AI能看病吗？百度健康引入超15万真人医生托底，还可加号

南方都市报10-25 08:42

“一上午接诊30位患者，其中25人是带着AI诊断结论来的。”几个月前，一位医生的感慨引起了不少同行的共鸣。当越来越多患者带着AI来“对答案”，医生们能招架得住吗？AI真的能看病吗？怎么让健康的每一步走得靠谱？　　10月24日，百度健康宣布升级文心健康管家，发布“好医矩阵”和“健康相机”，其中好医矩阵包括“好医答、好医加号、好医说、好医榜、好医评”等多项功能，旨在实现AI+真人医生在线问诊与线下就诊...

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Baidu Health has introduced over 150,000 real doctors to provide a safety net, and you can also add appointments.","themeId":null,"isJumpTheme":false,"ttsUrl":null,"symbols_score_info":{"89888":0.6,"TCHI":0.6,"09888":1.93,"BIDU":1.93},"content_text":"“一上午接诊30位患者，其中25人是带着AI诊断结论来的。”几个月前，一位医生的感慨引起了不少同行的共鸣。当越来越多患者带着AI来“对答案”，医生们能招架得住吗？AI真的能看病吗？怎么让健康的每一步走得靠谱？　　10月24日，百度健康宣布升级文心健康管家，发布“好医矩阵”和“健康相机”，其中好医矩阵包括“好医答、好医加号、好医说、好医榜、好医评”等多项功能，旨在实现AI+真人医生在线问诊与线下就诊等全流程医疗服务的闭环。　　南都记者从发布会上获悉，百度健康首度披露AI用户规模，其月活跃用户已超过5000万，日服务单量达到1100万+。百度健康总经理杨明璐表示，百度健康将持续投入“AI+真人”模式，让诊疗的决定权始终掌握在专业医生手中，AI赋能但不替代，辅助但不主导，让健康的每一步都有医靠。　　AI能做很多辅助医疗的事，但医生才能给患者“定心丸”　　当算法碰上医生，会遇到什么情况？一个越来越普遍的现象是，很多患者带着AI生成的答案来面诊。　　10月24日，在百度健康举办的一场“致敬医者”的主题活动上，北京市怀柔区中医院中医内科主治医师郑志忠谈到，AI进入诊室，虽然给医生增加了沟通的工作量，但影响不大。最担心的是：患者轻信AI的结论，而不是问医生。　　他说，近来患者带着AI生成内容来门诊咨询的比例在提升，由此医生需要花费不少时间答疑，详细介绍治疗方案、开具的药方及药性、解释为什么跟AI生成的内容不同等等。后续，患者还可能拿着医生的诊断结果再询问AI，并向医生反复求证。　　当医院诊室变成“AI答辩场”，郑志忠从中看到了患者的就诊焦虑：一方面希望AI帮助他们看懂症状、提前了解与病情相关的医疗知识、知道怎么跟医生沟通等；另一方面也反映了来就诊的患者对AI的不信任，对它生成的内容的不放心。　　南都记者发现，一些观点认为，患者拿着AI来对账，是在挑战医生权威、会削弱医患信任，不少医生对此持不同意见。当天会上，包括郑志忠在内的多位医生强调，AI能起到辅助医疗的作用——比如，给患者提供就医参考意见；可在预问诊阶段帮助医生收集症状、用户信息；或在诊后提醒患者随访、按时用药等，但最终的诊断、治疗、判断风险的权利，应当始终握在医生手里。　　北京佑安医院感染内科主任医师李侗曾在会上提到，很多患者询问AI得到的往往是模糊的建议，而且AI生成内容一般偏谨慎，听完反而可能让人更担忧。此时，就需要医生作出更肯定的诊断和治疗方案，给患者一颗“定心丸”。　　患者“问的不专业”，是通用AI在健康医疗应用面临的一道坎。李侗曾发现，一些患者找AI“看病”时，未提供年龄、病史、用药情况等信息，那么AI给的建议自然不够准确。此外，AI未必知道人类思维的多样性。他举例，有一位疑似鹦鹉热的患者来就诊。当医生问道：“家里是否养动物？”对方答道：“没有”。但当医生进一步追问：“家里养鹦鹉吗”，这时却得到了肯定的答案。　　首都医科大学附属北京回龙观医院党委书记杨甫德在下午的圆桌讨论中谈到，患者拿着AI生成的内容走进诊室，对医患沟通既是挑战也是机遇。看病前先问AI，说明患者很重视健康问题，但应当警惕的是——AI的表达流畅、逻辑清晰，很容易让用户过于相信AI作出的结论，而且AI生成的内容可能失真。　　杨甫德是一名擅长各种精神障碍、精神药物治疗、心理治疗的医生。他说，精神心理疾病目前缺乏客观量化指标。一些心理障碍患者的表达本身可能不太清晰，如果AI将此转化成专业化的表述，则会形成具有倾向性和误导性的结论，甚至影响医生判断。　　在他看来，“AI可以做很多事情，但医生的责任一点不能少——医生要有专业精神和专业信念，承担诊断治疗决策的责任”。　　