University of Duisburg-Essen, Germany.
University of Edinburgh, Scotland.
Health Informatics J. 2021 Jan-Mar;27(1):1460458221994861. doi: 10.1177/1460458221994861.
Within the anamnesis, medical information is frequently withheld, incomplete, or incorrect, potentially causing negative consequences for the patient. The use of conversational agents (CAs), computer-based systems using natural language to interact with humans, may mitigate this problem. The present research examines whether CAs differ from physicians in their ability to elicit truthful disclosure and discourage concealment of medical information. We conducted an online questionnaire with German participants ( = 148) to assess their willingness to reveal medical information. The results indicate that patients would rather disclose medical information to a physician than to a CA; there was no difference in the tendency to conceal information. This research offers a frame of reference for future research on applying CAs during the anamnesis to support physicians. From a practical view, physicians might gain better understanding of how the use of CAs can facilitate the anamnesis.
在病史采集过程中，医学信息经常被隐瞒、不完整或不正确，这可能给患者带来负面后果。使用会话代理（CA），即使用自然语言与人类进行交互的基于计算机的系统，可以缓解这个问题。本研究旨在探讨 CA 在引出真实披露和抑制隐瞒医疗信息方面是否与医生有所不同。我们使用德语参与者（n=148）进行了一项在线问卷调查，以评估他们透露医疗信息的意愿。结果表明，患者更愿意向医生而不是 CA 透露医疗信息；在隐瞒信息的倾向方面没有差异。这项研究为未来在病史采集过程中应用 CA 以支持医生提供了一个参考框架。从实际的角度来看，医生可能会更好地了解如何使用 CA 来促进病史采集。
