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Patient-centered Care01:13

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Integrating Generative AI Into Patient-Centered Clinical Decision Support: Viewpoint on Research and Practice

Prashila Dullabh1, Courtney Zott1, Nicole Gauthreaux1

  • 1Health Sciences Department, NORC at the University of Chicago, 1828 L Street NW, 9th Floor, Washington, DC, 20036, United States, 1 202-280-9294.

Journal of Medical Internet Research
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Summary
This summary is machine-generated.

Generative artificial intelligence (GenAI) offers potential for patient-centered clinical decision support (PC CDS). Addressing six critical needs ensures its beneficial, ethical, and safe development for informed healthcare decisions.

Keywords:
AIartificial intelligenceclinical decision support systemsgenerative artificial intelligencepatient involvementpatient-centered carequality of health care

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Area of Science:

  • Health Informatics
  • Artificial Intelligence in Healthcare
  • Patient Engagement

Background:

  • Growing interest in Generative Artificial Intelligence (GenAI) for patient-centered clinical decision support (PC CDS).
  • Need to understand GenAI's role in empowering patients and caregivers with informed healthcare decisions.

Purpose of the Study:

  • To present example applications of GenAI-supported PC CDS.
  • To examine opportunities, challenges, and potential solutions for GenAI in PC CDS.
  • To identify critical needs for realizing GenAI's potential in PC CDS.

Main Methods:

  • Targeted document review of Agency for Healthcare Research and Quality's Clinical Decision Support Innovation Collaborative work on GenAI-enabled PC CDS.
  • Snowball sampling and targeted searches for additional applications.
  • Solicited feedback from a 20-member multidisciplinary expert panel for refinement and validation.

Main Results:

  • Highlighted six critical needs for GenAI in PC CDS: patient/caregiver engagement in design, science of implementation, risk-based policies, independent testing, reassessment for algorithmic drift, and transparency/consent policies.
  • Identified example applications for patients, caregivers, clinicians, and patient-clinician interactions.

Conclusions:

  • Realizing GenAI's potential in PC CDS requires addressing critical needs for beneficial, ethical, and safe development.
  • Understanding applications and implications is essential for advancing GenAI-supported healthcare.
  • Focus on patient engagement, robust policies, and transparent practices is crucial.