1亿元现金、2万亿推理Token，打造好医联盟　　AI再聪明，背后离不开人的托底，如何让健康的每一步走得靠谱？　　10月24日，南都记者从会上获悉，百度健康宣布升级文心健康管家，并发布全网首发健康动态视频识别的健康相机和好医矩阵，包括“好医答、好医加号、好医说、好医榜、好医评”等多项功能，旨在实现AI+真人医生在线问诊与线下就诊等全流程医疗服务的闭环。　　具体而言，针对患者“问的不专业”的痛点，“健康相机”可支持用户打字、方言语音、拍照问诊。据百度健康介绍，这是全网首个支持直接拍摄视频上传、边拍边说，基于健康相机动态视频识别的多模能力，动态体征、多发症状位置关系都能一目了然。　　对于AI“答的不放心”的问题，百度健康给出的解法是“好医答咨询室”，引入真人医生专业把关，让健康问题有好医托底。　　据介绍，好医答咨询室入驻了15万+全三甲真人医生，为用户提供7×24小时在线的真人医生问诊服务，最快1分钟即可响应。目前，好医答已经全部覆盖皮肤科、内科、中医科、妇科等四大主流科室，全部能力限时免费开放体验，用户可在百度App搜索“百度健康”或相关健康问题，直达好医答入口。　　百度健康还尝试打通就医的最后一公里，把患者带进医生诊室。其推出的“好医加号”支持最长30天的长周期预约，已覆盖80%以上的公立三甲医院。目前，好医加号已有5万多名医生开通，每天提供超过12万个加班号源，加号通过率达到70%，累计帮助用户成功加号近600万次。　　当天会上，百度健康还正式启动“好医联盟”，设立亿级专项预算，为好医联盟提供资源保障。面向医生，百度健康投入1亿元现金扶持，打造百大优质医生IP，赋能万名医生的平台品牌建设；面向医学会与医师专家团体，投入2万亿推理Token算力资源，携手共建1000类疾病的Skill，助力学术成果沉淀、推动专业医学认知普惠，放大学术影响力。面向医院，百度健康通过智慧医院2.0方案，赋能100家医院完成智慧化升级，助力800万精准患者匹配到院。　　百度健康医生服务部总经理李杰表示，AI赋能的价值，让医生在关键环节提供专业把关，并把服务延伸至真实就医场景。百度健康将持续以好医联盟为纽带，把优质医疗送到更需要的地方，让每一次连接都成为信任的开始。（文章来源：南方都市报）","kind":"news","is_publish_news":true,"is_publish_highlight":false,"is_publish_live":false,"is_publish_wemedia":false,"editions":null,"column":"","sentiment":"0","news_tag":"","news_rank":0,"isVideo":false,"video":null,"symbols":[],"gpt_button":1,"need_auth":false,"need_login_tip":false,"code":"91000000","status":"200"},"commentList":[],"isCommentEnd":true,"newsSizeData":{"likeSize":0,"commentSize":0,"repostSize":0,"favoriteSize":0,"likeStatus":false,"favoriteStatus":false},"APP":{"userAgent":"Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)","isDev":false,"isTTM":false,"isLaohu8Offline":false,"tenantId":"TBCN","deviceId":"web-server-community-laohu8-v3","version":"4.52.0","shortVersion":"4.52.0","platform":"web","vendor":"web","appName":"laohu8","isIOS":false,"isAndroid":false,"isTiger":false,"isTHS":false,"isWeiXin":false,"isWeiXinMini":false,"isWeiBo":false,"isQQ":false,"isBaiduSwan":false,"isBaiduBox":false,"isDingTalk":false,"isToutiao":false,"isOnePlus":false,"isHuaWei":false,"isXiaomi":false,"isXiaomiWebView":false,"isOppo":false,"isVivo":false,"isSamsung":false,"isMobile":false},"href":"/m/news/2678010186","isCrawlerRequest":true}