ChatGPT驱动的医疗智能决策:伦理、法律与规制  

ChatGPT-driven medical intelligent decision-making:ethics,law,and regulation

作　　者：李菊萍[1] LI Juping(School of Public Security,Northwest University of Political Science and Law,Xi’an 710122,China)

机构地区：[1]西北政法大学公安学院,陕西西安710122

出　　处：《中国医学伦理学》2025年第2期139-149,共11页Chinese Medical Ethics

基　　金：2022年西安市科技局软科学项目“双碳政策下秦创原平台产业生态体系绿色发展协同立法研究”(2RKYJ0020)。

摘　　要：随着生成式人工智能技术的快速发展,ChatGPT等自然语言处理模型在医疗领域的应用成为可能。然而,医疗智能决策所涉及的伦理、法律与规制问题也逐渐凸显。分析ChatGPT在医疗领域的应用和潜在风险,关注数据隐私保护、决策公正性和法律适应性等挑战,并提出制定医疗决策智能化的法律框架、建立伦理准则与指南、加强监管机制与监督措施、提升决策智能化的实践能力等规制策略,以促进医疗智能决策的可持续发展,确保其伦理、法律和社会责任的兼顾。With the rapid development of generative artificial intelligence(AI) technology,the application of natural language processing models such as ChatGPT has become possible in the medical field.However,the issues of ethics,law,and regulation involved in medical intelligent decision-making have gradually become prominent.This paper analyzed the application and potential risks of ChatGPT in the medical field,focusing on challenges such as data privacy protection,decision fairness,and legal adaptability.It also proposed regulatory strategies,including formulating a legal framework for intelligent medical decision-making,establishing ethical norms and guidelines,strengthening regulatory mechanisms and supervisory measures,enhancing the practical ability for intelligent decision-making,and other aspects,to promote the sustainable development of medical intelligent decision-making and ensure the balance of ethics,law,and social responsibility.

关 键 词：ChatGPT 医疗决策 人工智能 医学伦理 法律规制 

分 类 号：R-052[医药卫生]