人工智能抄写员对联合健康私人诊所临床文档记录及临床医生与患者互动的影响：临床医生和患者的观点

Impact of using an AI scribe on clinical documentation and clinician-patient interactions in allied health private practice: perspectives of clinicians and patients.

作者信息

Evans Kerrie, Papinniemi Amy, Ploderer Bernd, Nicholson Vaughan, Hindhaugh Tom, Vuvan Viana, Cowley Nicholas, Tariq Amina, Thomson Hayley

机构信息

Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia; Healthia Limited, Brisbane, Queensland, Australia.

Healthia Limited, Brisbane, Queensland, Australia; School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia.

出版信息

Musculoskelet Sci Pract. 2025 Apr 19;78:103333. doi: 10.1016/j.msksp.2025.103333.

DOI:10.1016/j.msksp.2025.103333

PMID:40328004

Abstract

BACKGROUND

The burden associated with clinical documentation can negatively impact patient care and job satisfaction amongst allied health professionals (AHPs). Digital scribes based on artificial intelligence (AI) may address these issues, but this has not been evaluated in Australian allied health private practice.

OBJECTIVE

Describe perspectives and experiences of AHPs and patients regarding the use of an AI scribe for clinical documentation.

DESIGN

Mixed-methods.

METHODS

AHPs completed surveys at baseline, and after 6-weeks and 3-months of using an AI scribe that sought their perspectives about AI and clinical documentation. AHPs invited patients to complete one survey after the AI scribe was used during an appointment. Individual semi-structured interviews were conducted with a subset of AHPs and patients.

RESULTS

119 AHPs and 157 patients completed the surveys. 15 AHPs and 14 patients were interviewed. There was a significant reduction in time spent doing notes, letters and completing notes out of hours between baseline and 6-weeks and baseline and 3-months but no difference between 6-weeks and 3-months. Burden was significantly less at 3-months compared to baseline. Productivity increased by an average of 5.8 %. From the interviews, four themes described participants' experiences: using the scribe had a positive impact on therapeutic alliance and administrative workload, trust facilitated the use of the scribe and AHPs appreciated the scribe for different aspects of documentation. Although patients were comfortable consenting to the AI scribe being used during their own appointments, some acknowledged that other patients might require additional information about data storage and security to make an informed decision.

CONCLUSION

The use of an AI scribe had a positive impact on AHPs working, and patients seeking care, in Australian allied health private practice.

摘要

背景

临床文档记录带来的负担可能会对患者护理以及专职医疗人员（AHP）的工作满意度产生负面影响。基于人工智能（AI）的数字抄写员或许可以解决这些问题，但在澳大利亚专职医疗私人诊所中尚未对此进行评估。

目的

描述专职医疗人员和患者对于使用人工智能抄写员进行临床文档记录的看法和体验。

设计

混合方法。

方法

专职医疗人员在基线期、使用人工智能抄写员6周后和3个月后完成调查问卷，这些问卷旨在了解他们对人工智能和临床文档记录的看法。专职医疗人员邀请患者在预约就诊期间使用人工智能抄写员后完成一份调查问卷。对一部分专职医疗人员和患者进行了个人半结构化访谈。

结果

119名专职医疗人员和157名患者完成了调查问卷。对15名专职医疗人员和14名患者进行了访谈。从基线期到6周以及从基线期到3个月，做笔记、写信和在非工作时间完成笔记所花费的时间显著减少，但6周和3个月之间没有差异。与基线期相比，3个月时的负担明显减轻。生产力平均提高了5.8%。从访谈中得出四个主题描述了参与者的体验：使用抄写员对治疗联盟和行政工作量有积极影响，信任促进了抄写员的使用，专职医疗人员对抄写员在文档记录的不同方面表示赞赏。尽管患者愿意在自己的预约就诊期间同意使用人工智能抄写员，但一些人承认其他患者可能需要有关数据存储和安全的更多信息才能做出明智的决定。