2026年7月25日 / 美国东部时间早上6:00 / 哥伦比亚广播公司新闻（CBS News）
劳伦·菲希滕 数字记者
劳伦·菲希滕是哥伦比亚广播公司新闻的记者，报道人工智能、数字安全和网络极端主义议题。她从北卡罗来纳大学教堂山分校毕业后加入哥伦比亚广播公司新闻，此前曾担任哥伦比亚广播公司新闻国内编辑部副制片人。
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每周有数亿人向ChatGPT咨询健康建议，如今该平台专为这类用户增设了专属空间。
本周，OpenAI推出了“ChatGPT健康专区”，用户可在此上传化验结果、药物清单等医疗记录，还能连接苹果健康应用，允许平台获取自身健康与健身数据。
OpenAI周四在一份新闻稿中表示：“在获得您的许可后，ChatGPT现在可以利用您在健康应用中关联的相关信息，帮助您将新检测结果与过往检查结果进行对比，总结自上次就诊以来的身体变化，或探究睡眠、活动与锻炼如何影响日常作息。”
OpenAI称，每周已有3亿人通过ChatGPT咨询健康相关问题——康奈尔科技学院健康创新主管坦泽姆·乔杜里表示，这反映出美国医疗体系的现状。
“我们的医疗体系已经崩坏，”乔杜里在接受哥伦比亚广播公司新闻采访时说道，“我想这就是为什么会有如此多的人寻求人工智能建议。”
乔杜里在人工智能与健康交叉领域深耕超过15年，她表示，在许多美国人面临就医门槛的当下，人工智能可以成为医疗领域的民主化力量，但“我们必须考虑相关风险，并建立更好的保护机制”。
乔杜里指出，向人工智能寻求健康信息的用户需要了解，与ChatGPT这类大型语言模型共享个人数据存在风险与权衡。
人工智能可能会产生幻觉，给出误导性、不准确甚至危险的医疗建议。本周，一名佛罗里达州男子在诉讼中声称，他在出现肺栓塞后，ChatGPT给出的医疗建议险些导致其死亡。OpenAI一位发言人告诉哥伦比亚广播公司新闻：“ChatGPT并非医生，绝不应被用作医疗护理、诊断或治疗的替代品。”数月前，一名加州青少年在听信ChatGPT建议服用了致命混合药物后身亡。当时OpenAI在给哥伦比亚广播公司新闻的声明中表示：“这是令人心碎的事件，我们向受害者家属致以慰问。”并表示该版本的ChatGPT已不再对公众开放。
在周四发布的“ChatGPT健康专区”声明中，OpenAI提到ChatGPT可能会出错，“并不能替代合格医疗专业人员的诊疗与判断”。
哥伦比亚广播公司新闻已联系OpenAI置评，并询问ChatGPT是否具备识别何时应建议用户寻求医疗帮助的能力。
乔杜里表示，就目前而言，用户需要自行判断何时应将健康问题升级咨询专业医护人员，以及何时不应轻信聊天机器人给出的建议。
“这取决于用户自身的状态和做出正确决策的能力，”她补充道，部分用户——比如老年人或认知障碍患者——可能容易误解与聊天机器人互动的风险。
哥伦比亚大学计算机科学教授、计算与人工智能副院长维沙尔·米斯拉表示，除了信息不准确的可能性，向聊天机器人分享敏感且可能涉及个人隐私的信息也是用户需要考虑的问题。
“与任何人分享健康数据都存在的风险，在这里同样适用，”他在接受哥伦比亚广播公司新闻采访时说道，“你正在分享极其私密的内容。”
OpenAI称，全球各地的医生在“ChatGPT健康专区”上线前，协助开发了逼真的健康场景并进行了测试。该专区增设了额外保护措施，包括更强的加密防护，在执行关联插件操作（如发送邮件）前会向用户确认，确保操作符合用户的请求。OpenAI表示，用户分享给ChatGPT的记录不会被用于训练其模型或投放定向广告。
乔杜里指出，目前尚不清楚此类隐私政策是否具有永久性，以及这些数据在长期内可能被如何使用。人工智能公司过去曾悄悄更改服务条款，美国联邦贸易委员会（FTC）也曾就此提醒消费者注意共享数据的风险。
米斯拉表示，对部分用户而言，通过ChatGPT获取建议的好处可能超过风险，他还补充道，自己也曾使用ChatGPT帮助追踪部分个人健康数据。
“如果谨慎使用，这会是一件好事，因为它可以完成很多工作，”他说道，“它能发现或许连资深医生都可能忽略的关联信息。”
人工智能可以利用用户提供的数据，帮助用户长期追踪健康信息，随后这些信息可以分享给医生，帮助医生更全面地了解患者的健康状况。尽管ChatGPT可能提供有用信息，但米斯拉建议，不要将其当作医生看待——务必让真正的医生参与其中。
“无论它给出什么建议，都要带给实际接诊的医生，”他说道，“不要自行采取行动。你唯一应该做的，就是咨询你的主治医生。”
ChatGPT now has a space for sharing medical records. Should you?
