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医疗保健中的集成人工智能与患者的护理体验。

Integrated artificial intelligence in healthcare and the patient's experience of care.

作者信息

Ogundare Oluwatosin, Owadokun Tolu, Ogundare Temitope, Ekpo Promise, Nguyen Ha Linh, Bello Stephen

机构信息

Department of Information and Decision Sciences, California State University, San Bernardino, CA, USA.

SAINTPHAREUX Research Group, Houston, TX, USA.

出版信息

Sci Rep. 2025 Jul 1;15(1):21879. doi: 10.1038/s41598-025-07581-7.

DOI:10.1038/s41598-025-07581-7
PMID:40595089
Abstract

Healthcare is plagued with many problems that Artificial Intelligence (AI) can ameliorate or sometimes amplify. Regardless, AI is changing the way we reason towards solutions, especially at the frontier of public health applications where autonomous and co-pilot AI integrated systems are now rapidly adopted for mainstream use in both clinical and non-clinical settings. In this regard, we present empirical analysis of thematic concerns that affect patients within AI integrated healthcare systems and how the experience of care may be influenced by the degree of AI integration. Furthermore, we present a fairly rigorous mathematical model and adopt prevailing techniques in Machine Learning (ML) to develop models that utilize a patient's general information and responses to a survey to predict the degree of AI integration that will maximize their experience of care. We model the patient's experience of care as a continuous random variable on the open interval ([Formula: see text]) and refer to it as the AI Affinity Score which encapsulates the degree of AI integration that the patient prefers within a chosen healthcare system. We present descriptive statistics of the distribution of the survey responses over key demographic variables viz. Age, Gender, Level of Education as well as a summary of perceived attitudes towards AI integrated healthcare in these categories. We further present the results of statistical tests conducted to determine if the variance across distributions of AI Affinity Scores over the identified groups are statistically significant and further assess the behavior of any independent distribution of AI Affinity Scores using a Bayesian nonparametric model.

摘要

医疗保健领域存在许多人工智能(AI)可以改善或有时会放大的问题。尽管如此,人工智能正在改变我们寻求解决方案的方式,特别是在公共卫生应用的前沿领域,自主和辅助人工智能集成系统现在正迅速被临床和非临床环境中的主流应用所采用。在这方面,我们对影响人工智能集成医疗系统中患者的主题问题进行实证分析,以及护理体验如何受到人工智能集成程度的影响。此外,我们提出了一个相当严谨的数学模型,并采用机器学习(ML)中的主流技术来开发模型,这些模型利用患者的一般信息和对调查的回答来预测将使他们的护理体验最大化的人工智能集成程度。我们将患者的护理体验建模为开区间([公式:见文本])上的连续随机变量,并将其称为人工智能亲和度得分,该得分概括了患者在所选医疗系统中偏好的人工智能集成程度。我们展示了调查回复在关键人口统计学变量(即年龄、性别、教育水平)上的分布的描述性统计数据,以及这些类别中对人工智能集成医疗保健的感知态度的总结。我们进一步展示了为确定人工智能亲和度得分在已识别组上的分布方差是否具有统计学意义而进行的统计测试结果,并使用贝叶斯非参数模型进一步评估人工智能亲和度得分的任何独立分布的行为。

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本文引用的文献

1
Ethical implications of AI-driven clinical decision support systems on healthcare resource allocation: a qualitative study of healthcare professionals' perspectives.人工智能驱动的临床决策支持系统对医疗资源分配的伦理影响:一项关于医疗专业人员观点的定性研究
BMC Med Ethics. 2024 Dec 21;25(1):148. doi: 10.1186/s12910-024-01151-8.
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Public Attitudes Toward Notification of Use of Artificial Intelligence in Health Care.公众对医疗保健领域使用人工智能的通知的态度。
JAMA Netw Open. 2024 Dec 2;7(12):e2450102. doi: 10.1001/jamanetworkopen.2024.50102.
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Artificial Intelligence in Point-of-Care Biosensing: Challenges and Opportunities.
即时护理生物传感中的人工智能:挑战与机遇
Diagnostics (Basel). 2024 May 25;14(11):1100. doi: 10.3390/diagnostics14111100.
4
Applying the UTAUT2 framework to patients' attitudes toward healthcare task shifting with artificial intelligence.将 UTAUT2 框架应用于患者对人工智能辅助医疗任务转移的态度。
BMC Health Serv Res. 2024 Apr 11;24(1):455. doi: 10.1186/s12913-024-10861-z.
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Artificial Intelligence and Decision-Making in Healthcare: A Thematic Analysis of a Systematic Review of Reviews.人工智能与医疗保健中的决策:对综述的系统评价的主题分析
Health Serv Res Manag Epidemiol. 2024 Mar 5;11:23333928241234863. doi: 10.1177/23333928241234863. eCollection 2024 Jan-Dec.
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Autonomous AI systems in the face of liability, regulations and costs.面对责任、法规和成本的自主人工智能系统。
NPJ Digit Med. 2023 Oct 6;6(1):185. doi: 10.1038/s41746-023-00929-1.
7
Diverse patients' attitudes towards Artificial Intelligence (AI) in diagnosis.不同患者对人工智能在诊断中的态度。
PLOS Digit Health. 2023 May 19;2(5):e0000237. doi: 10.1371/journal.pdig.0000237. eCollection 2023 May.
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Patient apprehensions about the use of artificial intelligence in healthcare.患者对医疗保健中使用人工智能的担忧。
NPJ Digit Med. 2021 Sep 21;4(1):140. doi: 10.1038/s41746-021-00509-1.
9
Patient and general public attitudes towards clinical artificial intelligence: a mixed methods systematic review.患者和公众对临床人工智能的态度:一项混合方法系统评价。
Lancet Digit Health. 2021 Sep;3(9):e599-e611. doi: 10.1016/S2589-7500(21)00132-1.
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Moving Beyond Simple Risk Prediction: Segmenting Patient Populations Using Consumer Data.超越简单的风险预测:利用消费者数据对患者群体进行细分。
Front Public Health. 2021 Jul 15;9:716754. doi: 10.3389/fpubh.2021.716754. eCollection 2021.