P\u0159i spr\u00e1vn\u00e9m zach\u00e1zen\u00ed pomohou, p\u0159i \u0161patn\u00e9m u\u0161kod\u00ed
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Roboti praktick\u00e9ho l\u00e9ka\u0159e nenahrad\u00ed. Um\u011bl\u00e1 inteligence ale praktik\u016fm m\u016f\u017ee u\u0161et\u0159it \u010das a usnadnit chod ordinace. Pokud s n\u00ed nebudou um\u011bt zach\u00e1zet, m\u016f\u017ee jim pr\u00e1ci naopak zkomplikovat. Jak AI pronik\u00e1 do medic\u00edny, m\u011bn\u00ed pr\u00e1ci l\u00e9ka\u0159\u016f i p\u00e9\u010di o pacienty, a jak se na tyto zm\u011bny co nejl\u00e9pe p\u0159ipravit, budou diskutovat stovky praktik\u016f na XLV. v\u00fdro\u010dn\u00ed konferenci, kter\u00e1 startuje 4. listopadu v Karlov\u00fdch Varech. P\u0159i spr\u00e1vn\u00e9m zach\u00e1zen\u00ed pomohou, p\u0159i \u0161patn\u00e9m u\u0161kod\u00ed Roboti praktick\u00e9ho l\u00e9ka\u0159e nenahrad\u00ed. Um\u011bl\u00e1 inteligence ale praktik\u016fm m\u016f\u017ee u\u0161et\u0159it \u010das a usnadnit chod ordinace. Pokud s n\u00ed […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":56230,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-65603","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/65603","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=65603"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/65603\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/56230"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=65603"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=65603"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=65603"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\u201eNem\u016f\u017eeme ignorovat p\u0159ekotn\u00fd n\u00e1stup AI do v\u0161ech oblast\u00ed \u017eivota, toho l\u00e9ka\u0159sk\u00e9ho nevyj\u00edmaje. A trendu je t\u0159eba se p\u0159izp\u016fsobit a vyu\u017e\u00edt jej maxim\u00e1ln\u011b v n\u00e1\u0161 prosp\u011bch. Tak, aby n\u00e1m AI pomohla nap\u0159\u00edklad s administrativou a abychom um\u011bli reagovat na pacienty, kte\u0159\u00ed k n\u00e1m p\u0159ijdou s ji\u017e \u201ahotovou\u2018 diagn\u00f3zou,\u201c \u0159\u00edk\u00e1 doc. MUDr. Svatopluk B\u00fdma, CSc., p\u0159edseda Spole\u010dnosti v\u0161eobecn\u00e9ho l\u00e9ka\u0159stv\u00ed \u010cLS JEP.
Prezidentka programov\u00e9ho a organiza\u010dn\u00edho v\u00fdboru konference MUDr. Dana Morav\u010d\u00edkov\u00e1 vid\u00ed nejv\u011bt\u0161\u00ed p\u0159\u00ednos AI v mo\u017enosti usnadn\u011bn\u00ed pr\u00e1ce praktika s nekone\u010dn\u00fdm \u201epap\u00edrov\u00e1n\u00edm\u201c, kter\u00e9 ka\u017ed\u00e9mu z l\u00e9ka\u0159\u016f zabere a\u017e t\u0159etinu pracovn\u00ed doby. \u201eUm\u00edm si p\u0159edstavit, \u017ee n\u00e1m AI vyvinut\u00e1 speci\u00e1ln\u011b pro danou oblast zdravotnictv\u00ed pom\u016f\u017ee s hl\u00edd\u00e1n\u00edm r\u016fzn\u00fdch l\u00e9kov\u00fdch interakc\u00ed u konkr\u00e9tn\u00edho pacienta nebo se spr\u00e1vn\u00fdm d\u00e1vkov\u00e1n\u00edm l\u00e9k\u016f upraven\u00fdm na m\u00edru jeho zdravotn\u00edmu stavu. Zkr\u00e1tka, \u017ee bude p\u016fsobit jako vhodn\u00fd a pou\u017eiteln\u00fd asistent,\u201c pokra\u010duje praktick\u00e1 l\u00e9ka\u0159ka. Kde naopak vid\u00ed nebezpe\u010d\u00ed, je p\u0159\u00edli\u0161n\u00e1 d\u016fv\u011bra pacient\u016f v to, co jim \u201erobot\u201c \u0159ekne. \u201eD\u0159\u00edve to byl tzv. \u201adoktor Google\u2018 a nyn\u00ed p\u0159ich\u00e1z\u00ed \u201adoktor AI\u2018. Pacienti mohou mnohdy a\u017e naivn\u011b spol\u00e9hat na rady, kter\u00e9 jim um\u011bl\u00e1 inteligence vygeneruje, a ohrozit tak nejen sv\u00e9 zdrav\u00ed, ale i zkomplikovat l\u00e9ka\u0159i l\u00e9\u010dbu. Proto je zapot\u0159eb\u00ed zachovat si kritick\u00e9 my\u0161len\u00ed, uv\u011bdomit si nepopirateln\u00e1 omezen\u00ed AI, ale i jistou formu nebezpe\u010dnosti, kterou m\u016f\u017ee poskytnout, p\u0159i\u010dem\u017e za sv\u00e9 \u201adiagn\u00f3zy\u2018 nenese \u017e\u00e1dnou odpov\u011bdnost. V\u011b\u0159\u00edm proto, \u017ee i do budoucna bude \u00fasp\u011b\u0161nost l\u00e9\u010dby v\u017edy z\u00e1viset na vzd\u011blanosti a praktick\u00fdch zku\u0161enostech skute\u010dn\u00e9ho, kriticky p\u0159em\u00fd\u0161lej\u00edc\u00edho l\u00e9ka\u0159e, kter\u00fd AI bude u\u017e\u00edvat jen jako pot\u0159ebn\u00e9ho pomocn\u00edka,\u201c dod\u00e1v\u00e1 MUDr. Morav\u010d\u00edkov\u00e1.
