Volume 23 Issue 5
May  2025
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TIAN Tian, ZHANG Fei, ZHANG Xuan, WANG Jiahe. Research on the application of artificial intelligence technology based on ChatGPT in general medical services[J]. Chinese Journal of General Practice, 2025, 23(5): 721-725. doi: 10.16766/j.cnki.issn.1674-4152.003988
Citation: TIAN Tian, ZHANG Fei, ZHANG Xuan, WANG Jiahe. Research on the application of artificial intelligence technology based on ChatGPT in general medical services[J]. Chinese Journal of General Practice, 2025, 23(5): 721-725. doi: 10.16766/j.cnki.issn.1674-4152.003988

Research on the application of artificial intelligence technology based on ChatGPT in general medical services

doi: 10.16766/j.cnki.issn.1674-4152.003988
Funds:

 SJKF-2022ZD04

  • Received Date: 2024-05-28
    Available Online: 2025-08-14
  • In the contemporary era, characterized by accelerated advancements in information technology, the field of artificial intelligence (AI) in healthcare has emerged as a prominent area of research focus. Conversational generative models, such as ChatGPT, offer innovative solutions to improve the efficiency and quality of medical services through their powerful information processing and natural language interaction capabilities. This study systematically investigates the potential of ChatGPT in general practice, exploring strategies and challenges for integrating it into the workflow of general practitioners, and evaluating its impact on optimizing healthcare service quality. The findings indicate that ChatGPT has advantages in medical knowledge updating, clinical decision support and patient health management. Specifically, the development of personalized medical information delivery systems and intelligent patient data processing platforms has the potential to alleviate the workload of general practitioners. The In-Context Learning (ICL) capability of ChatGPT has been demonstrated to align with physicians' needs with a high degree of precision, while its automated medical record summarization function has been shown to substantially improve diagnostic efficiency. In order to achieve effective integrations, it must adhere to principles of human. The emphasis is on the auxiliary role of AI, with particular reference to collaboration, date security and system sustainability. It is recommended that future research place a priority on the optimization of algorithms, the development of privacy protection mechanisms, and the establishment of interdisciplinary collaboration models. These measures are considered essential for the advancement of deep integration and precise application of AI technologies in general practice.

     

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  • [1]
    刘春, 蹇文渊, 段俊国. 人工智能在年龄相关性黄斑变性领域的研究进展[J]. 中国现代医学杂志, 2023, 33(11): 62-68.

    LIU C, JIAN W Y, DUAN J G. Research progress of artificial intelligence in field of age-related macular degeneration[J]. China Journal of Modern Medicine, 2023, 33(11): 62-68.
    [2]
    窦维佳, 康林, 刘喜, 等. 人工智能技术在早期胃癌内镜诊断中的应用进展[J]. 中国现代医学杂志, 2023, 33(6): 37-42.

    DOU W J, KANG L, LIU X, et al. Advances in the application of artificial intelligence in the endoscopic diagnosis of early gastric cancer[J]. China Journal of Modern Medicine, 2023, 33(6): 37-42.
    [3]
    袁波, 代华, 伍佳, 等. 人工智能在全科医学领域的应用[J]. 中华全科医学, 2021, 19(9): 1433-1436, 1572. doi: 10.16766/j.cnki.issn.1674-4152.002079

    YUAN B, DAI H, WU J, et al. Application of artificial intelligence applications in general practice[J]. Chinese Journal of General Practice, 2021, 19(9): 1433-1436, 1572. doi: 10.16766/j.cnki.issn.1674-4152.002079
    [4]
    陈国湘, 李俊, 韦华, 等. 基于人工智能技术的全科医生培养模式探索[J]. 中华全科医学, 2021, 19(2): 167-170. doi: 10.16766/j.cnki.issn.1674-4152.001758

    CHEH G X, LI J, WEI H, et al. Exploration of general practitioner training model based on artificial intelligence technology[J]. Chinese Journal of General Practice, 2021, 19(2): 167-170. doi: 10.16766/j.cnki.issn.1674-4152.001758
    [5]
    胡佳敏, 邱艳, 任菁菁. AI在基层医疗慢性病管理中的应用研究进展[J]. 中华全科医学, 2024, 22(3): 481-485. doi: 10.16766/j.cnki.issn.1674-4152.003431

    HU J M, QIU Y, REN J J. Advances in the application of AI in chronic disease management in primary care[J]. Chinese Journal of General Practice, 2024, 22(3): 481-485. doi: 10.16766/j.cnki.issn.1674-4152.003431
    [6]
    WU T, HE S, LIU J, et al. A brief overview of ChatGPT: the history, status quo and potential future development[J]. Ieee-caa J Automatic, 2023, 10(5): 1122-1136.
    [7]
    RUKSAKULPIWAT S, KUMAR A, AJIBADE A. Using ChatGPT in medical research: current tatus and uture directions[J]. J Multidiscip Health, 2023, 16: 1513-1520.
    [8]
    蒋伟萍, 陈远虹, 张晓芒, 等. 上海市杨浦区全科临床质量控制考核结果分析[J]. 中华全科医学, 2022, 20(6): 1000-1002. doi: 10.16766/j.cnki.issn.1674-4152.002509

