生成式人工智能应对病历书写挑战的应用探索  

Exploration of the Application of Generative Artificial Intelligence to the Challenge of Medical Record Writing

作　　者：高晓苑 刁晓林[2] 徐帆 李红霞 武欣桐 王子星 赵韡 舒婷 Gao Xiaoyuan;Diao Xiaolin;Xu Fan(Peking Union Medical College/Chinese Academy of Medical Sciences,Beijing,100730,China;不详)

机构地区：[1]北京协和医学院·中国医学科学院,北京100730 [2]国家心血管病中心·中国医学科学院阜外医院,北京100037 [3]国家卫生健康委医院管理研究所,北京100044

出　　处：《中国医院管理》2025年第5期76-79,共4页Chinese Hospital Management

基　　金：国家自然科学基金项目(72374216)。

摘　　要：生成式人工智能技术在医疗卫生领域展现出广阔的应用前景,成为推动医疗信息化发展的重要技术手段。文章针对病历书写在效率、质量与医患沟通方面的多重挑战,分析生成式人工智能在智能病历生成不同临床场景中的适应性与可行性。同时,文章探讨了当前应用中存在的问题,并提出相应的解决策略,给生成式人工智能技术在医疗病历书写中的合理应用和持续优化提供参考,为我国医疗行业进一步拓展智能病历书写的应用场景提供理论基础。Generative Artificial Intelligence ishows a broad application prospect in the field of healthcare and has become an important technical means to promote the development of medical informatization.It addresses the multifaceted challenges of medical record documentation,including efficiency,quality,and doctor-patient communication.It analyzes the adaptability and feasibility of Generative Artificial Intelligence in different clinical scenarios of intelligent medical record generation.Additionally,it explores the issues present in current applications and proposes corresponding solutions,providing references for the effective application and continuous optimization of Generative Artificial Intelligence in medical record documentation.This provides a theoretical foundation for further expanding the application scenarios of automatic medical record documentation in China’s healthcare industry.

关 键 词：生成式人工智能 病历书写 医疗信息化 

分 类 号：R197.323.1[医药卫生—卫生事业管理]