Department of Life Sciences Communication, University of Wisconsin-Madison, Madison, WI, United States.
Peking University HSBC Business School, Shenzhen, China.
J Med Internet Res. 2023 Apr 4;25:e40337. doi: 10.2196/40337.
BACKGROUND: This paper reviews nationally representative public opinion surveys on artificial intelligence (AI) in the United States, with a focus on areas related to health care. The potential health applications of AI continue to gain attention owing to their promise as well as challenges. For AI to fulfill its potential, it must not only be adopted by physicians and health providers but also by patients and other members of the public. OBJECTIVE: This study reviews the existing survey research on the United States' public attitudes toward AI in health care and reveals the challenges and opportunities for more effective and inclusive engagement on the use of AI in health settings. METHODS: We conducted a systematic review of public opinion surveys, reports, and peer-reviewed journal articles published on Web of Science, PubMed, and Roper iPoll between January 2010 and January 2022. We include studies that are nationally representative US public opinion surveys and include at least one or more questions about attitudes toward AI in health care contexts. Two members of the research team independently screened the included studies. The reviewers screened study titles, abstracts, and methods for Web of Science and PubMed search results. For the Roper iPoll search results, individual survey items were assessed for relevance to the AI health focus, and survey details were screened to determine a nationally representative US sample. We reported the descriptive statistics available for the relevant survey questions. In addition, we performed secondary analyses on 4 data sets to further explore the findings on attitudes across different demographic groups. RESULTS: This review includes 11 nationally representative surveys. The search identified 175 records, 39 of which were assessed for inclusion. Surveys include questions related to familiarity and experience with AI; applications, benefits, and risks of AI in health care settings; the use of AI in disease diagnosis, treatment, and robotic caregiving; and related issues of data privacy and surveillance. Although most Americans have heard of AI, they are less aware of its specific health applications. Americans anticipate that medicine is likely to benefit from advances in AI; however, the anticipated benefits vary depending on the type of application. Specific application goals, such as disease prediction, diagnosis, and treatment, matter for the attitudes toward AI in health care among Americans. Most Americans reported wanting control over their personal health data. The willingness to share personal health information largely depends on the institutional actor collecting the data and the intended use. CONCLUSIONS: Americans in general report seeing health care as an area in which AI applications could be particularly beneficial. However, they have substantial levels of concern regarding specific applications, especially those in which AI is involved in decision-making and regarding the privacy of health information.
背景:本文综述了美国具有代表性的公众对人工智能(AI)的民意调查,重点关注与医疗保健相关的领域。由于人工智能具有巨大的发展潜力及其面临的挑战,其在医疗保健领域的潜在应用持续受到关注。为了充分发挥人工智能的潜力,它不仅必须得到医生和医疗保健提供者的采用,还必须得到患者和公众其他成员的采用。
目的:本研究综述了美国公众对医疗保健中人工智能态度的现有调查研究,并揭示了在医疗环境中更有效地使用人工智能和更广泛地参与人工智能的使用所面临的挑战和机遇。
方法:我们对 2010 年 1 月至 2022 年 1 月期间在 Web of Science、PubMed 和 Roper iPoll 上发表的公众意见调查、报告和同行评议期刊文章进行了系统综述。我们纳入了具有全国代表性的美国公众意见调查的研究,这些研究至少包含一个或多个关于医疗保健背景下人工智能态度的问题。研究团队的两名成员独立筛选了纳入的研究。审查员筛选了 Web of Science 和 PubMed 搜索结果的研究标题、摘要和方法。对于 Roper iPoll 搜索结果,评估了各个调查项目与人工智能健康焦点的相关性,并筛选了调查细节以确定具有全国代表性的美国样本。我们报告了相关调查问题的可用描述性统计数据。此外,我们对 4 个数据集进行了二次分析,以进一步探讨不同人口统计学群体对态度的发现。
结果:本综述纳入了 11 项具有全国代表性的调查。该搜索确定了 175 条记录,其中 39 条被评估是否纳入。调查中包含了与以下方面相关的问题:对 AI 的熟悉程度和经验;人工智能在医疗保健环境中的应用、益处和风险;人工智能在疾病诊断、治疗和机器人护理方面的应用;以及与数据隐私和监控相关的问题。尽管大多数美国人听说过人工智能,但他们对其具体的医疗应用了解甚少。美国人预计人工智能的进步将使医学受益;然而,预期的益处因应用类型而异。在医疗保健中,人工智能的具体应用目标,如疾病预测、诊断和治疗,对美国人对人工智能的态度很重要。大多数美国人表示希望控制自己的个人健康数据。个人是否愿意分享个人健康信息主要取决于收集数据的机构行为体和预期用途。
结论:总体而言,美国人报告称,他们认为医疗保健是人工智能应用可能特别有益的领域。然而,他们对特定应用存在相当大的担忧,尤其是那些涉及人工智能参与决策以及涉及健康信息隐私的应用。
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