近期，关于华山医院感染科主任张文宏医生拒绝将人工智能（AI）直接接入病历系统的言论引发广泛关注。张文宏并非反对AI技术本身，而是强调在医疗核心环节——尤其是涉及患者隐私和临床决策的病历系统中，必须保持高度谨慎。他指出，当前AI模型虽然在数据分析和辅助诊断方面展现出潜力，但其训练数据可能存在偏差，且缺乏对复杂临床情境的全面理解能力。若贸然将AI接入病历系统，不仅可能泄露患者敏感信息，还可能因算法误判影响诊疗质量，甚至带来法律与伦理风险。张文宏主张，AI应作为医生的辅助工具，而非替代者；在确保安全性、透明性和可解释性的前提下，逐步推进其在医疗场景中的应用。他的立场体现了对患者权益和医疗专业性的坚守，也提醒行业在拥抱技术的同时，不可忽视医学的人文本质与责任边界。
Recently, Dr. Zhang Wenhong, Director of the Department of Infectious Diseases at Huashan Hospital, drew widespread attention for his stance against directly integrating artificial intelligence (AI) into electronic medical record systems. Zhang is not opposed to AI technology per se, but emphasizes extreme caution when it comes to core clinical processes—especially those involving patient privacy and medical decision-making. He points out that while current AI models show promise in data analysis and diagnostic support, they may be trained on biased datasets and often lack a comprehensive understanding of complex clinical contexts. Prematurely connecting AI to medical record systems could risk exposing sensitive patient information or lead to algorithmic errors that compromise diagnosis and treatment, creating legal and ethical hazards. Zhang advocates for AI to serve as a supportive tool for physicians—not a replacement—and stresses that its integration into healthcare must proceed gradually, only after ensuring safety, transparency, and interpretability. His position reflects a steadfast commitment to patient rights and medical professionalism, reminding the industry that while embracing innovation, we must never overlook the humanistic essence and ethical responsibilities inherent in medicine.
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