The Perceptions of Potential Prerequisites for Artificial Intelligence in Danish General Practice: Vignette-Based Interview Study Among General Practitioners.

IF 3.1 3区 医学 Q2 MEDICAL INFORMATICS
Natasha Lee Jørgensen, Camilla Hoffmann Merrild, Martin Bach Jensen, Thomas B Moeslund, Kristian Kidholm, Janus Laust Thomsen
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引用次数: 0

Abstract

Background: Artificial intelligence (AI) has been deemed revolutionary in medicine; however, no AI tools have been implemented or validated in Danish general practice. General practice in Denmark has an excellent digitization system for developing and using AI. Nevertheless, there is a lack of involvement of general practitioners (GPs) in developing AI. The perspectives of GPs as end users are essential for facilitating the next stage of AI development in general practice.

Objective: This study aimed to identify the essential prerequisites that GPs perceive as necessary to realize the potential of AI in Danish general practice.

Methods: This study used semistructured interviews and vignettes among GPs to gain perspectives on the potential of AI in general practice. A total of 12 GPs interested in the potential of AI in general practice were interviewed in 2019 and 2021. The interviews were transcribed verbatim and thematic analysis was conducted to identify the dominant themes throughout the data.

Results: In the data analysis, four main themes were identified as essential prerequisites for GPs when considering the potential of AI in general practice: (1) AI must begin with the low-hanging fruit, (2) AI must be meaningful in the GP's work, (3) the GP-patient relationship must be maintained despite AI, and (4) AI must be a free, active, and integrated option in the electronic health record (EHR). These 4 themes suggest that the development of AI should initially focus on low-complexity tasks that do not influence patient interactions but facilitate GPs' work in a meaningful manner as an integrated part of the EHR. Examples of this include routine and administrative tasks.

Conclusions: The research findings outline the participating GPs' perceptions of the essential prerequisites to consider when exploring the potential applications of AI in primary care settings. We believe that these perceptions of potential prerequisites can support the initial stages of future development and assess the suitability of existing AI tools for general practice.

丹麦全科医生对人工智能潜在先决条件的认知:全科医生中基于小插曲的访谈研究。
背景:人工智能(AI)被认为是医学领域的革命性技术;然而,在丹麦的一般实践中,没有人工智能工具得到实施或验证。丹麦的全科医疗有一个优秀的数字化系统来开发和使用人工智能。然而,在开发人工智能方面缺乏全科医生(gp)的参与。全科医生作为最终用户的观点对于促进人工智能在全科实践中的下一阶段发展至关重要。目的:本研究旨在确定全科医生认为在丹麦全科实践中实现人工智能潜力所必需的基本先决条件。方法:本研究在全科医生中使用半结构化访谈和小片段来获得关于人工智能在全科实践中的潜力的观点。在2019年和2021年,共有12名对人工智能在全科实践中的潜力感兴趣的全科医生接受了采访。访谈被逐字记录下来,并进行主题分析,以确定整个数据的主导主题。结果:在数据分析中,四个主要主题被确定为全科医生在考虑人工智能在全科实践中的潜力时的基本先决条件:(1)人工智能必须从低挂的果实开始,(2)人工智能必须在全科医生的工作中有意义,(3)尽管人工智能必须保持全科医生与患者的关系,(4)人工智能必须是电子健康记录(EHR)中的一个自由、主动和集成的选项。这4个主题表明,人工智能的发展最初应侧重于低复杂性的任务,这些任务不影响患者的互动,但作为电子病历的一个组成部分,以有意义的方式促进全科医生的工作。这方面的例子包括日常和管理任务。结论:研究结果概述了参与的全科医生在探索人工智能在初级保健环境中的潜在应用时需要考虑的基本先决条件的看法。我们相信,这些对潜在先决条件的认知可以支持未来发展的初始阶段,并评估现有人工智能工具对一般实践的适用性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
JMIR Medical Informatics
JMIR Medical Informatics Medicine-Health Informatics
CiteScore
7.90
自引率
3.10%
发文量
173
审稿时长
12 weeks
期刊介绍: JMIR Medical Informatics (JMI, ISSN 2291-9694) is a top-rated, tier A journal which focuses on clinical informatics, big data in health and health care, decision support for health professionals, electronic health records, ehealth infrastructures and implementation. It has a focus on applied, translational research, with a broad readership including clinicians, CIOs, engineers, industry and health informatics professionals. Published by JMIR Publications, publisher of the Journal of Medical Internet Research (JMIR), the leading eHealth/mHealth journal (Impact Factor 2016: 5.175), JMIR Med Inform has a slightly different scope (emphasizing more on applications for clinicians and health professionals rather than consumers/citizens, which is the focus of JMIR), publishes even faster, and also allows papers which are more technical or more formative than what would be published in the Journal of Medical Internet Research.
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