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人工智能对内科医生的影响:程序性和非程序性专业的调查

The Impact of Artificial Intelligence on Internal Medicine Physicians: A Survey of Procedural and Non-procedural Specialties.

作者信息

Mansoor Masab A, Ibrahim Andrew F, Kidd Nicholas

机构信息

Internal Medicine, Edward Via College of Osteopathic Medicine, Monroe, USA.

School of Medicine, Texas Tech University Health Sciences Center, Lubbock, USA.

出版信息

Cureus. 2024 Sep 10;16(9):e69121. doi: 10.7759/cureus.69121. eCollection 2024 Sep.

Abstract

BACKGROUND

Artificial intelligence (AI) is increasingly being integrated into various aspects of healthcare, including internal medicine. However, the impact of AI on physicians across different internal medicine specialties remains unclear. This study assesses AI's adoption, utilization, and perceived impact among procedural and non-procedural internal medicine physicians.

METHODS

A comprehensive survey questionnaire was designed to cover current AI use, perceived impact on diagnostic accuracy, treatment decisions, patient outcomes, challenges, ethical concerns, and future expectations. The survey was distributed to a diverse sample of internal medicine physicians across various specialties, including procedural (e.g., interventional cardiology, gastroenterology) and non-procedural (e.g., endocrinology, rheumatology) fields. Responses were analyzed using descriptive statistics, chi-square tests, t-tests, and logistic regression.

RESULTS

The survey received responses from 22 internal medicine physicians, with 64% (n=14) representing procedural specialties and 36% (n=8) representing non-procedural specialties. Sixty-eight percent (n=15) of respondents reported using AI tools in their practice, with higher adoption rates among procedural specialties (n=11, 79%) compared to non-procedural specialties (n=4, 50%). Surveyed physicians reported that AI improved diagnostic accuracy (n=12, 80%), treatment decisions (n=10, 67%), and patient outcomes (n=13, 87%). However, 55% (n=12) of respondents expressed concerns about the interpretability and transparency of AI algorithms. Non-procedural specialists were more likely to perceive AI as a threat to their job security (n=3, 38%) than procedural specialists (n=3, 21%). The most common challenges to AI adoption were lack of training (n=16, 73%), cost (n=13, 59%), and data privacy concerns (n=11, 50%).

CONCLUSION

This study assesses the perceived impact of AI on internal medicine physicians, highlighting the differences between procedural and non-procedural specialties. The findings underscore the need for specialty-specific considerations in developing and implementing AI tools. While AI can potentially improve diagnostic accuracy, treatment decisions, and patient outcomes, addressing challenges such as lack of training, cost, and data privacy concerns is crucial for widespread adoption. Moreover, the study emphasizes the importance of ensuring the interpretability and transparency of AI algorithms to foster trust among physicians. As AI continues to evolve, it is essential to engage internal medicine physicians across specialties in the development process to create AI tools that effectively complement their expertise and improve patient care. Further research should focus on developing best practices for AI integration in internal medicine and evaluating the long-term impact on patient outcomes and healthcare systems.

摘要

背景

人工智能(AI)正越来越多地融入医疗保健的各个方面,包括内科医学。然而,人工智能对不同内科医学专科医生的影响仍不明确。本研究评估了人工智能在程序性和非程序性内科医生中的采用情况、使用情况以及感知到的影响。

方法

设计了一份全面的调查问卷,涵盖当前人工智能的使用情况、对诊断准确性、治疗决策、患者预后的感知影响、挑战、伦理问题以及未来期望。该调查分发给了各个专科的内科医生的多样化样本,包括程序性专科(如介入心脏病学、胃肠病学)和非程序性专科(如内分泌学、风湿病学)领域。使用描述性统计、卡方检验、t检验和逻辑回归对回复进行分析。

结果

该调查收到了22位内科医生的回复,其中64%(n = 14)代表程序性专科,36%(n = 8)代表非程序性专科。68%(n = 15)的受访者报告在其临床实践中使用人工智能工具,程序性专科的采用率(n = 11,79%)高于非程序性专科(n = 4,50%)。接受调查的医生报告称,人工智能提高了诊断准确性(n = 12,80%)、治疗决策(n = 10,67%)和患者预后(n = 13,87%)。然而,55%(n = 12)的受访者对人工智能算法的可解释性和透明度表示担忧。非程序性专科医生比程序性专科医生更有可能将人工智能视为对其工作安全的威胁(n = 3,38%对比n = 3,21%)。采用人工智能最常见的挑战是缺乏培训(n = 16,73%)、成本(n = 13,59%)和数据隐私问题(n = 11,50%)。

结论

本研究评估了人工智能对内科医生的感知影响,突出了程序性和非程序性专科之间的差异。研究结果强调在开发和实施人工智能工具时需要考虑特定专科的因素。虽然人工智能有可能提高诊断准确性、治疗决策和患者预后,但应对诸如缺乏培训、成本和数据隐私问题等挑战对于广泛采用至关重要。此外,该研究强调确保人工智能算法的可解释性和透明度以促进医生之间信任的重要性。随着人工智能不断发展,让各个专科的内科医生参与开发过程以创建能有效补充其专业知识并改善患者护理的人工智能工具至关重要。进一步的研究应侧重于制定内科医学中人工智能整合的最佳实践,并评估对患者预后和医疗系统的长期影响。

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