Na to, co lze od nov\u00fdch model\u016f AI \u010dekat, p\u0159ipravuje l\u00e9ka\u0159e MUDr. Pavel Sova, \u010dlen pracovn\u00ed skupiny pro digitalizaci \u010cesk\u00e9 l\u00e9ka\u0159sk\u00e9 komory. \u201eAI m\u016f\u017ee p\u0159evz\u00edt v\u00fdznamnou \u010d\u00e1st rutinn\u00ed administrativn\u00ed pr\u00e1ce a pom\u00e1hat l\u00e9ka\u0159\u016fm p\u0159i klinick\u00e9m rozhodov\u00e1n\u00ed. Nem\u016f\u017ee v\u0161ak plnohodnotn\u011b nahradit lidsk\u00fd kontakt, odpov\u011bdnost l\u00e9ka\u0159e ani jeho schopnost posoudit konkr\u00e9tn\u00edho pacienta v \u0161ir\u0161\u00edch souvislostech,\u201c vysv\u011btluje MUDr. Sova.
Pacienti u\u017e nyn\u00ed vyu\u017e\u00edvaj\u00ed AI k hled\u00e1n\u00ed informac\u00ed o sv\u00e9m zdravotn\u00edm stavu, p\u00ed\u0161ou j\u00ed p\u0159\u00edznaky, nahr\u00e1vaj\u00ed l\u00e9ka\u0159sk\u00e9 zpr\u00e1vy. Do ordinac\u00ed tak n\u011bkdy p\u0159ich\u00e1zej\u00ed s vlastn\u00ed p\u0159edstavou o diagn\u00f3ze \u010di mo\u017enostech l\u00e9\u010dby. \u201eZ\u00e1jem pacienta o vlastn\u00ed zdrav\u00ed bychom m\u011bli p\u0159edev\u0161\u00edm ocenit, nikoliv kritizovat. Na\u0161\u00edm \u00fakolem je vysv\u011btlit mu limity, ale i mo\u017enosti smyslupln\u00e9ho vyu\u017eit\u00ed AI. Doporu\u010dit d\u016fv\u011bryhodn\u00e9 zdroje informac\u00ed a nau\u010dit ho s t\u011bmito n\u00e1stroji spr\u00e1vn\u011b pracovat. Pacient si tak nap\u0159\u00edklad m\u016f\u017ee p\u0159ed n\u00e1v\u0161t\u011bvou ordinace pomoc\u00ed AI p\u0159ipravit strukturovanou anamn\u00e9zu nebo \u010dasovou osu sv\u00fdch obt\u00ed\u017e\u00ed. L\u00e9ka\u0159i to m\u016f\u017ee u\u0161et\u0159it \u010das a aktivn\u011bj\u0161\u00ed zapojen\u00ed pacienta m\u016f\u017ee p\u0159isp\u011bt i k lep\u0161\u00ed adherenci k l\u00e9\u010db\u011b,\u201c \u0159\u00edk\u00e1 praktick\u00fd l\u00e9ka\u0159 MUDr. Sova. Upozor\u0148uje tak\u00e9, \u017ee jazykov\u00e9 modely, jako jsou ChatGPT, Gemini \u010di Claude, dok\u00e1\u017eou formulovat odpov\u011bdi velmi p\u0159esv\u011bd\u010div\u011b, a to
i v p\u0159\u00edpadech, kdy jsou nep\u0159esn\u00e9, nebo dokonce chybn\u00e9. Jejich sebejist\u00fd zp\u016fsob vyjad\u0159ov\u00e1n\u00ed tak m\u016f\u017ee u pacient\u016f vyvolat fale\u0161n\u00fd dojem odbornosti a spolehlivosti poskytovan\u00fdch informac\u00ed.
