从ChatGPT4.O到DeepSeek-R1：人工智能在医疗卫生领域应用的革新场景和伦理治理范式转变

[关键词]DeepSeek;ChatGPT；医疗卫生；伦理风险

[中图分类号]R-052 [文献标志码]A [文章编号]1001-8565（2026)03-0300-07

DOI:10.12026/j.issn.1001-8565.2026.03.03

From Chat Generative Pre-trained Transformer 4.0 to DeepSeek-R1: Innovative scenarios and ethical governance paradigm shift of artificial intelligence applications in the field of medical and health care

WANG Shaoyuan, LI Meng (SchoolofMarxism,ShanxiMedical University，Taiyuan O3oool,China)

Abstract: The iterative evolution of artificial inteligence（AI） technology is reshaping the global healthcare system.From the foundational large modelof Chat Generative Pre-trained Transformer（ChatGPT） 4.O to the in-depth adaptation of DeepSeek-R1，AI technology is triggering paradigm shifts across four core domains, including pharmaceutical research and development，personalized diagnosis and treatment，primary healthcare, and the secure application of medical data.Nevertheless，while AI technology becomes deeply embedded n the fieldof medical and health care，it has also brought about ethical risk changes，such as“exacerbated risks of model hallucination” in pharmaceutical research and development，“weakened autonomous judgment capabilities”in personalized diagnosis and treatment，“prominent human-machine collaboration conflicts” in primary healthcare，and“deepened infringement upon sensitive information” in health management. In view ofthis，this paper focused on four dimensions of current ethical risk changes in the field of medical and health care and proposed coresponding risk governance strategies. This is of crucial significance for constructing a novel human-machine collaborative medical ethics paradigm and refining the global digital medical governance system.

Keywords: DeepSeek；Chat Generative Pre-trained Transformer;medical and health care;ethical risk

人工智能技术的代际跃迁正以前所未有的速度重构全球医疗卫生体系的技术生态。（剩余12168字）