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Health Care Professionals' Concerns About Medical AI and Psychological Barriers and Strategies for Successful Implementation: Scoping Review.

作者信息

Arvai Nora, Katonai Gellért, Mesko Bertalan

机构信息

Kálmán Laki Doctoral School of Biomedical and Clinical Sciences, University of Debrecen, Debrecen, Hungary.

Department of Family Medicine, Semmelweis University, Budapest, Hungary.

出版信息

J Med Internet Res. 2025 Apr 23;27:e66986. doi: 10.2196/66986.


DOI:10.2196/66986
PMID:40267462
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12059500/
Abstract

BACKGROUND: The rapid progress in the development of artificial intelligence (AI) is having a substantial impact on health care (HC) delivery and the physician-patient interaction. OBJECTIVE: This scoping review aims to offer a thorough analysis of the current status of integrating AI into medical practice as well as the apprehensions expressed by HC professionals (HCPs) over its application. METHODS: This scoping review used the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines to examine articles that investigated the apprehensions of HCPs about medical AI. Following the application of inclusion and exclusion criteria, 32 of an initial 217 studies (14.7%) were selected for the final analysis. We aimed to develop an attitude range that accurately captured the unfavorable emotions of HCPs toward medical AI. We achieved this by selecting attitudes and ranking them on a scale that represented the degree of aversion, ranging from mild skepticism to intense fear. The ultimate depiction of the scale was as follows: skepticism, reluctance, anxiety, resistance, and fear. RESULTS: In total, 3 themes were identified through the process of thematic analysis. National surveys performed among HCPs aimed to comprehensively analyze their current emotions, worries, and attitudes regarding the integration of AI in the medical industry. Research on technostress primarily focused on the psychological dimensions of adopting AI, examining the emotional reactions, fears, and difficulties experienced by HCPs when they encountered AI-powered technology. The high-level perspective category included studies that took a broad and comprehensive approach to evaluating overarching themes, trends, and implications related to the integration of AI technology in HC. We discovered 15 sources of attitudes, which we classified into 2 distinct groups: intrinsic and extrinsic. The intrinsic group focused on HCPs' inherent professional identity, encompassing their tasks and capacities. Conversely, the extrinsic group pertained to their patients and the influence of AI on patient care. Next, we examined the shared themes and made suggestions to potentially tackle the problems discovered. Ultimately, we analyzed the results in relation to the attitude scale, assessing the degree to which each attitude was portrayed. CONCLUSIONS: The solution to addressing resistance toward medical AI appears to be centered on comprehensive education, the implementation of suitable legislation, and the delineation of roles. Addressing these issues may foster acceptance and optimize AI integration, enhancing HC delivery while maintaining ethical standards. Due to the current prominence and extensive research on regulation, we suggest that further research could be dedicated to education.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/122b/12059500/0e6270b189a2/jmir_v27i1e66986_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/122b/12059500/4040ac2da85c/jmir_v27i1e66986_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/122b/12059500/0e6270b189a2/jmir_v27i1e66986_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/122b/12059500/4040ac2da85c/jmir_v27i1e66986_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/122b/12059500/0e6270b189a2/jmir_v27i1e66986_fig2.jpg

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本文引用的文献

[1]
The use of artificial intelligence to optimize medication alerts generated by clinical decision support systems: a scoping review.

J Am Med Inform Assoc. 2024-5-20

[2]
Defining Medical AI Competencies for Medical School Graduates: Outcomes of a Delphi Survey and Medical Student/Educator Questionnaire of South Korean Medical Schools.

Acad Med. 2024-5-1

[3]
Exploring knowledge, attitudes, and practices towards artificial intelligence among health professions' students in Jordan.

BMC Med Inform Decis Mak. 2023-12-14

[4]
Artificial Intelligence in Anesthetic Care: A Survey of Physician Anesthesiologists.

Anesth Analg. 2024-5-1

[5]
[Artificial Intelligence and employee's health - new challenges].

Med Pr. 2023-9-8

[6]
Western Australian medical students' attitudes towards artificial intelligence in healthcare.

PLoS One. 2023

[7]
Opinion research among Russian Physicians on the application of technologies using artificial intelligence in the field of medicine and health care.

BMC Health Serv Res. 2023-7-13

[8]
Responsible Use of Artificial Intelligence in Dentistry: Survey on Dentists' and Final-Year Undergraduates' Perspectives.

Healthcare (Basel). 2023-5-19

[9]
Increasing acceptance of medical AI: The role of medical staff participation in AI development.

Int J Med Inform. 2023-7

[10]
Healthcare Professionals' Expectations of Medical Artificial Intelligence and Strategies for its Clinical Implementation: A Qualitative Study.

Healthc Inform Res. 2023-1

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