\u201eVe\u0159ejn\u00e9 modely um\u011bl\u00e9 inteligence zpravidla nemaj\u00ed a ani by nem\u011bly m\u00edt k dispozici kompletn\u00ed zdravotn\u00ed historii pacienta. Nejde o certifikovan\u00e9 diagnostick\u00e9 n\u00e1stroje, a nelze proto zaru\u010dit spr\u00e1vnost jejich z\u00e1v\u011br\u016f. Mohou p\u0159ehl\u00e9dnout d\u016fle\u017eit\u00e9 souvislosti nebo poskytovat zastaral\u00e9, nep\u0159esn\u00e9 \u010di zcela smy\u0161len\u00e9 informace, kter\u00e9 p\u0159itom zn\u011bj\u00ed velmi p\u0159esv\u011bd\u010div\u011b. Pokud jim pacient bezv\u00fdhradn\u011b uv\u011b\u0159\u00ed a nap\u0159\u00edklad odlo\u017e\u00ed n\u00e1v\u0161t\u011bvu l\u00e9ka\u0159e, m\u016f\u017ee to m\u00edt z\u00e1va\u017en\u00e9, n\u011bkdy i \u017eivot ohro\u017euj\u00edc\u00ed n\u00e1sledky,\u201c popisuje MUDr. Sova.
\u201eAI n\u011bkdy m\u00edch\u00e1 realitu s fikc\u00ed \u2013 m\u016f\u017ee pacientovi p\u0159isoudit diagn\u00f3zu, kterou nem\u00e1, nebo si dokonce vymyslet citaci \u010di odkaz na neexistuj\u00edc\u00ed odborn\u00fd \u010dl\u00e1nek. Tomuto jevu \u0159\u00edk\u00e1me halucinace. Jazykov\u00fd model toti\u017e nefunguje jako knihovna ov\u011b\u0159en\u00fdch fakt\u016f. Sp\u00ed\u0161e p\u0159ipom\u00edn\u00e1 knihovn\u00edka, kter\u00fd p\u0159e\u010detl obrovsk\u00e9 mno\u017estv\u00ed knih a na z\u00e1klad\u011b toho, co se z nich nau\u010dil, se sna\u017e\u00ed sestavit odpov\u011b\u010f na na\u0161i ot\u00e1zku. Pokud ale n\u011bco nev\u00ed, m\u016f\u017ee si chyb\u011bj\u00edc\u00ed informace domyslet. V\u00fdsledkem tak m\u016f\u017ee b\u00fdt velmi p\u0159esv\u011bd\u010div\u00fd nesmysl.\u201c L\u00e9ka\u0159i tak\u00e9 upozor\u0148uj\u00ed na nebezpe\u010dnou praxi, kdy pacienti nahr\u00e1vaj\u00ed do ve\u0159ejn\u00fdch chatbot\u016f sv\u00e9 l\u00e9ka\u0159sk\u00e9 zpr\u00e1vy, a sd\u00edlej\u00ed tak citliv\u00e9 zdravotn\u00ed \u00fadaje. \u201eVe\u0159ejn\u011b dostupn\u00e9 AI n\u00e1stroje nejsou chr\u00e1n\u011bny re\u017eimem l\u00e9ka\u0159sk\u00e9ho tajemstv\u00ed,\u201c p\u0159ipom\u00edn\u00e1 MUDr. Sova.
Um\u011bl\u00e1 inteligence v\u0161ak m\u016f\u017ee b\u00fdt podobn\u011b jako jin\u00e9 technologie tak\u00e9 zneu\u017eita. \u201eAI dnes dok\u00e1\u017ee vytv\u00e1\u0159et velmi v\u011brohodn\u011b p\u016fsob\u00edc\u00ed texty i obrazov\u00e9 materi\u00e1ly, v\u010detn\u011b fale\u0161n\u00fdch l\u00e9ka\u0159sk\u00fdch zpr\u00e1v nebo fotografi\u00ed zdravotn\u00edch n\u00e1lez\u016f. M\u016f\u017ee tak\u00e9 pomoci vytvo\u0159it p\u0159esv\u011bd\u010div\u00fd, ale zcela smy\u0161len\u00fd popis zdravotn\u00edch obt\u00ed\u017e\u00ed. I proto je d\u016fle\u017eit\u00e9, aby l\u00e9ka\u0159i k p\u0159edlo\u017een\u00fdm informac\u00edm p\u0159istupovali kriticky a v p\u0159\u00edpad\u011b pochybnost\u00ed ov\u011b\u0159ovali jejich pravost,\u201c dopl\u0148uje l\u00e9ka\u0159.
V\u00edce informac\u00ed je k dispozici na https:\/\/www.instagram.com\/spolecnostvseobecneholekarstvi\/<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"