Center for general practice, Aalborg University, Aalborg, Denmark.
BMC Health Serv Res. 2023 Apr 4;23(1):335. doi: 10.1186/s12913-023-09324-8.
Due to more elderly and patients with complex illnesses, there is an increasing pressure on the healthcare system. General practice especially feels this pressure as being the first point of contact for the patients. Developments in digitalization have undergone fast progress and data-driven artificial intelligence (AI) has shown great potential for use in general practice. To develop AI as a support tool for general practitioners (GPs), access to patients' health data is needed, but patients have concerns regarding data sharing. Furthermore, studies show that trust is important regarding the patient-GP relationship, data sharing, and AI. The aim of this paper is to uncover patient perspectives on trust regarding the patient-GP relationship, data sharing and AI in general practice.
This study investigated 10 patients' perspectives through qualitative interviews and written vignettes were chosen to elicit the patients (interviewees) perspectives on topics that they were not familiar with prior to the interviews. The study specifically investigated perspectives on 1) The patient-GP relationship, 2) data sharing regarding developing AI for general practice, and 3) implementation and use of AI in general practice using thematic analysis. The study took place in the North Denmark Region and the interviewees included had to be registered in general practice and be above 18 years in age. We included four men between 25 to 74 years in age and six women between 27 to 46 years in age.
The interviewees expressed a high level of trust towards their GP and were willing to share their health data with their GP. The interviewees believed that AI could be a great help to GPs if used as a support tool in general practice. However, it was important for the interviewees that the GP would still be the primary decision maker.
Patients may be willing to share health data to help implement and use AI in general practice. If AI is implemented in a way that preserves the patient-GP relationship and used as a support tool for the GP, our results indicate that patients may be positive towards the use of AI in general practice.
由于老年人和患有复杂疾病的患者增多，医疗保健系统的压力越来越大。全科医学尤其感受到了这种压力，因为它是患者的第一接触点。数字化发展迅速，数据驱动的人工智能（AI）在全科医学中显示出巨大的应用潜力。要将 AI 开发为全科医生（GP）的支持工具，需要访问患者的健康数据，但患者对数据共享存在担忧。此外，研究表明，信任对于医患关系、数据共享和 AI 非常重要。本文旨在揭示患者对信任的看法，包括医患关系、数据共享和 AI 在全科医学中的应用。
本研究通过定性访谈调查了 10 名患者的观点，并选择书面情景介绍来引出患者（受访者）对他们在访谈前不熟悉的主题的观点。本研究特别调查了以下三个主题的观点：1）医患关系；2）开发用于全科医学的 AI 数据共享；3）在全科医学中实施和使用 AI，采用主题分析。该研究在丹麦北部地区进行，受访者必须在全科医学中注册，年龄在 18 岁以上。我们包括了 4 名年龄在 25 至 74 岁之间的男性和 6 名年龄在 27 至 46 岁之间的女性。
受访者对他们的 GP 表示高度信任，并愿意与他们的 GP 分享他们的健康数据。受访者认为，如果将 AI 用作全科医学的支持工具，它可以成为 GP 的一大帮助。然而，对受访者来说，GP 仍然是主要的决策者是很重要的。
患者可能愿意分享健康数据，以帮助在全科医学中实施和使用 AI。如果 AI 以一种保护医患关系的方式实施，并用作 GP 的支持工具，我们的研究结果表明，患者可能对在全科医学中使用 AI持积极态度。