    JIANG W P, CHEN Y H, ZHANG X M, et al. Analysis of assessment results of general practice clinical quality control in Yangpu District, Shanghai[J]. Chinese Journal of General Practice, 2022, 20(6): 1000-1002. doi: 10.16766/j.cnki.issn.1674-4152.002509
    [9]
    安康, 张林, 毛婷睿, 等. 卓越全科医学专科医师规范化培训方案的探索与实践[J]. 四川大学学报(医学版), 2022, 53(3): 431-436.

    AN K, ZHANG L, MAO T R, et al. Exploration and practice of specialty training program in general practice[J]. Journal of Sichuan University (Medical Sciences), 2022, 53(3): 431-436.
    [10]
    何武, 平文俊, 张鑫宇, 等. 中国社区全科医生工作压力现状及其影响因素研究[J]. 中国全科医学, 2021, 24(28): 3590.

    HE W, PING W J, ZHANG X Y, et al. Status and influencing factors of work stress among Chinese general practitioners[J]. Chinese General Practice, 2021, 24(28): 3590.
    [11]
    金沈樱, 任天成. 某综合医院全科医学科住院患者疾病谱分析及其对全科医生的培训价值[J]. 中国毕业后医学教育, 2023, 7(9): 730-734.

    JIN S Y, REN T C. Disease spectrum analysis of inpatients in the General Practice Department of a general hospital and its value for general practitioners training[J]. Chinese Journal of Graduate Medical Education, 2023, 7(9): 730-734.
    [12]
    SHI J, CHI C, GONG X, et al. Examining health disparities and characteristics in general practice utilization: based on outpatient data from 2014-2018 in Shanghai[J]. BMC Fam Pract, 2020, 21: 1-12.
    [13]
    王剑强. 未分化疾病的全科诊疗思维与策略[J]. 中华全科医学, 2023, 21(3): 485-489. doi: 10.16766/j.cnki.issn.1674-4152.002913

    WANG J Q. General practice thinking and strategy of diagnosis and treatment of undifferentiated diseas[J]. Chinese Journal of General Practice, 2023, 21(3): 485-489. doi: 10.16766/j.cnki.issn.1674-4152.002913
    [14]
    常园园, 徐鸿彬, 乔岩, 等. 国外家庭医生签约服务及其对我国的启示[J]. 中国卫生政策研究, 2020, 13(5): 50-53.

    CHANG Y Y, XU H B, QIAO Y, et al. Study on the foreign general practitioners' contract-signing services and its enlightenment to China[J]. Chinese Journal of Health Policy, 2020, 13(5): 50-53.
    [15]
    BOMMASANI R, LIANG P, LEE T. Holistic evaluation of language models[J]. Ann N Y Acad Sci, 2023, 1525(1): 140-146.
    [16]
    KUNG T H, CHEATHAM M, MEDENILLA A, et al. Performance of ChatGPT on USMLE: potential for AI-assisted medical education using large language models[J]. PLoS Digital Health, 2023, 2(2): e0000198. DOI: 10.1371/journal.pdig.0000198.
    [17]
    GILSON A, SAFRANEK C W, HUANG T, et al. How does ChatGPT perform on the United States Medical Licensing Examination (USMLE)? The implications of large language models for medical education and knowledge assessment[J]. JMIR Medical Education, 2023, 9(1): e45312. DOI: 10.2196/45312.
    [18]
    WU T, HE S, LIU J, et al. A brief overview of ChatGPT: The history, status quo and potential future development[J/OL]. Ieee-caa J Automatic, 2023, 10(5): 1122-1136.
    [19]
    QIU X, SUN T, XU Y, et al. Pre-trained models for natural language processing: a survey[J]. Sci China Technol Sci, 2020, 63(10): 1872-1897.
    [20]
    SⅡNO M, FALCO M, CROCE D, et al. Exploring LLMs applications in law: a literature review on current legal NLP approaches[J]. IEEE Access, 2025, 13: 18253-18276.
    [21]
    KITAMURA F C. ChatGPT is shaping the future of medical writing but still requires human judgment[J]. Radiology, 2023, 307(2): e230171. DOI: 10.1148/radiol.230171.
    [22]
    LOH E. ChatGPT and generative AI chatbots: challenges and opportunities for science, medicine and medical leaders[J]. BMJ Lead, 2023, 8(1): e 000797. DOI: 10.1136/leader-2023-000797.
    [23]
    BAKER H P, DWYER E, KALIDOSS S, et al. ChatGPT' s ability to assist with clinical documentation: a randomized controlled trial[J]. J Am Acad orthop Surg, 2024, 32(3): 123-129.
    [24]
    KANEDA Y, TAKITA M, HAMAKI T, et al. ChatGPT' s potential in enhancing physician efficiency: a Japanese case study[J]. Cureus, 2023, 15(11): e48235. DOI: 10.7759/cureus.48235.
    [25]
    HWANG T, AGGARWAL N, KHAN P Z, et al. Can ChatGPT assist authors with abstract writing in medical journals? Evaluating the quality of scientific abstracts generated by ChatGPT and original abstracts[J]. PLos One, 2024, 19(2): e0297701. DOI: 10.1371/journal.pone.0297701.
    [26]
    WANG H, WU W, DOU Z, et al. Performance and exploration of ChatGPT in medical examination, records and education in Chinese: pave the way for medical AI[J]. Int J Med Inf, 2023, 177: 105173. DOI: 10.1016/j.ijmedinf.2023.105173.
    [27]
    彭德荣, 陈晨, 石建伟, 等. 基于居民健康档案的新型社区卫生信息化整合平台构建与应用[J]. 中华全科医学, 2020, 18(4): 523-526, 541. doi: 10.16766/j.cnki.issn.1674-4152.001289

