Your.MD Ltd, London, United Kingdom.
Health Services and Population Research, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
J Med Internet Res. 2022 Jun 24;24(6):e37209. doi: 10.2196/37209.
Triage errors are a major concern in health care due to resulting harmful delays in treatments or inappropriate allocation of resources. With the increasing popularity of digital symptom checkers in pre-primary care settings, and amid claims that artificial intelligence outperforms doctors, the accuracy of triage by digital symptom checkers is ever more scrutinized. This paper examines the context and challenges of triage in primary care, pre-primary care, and emergency care, as well as reviews existing evidence on the prevalence of triage errors in all three settings. Implications for development, research, and practice are highlighted, and recommendations are made on how digital symptom checkers should be best positioned.
分诊错误是医疗保健中的一个主要关注点,因为这会导致治疗延误或资源分配不当。随着数字症状检查器在初级保健环境中的日益普及,以及声称人工智能优于医生的说法,数字症状检查器的分诊准确性受到了更多的关注。本文研究了初级保健、初级保健前和急救护理中的分诊背景和挑战,并回顾了所有这三个环境中分诊错误的普遍存在的现有证据。本文强调了对发展、研究和实践的影响,并就数字症状检查器的最佳定位提出了建议。