中国医学科学院学报2026，Vol.48Issue(1)：24-37,14.DOI:10.3881/j.issn.1000-503X.17220
生成式医学人工智能临床应用的伦理治理专家共识(2025年版)
Expert Consensus on Ethical Governance for Clinical Applications of Generative Medical Artificial Intelligence(2025 Edition)
弓孟春 1吴昊 2周芸 3欧阳自豪 4罗妍 5张博涵 4刘俊荣 6吉训明 7马永慧 8潘慧 7白桦 9戴辉 10陈崴 11刘辉 5弓凯 12曾志嵘13
作者信息
- 1. 广州医科大学附属妇女儿童医学中心,广州 511400||广东医科大学,广东 东莞 523808
- 2. 重庆医科大学附属第一医院,重庆 400016
- 3. 山西医科大学第一医院,太原 030001
- 4. 广东医科大学,广东 东莞 523808
- 5. 中国医学科学院北京协和医学院 医学信息研究所,北京 100020
- 6. 广州医科大学,广州 511436
- 7. 中国医学科学院北京协和医学院,北京 100730
- 8. 厦门大学医学院,福建 厦门 361102
- 9. 中国医学科学院北京协和医学院 北京协和医院,北京 100730
- 10. 南方医科大学南方医院赣州医院,江西 赣州 341000
- 11. 中山大学附属第一医院肾内科,广州 510080||国家卫生健康委员会肾脏病临床研究重点实验室 (中山大学)广东省肾脏病重点实验室,广州 510080
- 12. 福州大学附属省立医院,福州 350001
- 13. 韶关学院,广东 韶关 512005
- 折叠
摘要
Abstract
The research and innovative applications of generative medical artificial intelligence(GMAI)are rapidly advancing in the healthcare field.Significant breakthroughs of GMAI have been achieved in areas such as generating diagnostic suggestions,optimizing treatment plans,and assisting doctor-patient commu-nication,profoundly reshaping the paradigm of clinical diagnosis and treatment.However,the open-ended nature of GMAI's generation raises novel ethical challenges,including algorithmic bias,ambiguous accountability,data privacy breaches,and insufficient cultural adaptability.Current ethical governance lags behind technological implementation,necessitating the establishment of a standardized governance framework.Our research team as-sembled a multidisciplinary panel of experts spanning medical ethics,clinical medicine,medical artificial intel-ligence,hospital management,public health,and law.According to the governance logic of"prevention-con-trol-remediation"and integrating international norms with domestic policies,this consensus was developed through two rounds of expert consultation to unify opinions and perspectives.It aims to provide a reference for the specific practice of clinical ethical review in the research and clinical application of GMAI and to establish an au-thoritative guidance framework for the clinical ethical governance of GMAI,tailored to China's cultural context and national requirements.关键词
人工智能/生成式模型/医疗伦理/中国实践Key words
artificial intelligence/generative models/medical ethics/China's practice分类
医药卫生引用本文复制引用
弓孟春,吴昊,周芸,欧阳自豪,罗妍,张博涵,刘俊荣,吉训明,马永慧,潘慧,白桦,戴辉,陈崴,刘辉,弓凯,曾志嵘..生成式医学人工智能临床应用的伦理治理专家共识(2025年版)[J].中国医学科学院学报,2026,48(1):24-37,14.
