[1]毛海燕,刘继刚.生成式人工智能赋能智慧医疗的内在逻辑、现实挑战与治理策略[J].卫生经济研究,2026,43(07):19-24.
 MAO Haiyan,LIU Jigang.The Internal Logic, Practical Challenges, and Governance Strategies of Generative AI Empowering Smart Healthcare[J].Journal Press of Health Economics Research,2026,43(07):19-24.
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生成式人工智能赋能智慧医疗的内在逻辑、现实挑战与治理策略

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
43
期数:
2026年07期
页码:
19-24
栏目:
数智健康
出版日期:
2026-07-03

文章信息/Info

Title:
The Internal Logic, Practical Challenges, and Governance Strategies of Generative AI Empowering Smart Healthcare
作者:
毛海燕1; 刘继刚1
1.河南中医药大学管理学院,河南 郑州 450046
Author(s):
MAO Haiyan;  LIU Jigang
School of Management, Henan University of Traditional Chinese Medicine, Zhengzhou Henan 450046, China
关键词:
生成式人工智能; 智慧医疗; 健康中国战略; 数字技术
Keywords:
generative artificial intelligence;  smart healthcare;  Healthy China Strategy;  digital technology
分类号:
R19;TP309
文献标志码:
A
摘要:
生成式人工智能驱动智慧医疗的认知重构,重塑医疗体系的运行范式,促进医疗服务的精准普惠,但面临技术应用内生性风险、人机协同伦理冲突与权责界定难题,以及医疗产业生态系统性适配障碍。为此,应通过奠定安全可信的技术底座、完善公平透明的伦理法律框架、构建协同演化的医疗产业生态,扫除生成式人工智能发展障碍,助推智慧医疗稳健发展。
Abstract:
Generative artificial intelligence(AI) drives a cognitive restructuring of smart healthcare, reshapes the operational paradigm of the healthcare system, and promotes precise and inclusive healthcare services. However, Generative AI faces endogenous risks in technological application, ethical conflicts in human-machine collaboration, challenges in defining rights and responsibilities, and systemic adaptation barriers within the healthcare industry ecosystem. To address these challenges, it is necessary to remove obstacles to the development of generative AI by laying a secure and trustworthy technological foundation, improving a fair and transparent ethical and legal framework, and building a collaborative and evolving medical industry ecosystem, in order to promote the steady development of smart healthcare.

参考文献/References:

[1] 尹慧子,张海涛,马婷婷,等.智慧医疗情境下信息交互行为及拓扑结构研究[J].现代情报,2020,40(03):137-147.
[2] 陈永伟.超越ChatGPT:生成式AI的机遇、风险与挑战[J].山东大学学报(哲学社会科学版),2023(03):127-143.
[3] 成栋.“互联网+”引领下的智慧医疗发展探析[J].人民论坛·学术前沿,2017(24):24-31.
[4] 朱光,吴晗逸,刘雯.智慧医疗情境下四方主体隐私行为的交互机理及演化趋势研究[J].现代情报,2025,45(01):135-149.
[5] 陈磊,王柏村,黄思翰,等.人工智能伦理准则与治理体系:发展现状和战略建议[J].科技管理研究,2021,41(06):193-200.
[6] 朱光,李凤景,卞淑莹.隐私关注驱动的智慧医疗使用意愿研究[J].图书馆论坛,2022,42(06):127-140.
[7] ChenX, DaiC, PengM, et al.Artificial intelligence driven 3D reconstruction for enhanced lung surgery planning[J]. Nature Communications, 2025, 16(01): 4086.
[8] Sinsky C, Colligan L, Li L, et al. Allocation of physician time in ambulatory practice: a time and motion study in 4 specialties[J]. Annals of Internal Medicine, 2016, 165(11): 753-760.
[9] 顾东晓,黄智勇,朱凯旋,等.医疗健康大模型知识体系构建、服务应用与风险协同治理[J/OL].情报科学,1-29[2024-09-25]. https://link.cnki.net/urlid/22.1264.G2.20240925.0948.002.
[10] 吴晓林,邢羿飞.知识复制抑或创新激发?——人工智能(ChatGPT)对社科类研究生教育的挑战与机遇[J].广西师范大学学报(哲学社会科学版),2023,59(02):66-74.
[11] 郝亚楠,高剑平.生成式人工智能赋能中国自主知识体系建构:理论基础、实现路径与支持保障[J].理论月刊,2025(10):16-25,158.
[12] 唐魁玉,杨静.论微粒社会的智慧医疗生活:趋势、数据化及中国经验[J].福建论坛(人文社会科学版),2020(04):182-192.
[13] Tang Y, Fu Y, Yi W, et al. Analysis of image-and-text uncertainty propagation in multimodal large language models with cardiac mr-based applications[J]. arXiv, 2025, 2507: 12945.
[14] Zech J R, Badgeley M A, Liu M, et al. Variablegeneralization performance of a deep learning model to detect pneumoniain chest radiographs: a cross-sectional study[J]. PLOS Medicine, 2018, 15(11): e1002683.
[15] 孟令宇.从算法偏见到算法歧视:算法歧视的责任问题探究[J].东北大学学报(社会科学版),2022,24(01):1-9.
[16] 财联社.AI推高全球用电需求,科技巨头如何塑造能源格局?[EB/OL].(2025-08-10)[2025-11-22].https://www.cls cn/detail/2111165.
[17] Randl K, Pavlopoulos J, Henriksson A, et al. Evaluating the reliability of self-explanations in large language models[J]. Computation and Language, 2024, 2407: 14487.
[18] Pati P, Jaume G, Foncubierta-Rodriguez A, et al. Hierarchical graph representations in digital pathology[J]. Medical Image Analysis, 2022, 75: 102264.
[19] Chen R J, Lu M Y, Wang J, et al. Pathomic Fusion: an integrated framework for fusing histopathology and genomic features for cancer diagnosis and prognosis[J]. IEEE Transactions on Medical Imaging, 2022, 41(04): 757-770.
[20]北京市人民政府. 北京国际大数据交易所累计备案交易近100亿元[EB/OL].(2025-01-26)[2025-11-22].https://www.beijing.gov.cn/ywdt/yaowen/202501/t20250126_3999091.html.
[21] 齐萌,韩晴晴.预测性信息披露背景下的安全港规则:适用障碍与制度完善[J].上海财经大学学报,2024,26(02):137-152.

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更新日期/Last Update: 2026-07-03