Association of Primary Care Access with Health-Related ChatGPT Use: A National Cross-Sectional Survey.

IF 4.3 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Journal of General Internal Medicine Pub Date : 2025-02-10 DOI:10.1007/s11606-025-09406-9

Oluwatobiloba Ayo-Ajibola, Catherine Julien, Matthew E Lin, Jeffrey Riddell, Naihua Duan, Richard L Kravitz

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引用次数: 0

Abstract

Background: ChatGPT has quickly gained popularity as a source of online health information (OHI). However, it is unclear how having a usual source of primary care (USPC) is related to OHI-seeking.

Objective: Explore how having a USPC and other characteristics thought to affect access-to-care influence the use of ChatGPT and other OHI forms.

Design: Cross-sectional national survey.

Participants: Adult members of ResearchMatch, a non-profit affiliate of the National Institutes of Health, between June and August 2023.

Main measures: The survey evaluated demographics, health characteristics, and OHI-seeking behaviors, including ChatGPT usage. OHI sources were categorized as "passive" (Google, Wikipedia, WebMD) and "interactive" (forums, Q&A sites, ChatGPT). Descriptive statistics, t-tests, and chi-square tests compared users by USPC status. Multiple logistic regression estimated adjusted effects on ChatGPT use.

Key results: Of 21,499 adults invited to participate in the survey, 2406 (11.2%) responded. Among respondents, 56% reported having a USPC. Those with a USPC, compared to those without, were older, spoke English as their primary language, had higher income, and had more formal education (all p<.001). Participants with a USPC were more likely to use passive OHI (OR 2.46, 95% CI 1.55-3.90, p<.001) and less likely to use interactive OHI (OR 0.73, 95% CI 0.60-0.89, p=.002) or ChatGPT (OR 0.56, 95% CI 0.44-0.71, p<.001). Age over 50 (OR 0.11, 95% CI 0.06-0.20, p<.001), non-White race (OR 0.51, 95% CI 0.38-0.70, p<.001), very good or better health (OR 0.71, 95% CI 0.55-0.92, p=.009), and college education (OR 0.61, 95% CI 0.39-0.97, p=.035) were inversely related to ChatGPT use.

Conclusions: In this national survey of patients participating in a clinical research matching service, those with regular primary care access relied less on ChatGPT, suggesting that a personal primary care relationship may attenuate the need or motivation to use AI-derived OHI.

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来源期刊

Journal of General Internal Medicine 医学-医学：内科

CiteScore

7.70

自引率

5.30%

发文量

749

审稿时长

3-6 weeks

期刊介绍： The Journal of General Internal Medicine is the official journal of the Society of General Internal Medicine. It promotes improved patient care, research, and education in primary care, general internal medicine, and hospital medicine. Its articles focus on topics such as clinical medicine, epidemiology, prevention, health care delivery, curriculum development, and numerous other non-traditional themes, in addition to classic clinical research on problems in internal medicine.