中国医学伦理学2026，Vol.39Issue(3)：307-313,7.DOI:10.12026/j.issn.1001-8565.2026.03.04
生成式人工智能用于医学知情同意中的伦理挑战及对策——以ChatGPT为例
Ethical challenges and countermeasures of generative artificial intelligence in medical informed consent:a case study of Chat Generative Pre-trained Transformer
摘要
Abstract
Informed consent constitutes a fundamental ethical principle in medical practice.With the in-depth integration of generative artificial intelligence(AI)represented by Chat Generative Pre-trained Transformer(ChatGPT)with medicine,it has brought revolutionary development to traditional informed consent while also introducing new ethical challenges.ChatGPT offers features such as improving the readability of informed consent content,enhancing its comprehensiveness and accuracy,and increasing the convenience of obtaining informed consent.However,as the application of ChatGPT in informed consent is still in the exploratory stage,it is imperative to proactively and fully consider the accompanying ethical issues,such as information security,liability determination,transparency,and fairness.This paper conducted an ethical analysis on the challenges faced by generative AI,represented by ChatGPT,in the application of informed consent and proposed countermeasures,such as upholding free and fully informed consent,strengthening the balance of rights and obligations in informed consent,and establishing a transparent and fair supervision mechanism.The aim was to promote the ethically compliant,orderly,and controllable development of generative AI in the field of medical informed consent.关键词
生成式人工智能/ChatGPT/知情同意/伦理挑战Key words
generative artificial intelligence/Chat Generative Pre-trained Transformer,informed consent/ethical challenge分类
医药卫生引用本文复制引用
任永琪,李梦圆,刘星,王晓敏..生成式人工智能用于医学知情同意中的伦理挑战及对策——以ChatGPT为例[J].中国医学伦理学,2026,39(3):307-313,7.基金项目
湖南省卫生健康委科研计划项目"卓越医师视域下住院医师的医学伦理学培训实践研究"(B202315018734) （B202315018734）
2024年度湖南省社会科学基金一般项目"人工智能医疗的伦理问题及对策研究"(24YBA036) （24YBA036）
中南大学中央高校基本科研业务费专项资金资助(2025ZZTS0375) （2025ZZTS0375）
