中国医学伦理学2026，Vol.39Issue(3)：300-306,7.DOI:10.12026/j.issn.1001-8565.2026.03.03
从ChatGPT4.0到DeepSeek-R1:人工智能在医疗卫生领域应用的革新场景和伦理治理范式转变
From Chat Generative Pre-trained Transformer 4.0 to DeepSeek-R1:Innovative scenarios and ethical governance paradigm shift of artificial intelligence applications in the field of medical and health care
摘要
Abstract
The iterative evolution of artificial intelligence(AI)technology is reshaping the global healthcare system.From the foundational large model of Chat Generative Pre-trained Transformer(ChatGPT)4.0 to the in-depth adaptation of DeepSeek-R1,AI technology is triggering paradigm shifts across four core domains,including pharmaceutical research and development,personalized diagnosis and treatment,primary healthcare,and the secure application of medical data.Nevertheless,while AI technology becomes deeply embedded in the field of medical and health care,it has also brought about ethical risk changes,such as"exacerbated risks of model hallucination"in pharmaceutical research and development,"weakened autonomous judgment capabilities"in personalized diagnosis and treatment,"prominent human-machine collaboration conflicts"in primary healthcare,and"deepened infringement upon sensitive information"in health management.In view of this,this paper focused on four dimensions of current ethical risk changes in the field of medical and health care and proposed corresponding risk governance strategies.This is of crucial significance for constructing a novel human-machine collaborative medical ethics paradigm and refining the global digital medical governance system.关键词
DeepSeek/ChatGPT/医疗卫生/伦理风险Key words
DeepSeek/Chat Generative Pre-trained Transformer/medical and health care/ethical risk分类
医药卫生引用本文复制引用
王绍源,李梦..从ChatGPT4.0到DeepSeek-R1:人工智能在医疗卫生领域应用的革新场景和伦理治理范式转变[J].中国医学伦理学,2026,39(3):300-306,7.基金项目
2020年教育部高校思想政治理论课教师研究专项"优秀中青年思政课教师择优资助项目""人工智能赋能思政教育的新趋势及'智能思政'构建研究"(20JDSZK125) （20JDSZK125）
2023年度山西省高等学校教学改革创新(思想政治理论课)指令性项目"'形势与政策'课教学资源库建设研究"(2023JGSZZL005) （思想政治理论课）
