PDF(Pubmed)
Abstract：
The Quintuple Aim seeks to improve healthcare by addressing social determinants of health (SDOHs), which are responsible for 70-80% of medical outcomes. SDOH-related concerns have traditionally been addressed through referrals to social workers and community-based organizations (CBOs), but these pathways have had limited success in connecting patients with resources. Given that health inequity is expected to cost the United States nearly USD 300 billion by 2050, new artificial intelligence (AI) technology may aid providers in addressing SDOH. In this commentary, we present our experience with using ChatGPT to obtain SDOH management recommendations for archetypal patients in Philadelphia, PA. ChatGPT identified relevant SDOH resources and provided contact information for local organizations. Future exploration could improve AI prompts and integrate AI into electronic medical records to provide healthcare providers with real-time SDOH recommendations during appointments.
摘要：
五重目标旨在通过解决健康的社会决定因素(SDOH)来改善医疗保健，占医疗结果的70-80%。与SDOH相关的问题传统上是通过转介给社会工作者和社区组织(CBO)来解决的，但是这些途径在将患者与资源联系起来方面的成功有限。鉴于到2050年，健康不平等预计将使美国损失近3000亿美元，新的人工智能（AI）技术可能会帮助提供商解决SDOH问题。在这篇评论中,我们介绍了我们使用ChatGPT为费城原型患者获得SDOH管理建议的经验，PA.ChatGPT确定了相关的SDOH资源，并为当地组织提供了联系信息。未来的探索可以改进AI提示，并将AI集成到电子医疗记录中，以便在预约期间为医疗保健提供者提供实时的SDOH建议。
