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Issues And Trends In Healthcare Delivery System

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The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
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Introduction of an Integrated Pathology Image Management, Artificial Intelligence, and Reporting System

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Status of AI-Enabled Clinical Decision Support Systems Implementations in China.

Mengting Ji¹, Xiaoyun Chen², Georgi Z Genchev^3,4

¹Department of Oncology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, People's Republic of China.

Methods of Information in Medicine

|October 25, 2021

Summary

AI-enabled Clinical Decision Support Systems (AI+CDSSs) are emerging in Chinese hospitals, with 23.75% implemented. Professionals acknowledge AI+CDSSs benefits and challenges, focusing on system integration and data quality.

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Area of Science:

Health Informatics
Artificial Intelligence in Medicine
Clinical Decision Support

Background:

AI-enabled Clinical Decision Support Systems (AI+CDSSs) show great promise for advancing healthcare.
Significant investment in AI+CDSSs development necessitates understanding their real-world implementation.
Assessing the current status of AI+CDSSs in clinical practice is crucial.

Purpose of the Study:

To evaluate the current implementation status of AI+CDSSs in Chinese hospitals.
To identify concerns related to the current and future implementation of AI+CDSSs.

Main Methods:

A survey of 160 tertiary hospitals across six Chinese provinces.
Descriptive analysis, Fisher exact test, and Mann-Whitney U-test were employed.
Statistical analysis to compare implemented and non-implemented hospitals.

Main Results:

23.75% of surveyed hospitals (38/160) had implemented AI+CDSSs.
Significant differences observed in hospital grade, scale, and patient volume between implemented and non-implemented facilities.
Most respondents (81.58%) reported neutral to satisfied with AI+CDSSs, citing system function, data quality, and bias as key concerns.

Conclusions:

AI+CDSSs are not yet widespread in Chinese clinical settings.
Healthcare professionals recognize both the potential advantages and existing challenges of in-hospital AI+CDSSs.
Further development and integration strategies are needed to address identified concerns.