ChatGPT辅助儿科诊疗与医患沟通的初步探索

Preliminary exploration of ChatGPT-assisted pediatric diagnosis,treatment and doctor-patient communication

目的探索ChatGPT(Chat Generative Pre-trained Transformer)辅助儿科诊疗与医患沟通的情况,评估其所提供的医学建议的专业性和准确性,以及其在提供心理支持方面的能力。方法选取ChatGPT 3.5和4.0版本截至2023年4月的知识数据库。将关于儿科泌尿系统的30个诊疗问题和10个医患沟通问题分别提交给ChatGPT 3.5和4.0版本进行问答,并对ChatGPT的答案进行评价。结果ChatGPT 3.5和4.0版本回答的40个问题的答案均达到合格水平。ChatGPT 4.0版本回答的30个诊疗问题的答案优于ChatGPT 3.5版本(P=0.024)。ChatGPT 3.5与4.0版本回答的10个医患沟通问题的答案差异无统计学意义(P=0.727)。对于预防、单一症状和疾病诊疗问题,ChatGPT的答案得分较高;对于涉及复杂病情诊断及治疗的问题,ChatGPT的答案得分较低。结论ChatGPT在辅助儿科诊疗与医患沟通方面具有一定的价值,但ChatGPT提供的医学建议并不能完全取代医生的专业判断和个人关怀。

Objective To explore the use of ChatGPT(Chat Generative Pre-trained Transformer)in pediatric diagnosis,treatment and doctor-patient communication,evaluate the professionalism and accuracy of the medical advice provided,and assess its ability to provide psychological support.Methods The knowledge databases of ChatGPT 3.5 and 4.0 versions as of April 2023 were selected.A total of 30 diagnosis and treatment questions and 10 doctor-patient communication questions regarding the pediatric urinary system were submitted to ChatGPT versions 3.5 and 4.0,and the answers to ChatGPT were evaluated.Results The answers to the 40 questions answered by ChatGPT versions 3.5 and 4.0 all reached the qualified level.The answers to 30 diagnostic and treatment questions in ChatGPT 4.0 version were superior to those in ChatGPT 3.5 version(P=0.024).There was no statistically significant difference in the answers to the 10 doctor-patient communication questions answered by ChatGPT 3.5 and 4.0 versions(P=0.727).For prevention,single symptom,and disease diagnosis and treatment questions,ChatGPT’s answer scores were relatively high.For questions related to the diagnosis and treatment of complex medical conditions,ChatGPT’s answer scores were relatively low.Conclusion ChatGPT has certain value in assisting pediatric diagnosis,treatment and doctor-patient communication,but the medical advice provided by ChatGPT cannot completely replace the professional judgment and personal care of doctors.