Nilsen Per, Reed Julie, Nair Monika, Savage Carl, Macrae Carl, Barlow James, Svedberg Petra, Larsson Ingrid, Lundgren Lina, Nygren Jens
School of Health and Welfare, Halmstad University, Halmstad, Sweden.
Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Front Health Serv. 2022 Sep 15;2:961475. doi: 10.3389/frhs.2022.961475. eCollection 2022.
Artificial intelligence (AI) is widely seen as critical for tackling fundamental challenges faced by health systems. However, research is scant on the factors that influence the implementation and routine use of AI in healthcare, how AI may interact with the context in which it is implemented, and how it can contribute to wider health system goals. We propose that AI development can benefit from knowledge generated in four scientific fields: intervention, innovation, implementation and improvement sciences.
The aim of this paper is to briefly describe the four fields and to identify potentially relevant knowledge from these fields that can be utilized for understanding and/or facilitating the use of AI in healthcare. The paper is based on the authors' experience and expertise in intervention, innovation, implementation, and improvement sciences, and a selective literature review.
The four fields have generated a wealth of often-overlapping knowledge, some of which we propose has considerable relevance for understanding and/or facilitating the use of AI in healthcare.
Knowledge derived from intervention, innovation, implementation, and improvement sciences provides a head start for research on the use of AI in healthcare, yet the extent to which this knowledge can be repurposed in AI studies cannot be taken for granted. Thus, when taking advantage of insights in the four fields, it is important to also be explorative and use inductive research approaches to generate knowledge that can contribute toward realizing the potential of AI in healthcare.
人工智能(AI)被广泛视为应对卫生系统面临的根本性挑战的关键要素。然而,关于影响人工智能在医疗保健领域的实施和常规使用的因素、人工智能如何与实施环境相互作用以及它如何有助于实现更广泛的卫生系统目标的研究却很少。我们认为,人工智能的发展可以从四个科学领域所产生的知识中受益:干预科学、创新科学、实施科学和改进科学。
本文的目的是简要描述这四个领域,并从这些领域中识别出可能相关的知识,这些知识可用于理解和/或促进人工智能在医疗保健中的应用。本文基于作者在干预科学、创新科学、实施科学和改进科学方面的经验和专业知识,以及一次选择性的文献综述。
这四个领域已经产生了大量经常重叠的知识,我们认为其中一些知识对于理解和/或促进人工智能在医疗保健中的应用具有相当重要的意义。
从干预科学、创新科学、实施科学和改进科学中获得的知识为人工智能在医疗保健领域的应用研究提供了一个良好的开端,但这些知识在人工智能研究中能够被重新利用的程度不能被视为理所当然。因此,在利用这四个领域的见解时,同样重要的是要具有探索性,并使用归纳研究方法来生成有助于实现人工智能在医疗保健领域潜力的知识。