July 25, 2026 / 6:00 AM EDT / CBS News
By Lauren Fichten Digital Reporter
Lauren Fichten is a journalist at CBS News covering artificial intelligence, digital safety and online extremism. She joined CBS News after graduating from UNC-Chapel Hill and was previously an associate producer at the CBS News National Desk.
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Hundreds of millions of people a week turn to ChatGPT for health advice, and now the platform has a dedicated space for those users.
This week, OpenAI rolled out Health in ChatGPT, where users can upload medical records such as lab results and medications, and connect Apple Health to allow the platform access to health and fitness data.
“With your permission, ChatGPT can now draw on relevant information you’ve connected in Health to help you compare a new result with prior tests, summarize changes since your last appointment, or explore how sleep, activity, and workouts relate to your routine,” OpenAI said Thursday in a news release.
OpenAI says 300 million people already turn to ChatGPT with health-related questions weekly — something that Tanzeem Choudhury, the chief of health innovation at Cornell Tech, says is reflective of the state of healthcare in the U.S.
“Our healthcare is broken,” Choudhury told CBS News. “I think that’s why we are seeing so many people asking for advice.”
Choudhury, who has been working at the intersection of artificial intelligence and health for more than 15 years, said AI can be a democratizing force in healthcare at a time when many Americans face barriers to access, but that “we just need to think about the risks and have better protections in place.”
Choudhury said users turning to AI for health information need to understand the risks and trade-offs associated with sharing personal data with a large language model such as ChatGPT.
AI can hallucinate and give misleading, inaccurate or even dangerous medical advice. This week, a Florida man alleged in a lawsuit that ChatGPT’s medical advice nearly led to his death after experiencing a pulmonary embolism. An OpenAI spokesperson told CBS News that “ChatGPT is not a doctor and should never be used as a substitute for medical care, diagnosis or treatment.” A few months ago, a California teenager died after ChatGPT told him it was safe to consume what turned out to be a fatal concoction of substances. OpenAI said in a statement to CBS News at the time that “this is a heartbreaking situation, and our thoughts are with the family,” and said that version of ChatGPT is no longer available to the public.
In its statement Thursday announcing Health in ChatGPT, OpenAI said ChatGPT can make mistakes and “does not replace the care and judgment of qualified medical professionals.”
CBS News has reached out to OpenAI for comment, and asked whether ChatGPT is equipped to recognize when to advise a user to seek help from a medical professional.
As it currently stands, Choudhury said, the onus is on the user to determine when to escalate concerns to a medical professional — and when not to trust advice given by a chatbot.
“It depends on the user’s state and capacity to actually make that right decision,” she said, adding that some users — such as a person who is elderly or cognitively impaired — might be susceptible to misunderstanding the risks of interacting with a chatbot.
Aside from a likelihood of inaccuracy, the issue of sharing sensitive, potentially deeply personal information with a chatbot is also something users should consider, said Vishal Misra, a Columbia University computer science professor and vice dean of computing and artificial intelligence.
“The same risks that exist sharing health data with anyone transfer here,” he told CBS News. “You are sharing something very personal.”
OpenAI said physicians around the world helped develop realistic health scenarios and test Health before its release. Health in ChatGPT contains extra safeguards, OpenAI said, including additional encryption protections, and will check in with users before taking action in a connected plugin, like sending an email, to make sure that it is properly matching the user’s request. OpenAI said records shared with ChatGPT will not be used to train its models or target ads.
Choudhury noted that it’s unclear whether privacy policies like this one are perpetual and how this data could be used in the long term. AI companies have quietly changed their terms of service in the past, with the FTC warning consumers about the risks of sharing data.
For some users, the benefits of turning to ChatGPT for advice might outweigh the risks, Misra said, adding that he has used ChatGPT to help track some of his own health data.
“It could be a good thing if done carefully because it can do a lot of things,” he said. “It can find connections that maybe a really competent physician might miss.”
Using data provided by a user, AI analysis can help users track their health information over time, which can then be shared with a physician to provide a more comprehensive picture of a patient’s health. While ChatGPT might provide helpful information, Misra says to resist treating it like a doctor — and to keep a real one in the loop.
“Whatever it says, take it to an actual human physician,” he said. “Do not act. The only action that you should take is to consult your physician.”
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