    PENG D R, CHEN C, SHI J W, et al. Construction and application of residents' health records based new community health information integration platform[J]. Chinese Journal of General Practice, 2020, 18(4): 523-526, 541. doi: 10.16766/j.cnki.issn.1674-4152.001289
    [28]
    LIU Y, YU M, JIANG M, et al. Creative research question generation for human-computer interaction research[C]. Joint Proceedings of the ACM IUI Workshops 2023, Sydney, Australia, 2023: 58-66.
    [29]
    杨辉. 医学中的全科医学: 从《柳叶刀》200年历史看现代医学中的全科医学发展(二): 麦克威尼论全科医学学科[J]. 中国全科医学, 2024, 27(3): 247-252.

    YANG H. General practice in medicine—Reflections of Lancet' s iconic texts at its millstone of 200 anniversary(2): Lan McWhinney' s general practice as an academic discipline[J]. Chinese General Practice, 2024, 27(3): 247-252.
    [30]
    ALI S R, DOBBS T D, HUTCHINGS H A, et al. Using ChatGPT to write patient clinic letters[J]. Lancet Digit Health, 2023, 5(4): e179-e181.
    [31]
    LYU Q, TAN J, ZAPADKA M E, et al. Translating radiology reports into plain language using ChatGPT and GPT-4 with prompt learning: results, limitations, and potential[J]. Vis Comput Ind Biomed Art, 2023, 6(1): 9. DOI: 10.1186/s42492-023-00136-5.
    [32]
    TSAI C H, KADIRE S, SREERAMDAS T, et al. Generating personalized pregnancy nutrition recommendations with GPT-powered AI chatbot. In: 20th International Conference on Information Systems for Crisis Response and Management[C]. 20th International Conference on Information Systems for Crisis Response and Management (ISCRAM), 2023: 263-271.
    [33]
    ARSLAN S. Exploring the potential of Chat GPT in personalized obesity treatment[J]. Ann Biomed Eng, 2023, 51(9): 1887-1888.
    [34]
    SNG G G R, TUNG J Y M, LIM D Y Z, et al. Potential and pitfalls of ChatGPT and natural-language artificial intelligence models for diabetes education[J]. Diabetes Care, 2023, 46(5): e103-e105.
    [35]
    ARSLAN S. Exploring the potential of Chat GPT in personalized obesity treatment[J]. Ann Biomed Eng, 2023, 51(9): 1887-1888.
    [36]
    侯应龙, 朱明琪, 宋启元, 等. ChatGPT之于临床医生是助手而非替手[J]. 医学与哲学, 2024, 45(14): 1-5.

    HOU Y L, ZHU M Q, SONG Q Y, et al. ChatGPT is an assistant to clinical doctors, not a substitute[J]. Medicine & Philosophy, 2024, 45(14): 1-5.
    [37]
    HUSSAIN T, WANG D K, LI B Q. Unveiling security, privacy, and ethical concerns of ChatGPT[J]. Acta Psychol (Amst), 2024, 246: 104264. DOI: 10.1016/j.actpsy.2024.104264.
    [38]
    GUPTA M, AKIRI C, ARYAL K, et al. From ChatGPT to ThreatGPT: impact of generative AI in cybersecurity and privacy[J]. IEEE Access, 2023, 11: 80218-80245. DOI: 10.1109/ACCESS.2023.3300381.
    [39]
    SANDERSON K. GPT-4 is here: what scientists think[J]. Nature, 2023, 615(7954): 773.
    [40]
    NAZIR A, WANG Z. A comprehensive survey of ChatGPT: advancements, applications, prospects, and challenges[J]. Meta-Radiology, 2023, 1(2): 100022. DOI: 10.1016/j.metrad.2023.100022.
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