以医生认知与决策为核心设计AI辅助系统
  • 强调临床实际影响,而非实验室超人表现
  • 适合关注AI落地应用的临床研究者

人工智能有望革新医学,但其实际影响受限于普遍存在的转化鸿沟。我们指出,当前以技术为中心的方法论是这一挑战的根本原因,使这些系统与临床实践(尤其是诊断推理和决策)本质上不兼容。为此,我们提出一种新型的社会技术概念框架,旨在构建数据驱动的支持工具,以补充医生的认知与知识活动。关键在于,该框架优先考虑真实世界的应用效果,而非在无关紧要的基准上达到超人性能。

原文摘要 · Abstract (English)

Artificial intelligence promises to revolutionise medicine, yet its impact remains limited because of the pervasive translational gap. We posit that the prevailing technology-centric approaches underpin this challenge, rendering such systems fundamentally incompatible with clinical practice, specifically diagnostic reasoning and decision making. Instead, we propose a novel sociotechnical conceptualisation of data-driven support tools designed to complement doctors' cognitive and epistemic activities. Crucially, it prioritises real-world impact over superhuman performance on inconsequential benchmarks.

AI医疗临床决策可解释性

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