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人工智能在心肌梗死二级预防中的应用:对患者和医护人员观点的定性研究。

Artificial intelligence for secondary prevention of myocardial infarction: A qualitative study of patient and health professional perspectives.

作者信息

Pelly Melissa, Fatehi Farhad, Liew Danny, Verdejo-Garcia Antonio

机构信息

School of Psychological Sciences and Turner Institute for Brain and Mental Health, Monash University, Clayton, VIC 3800, Australia.

School of Public Health and Preventive Medicine, Monash University, Clayton, VIC 3800, Australia; The Alfred Hospital, 55 Commercial Rd, Melbourne, VIC 3800, Australia.

出版信息

Int J Med Inform. 2023 May;173:105041. doi: 10.1016/j.ijmedinf.2023.105041. Epub 2023 Mar 14.

Abstract

BACKGROUND

Artificial intelligence (AI) has potential to improve self-management of several chronic conditions. However, the perspective of patients and healthcare professionals regarding AI-enabled health management programs, which are key to successful implementation, remains poorly understood.

PURPOSE

To explore the opinions of people with a history of myocardial infarction (PHMI) and health professionals on the use of AI for secondary prevention of MI.

PROCEDURE

Three rounds of focus groups were conducted via videoconferencing with 38 participants: 22 PHMI and 16 health professionals.

FINDINGS

We identified 21 concepts stemming from participants' views, which we classified into five categories: Trust; Expected Functions; Adoption; Concerns; and Perceived Benefits. Trust covered the credibility of information and safety to believe health advice. Expected Functions covered tailored feedback and personalised advice. Adoption included usability features and overall interest in AI. Concerns originated from previous negative experience with AI. Perceived Benefits included the usefulness of AI to provide advice when regular contact with healthcare services is not feasible. Health professionals were more optimistic than PHMI about the usefulness of AI for improving health behaviour.

CONCLUSIONS

Altogether, our findings provide key insights from end-users to improve the likelihood of successful implementation and adoption of AI-enabled systems in the context of MI, as an exemplar of broader applications in chronic disease management.

摘要

背景

人工智能(AI)有潜力改善多种慢性病的自我管理。然而,患者和医疗保健专业人员对人工智能支持的健康管理计划的看法,而这些计划是成功实施的关键,目前仍知之甚少。

目的

探讨有心肌梗死病史的人(PHMI)和卫生专业人员对使用人工智能进行心肌梗死二级预防的意见。

程序

通过视频会议对38名参与者进行了三轮焦点小组讨论:22名有心肌梗死病史的人(PHMI)和16名卫生专业人员。

结果

我们从参与者的观点中确定了21个概念,将其分为五类:信任;预期功能;采用;担忧;以及感知到的益处。信任包括信息的可信度和相信健康建议的安全性。预期功能包括量身定制的反馈和个性化建议。采用包括可用性特征和对人工智能的总体兴趣。担忧源于以前对人工智能的负面体验。感知到的益处包括当无法定期与医疗服务机构联系时,人工智能提供建议的有用性。卫生专业人员比有心肌梗死病史的人(PHMI)对人工智能改善健康行为的有用性更为乐观。

结论

总体而言,我们的研究结果提供了终端用户的关键见解,以提高在心肌梗死背景下成功实施和采用人工智能系统的可能性,作为慢性病管理中更广泛应用的一个范例。

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