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Impactos subjetivos y objetivos de los asistentes de IA ambulatorios
Julia Adler-Milstein1, Orianna DeMasi2, Hossein Soleimani2
1Division of Clinical Informatics and Digital Transformation, Department of Medicine, University of California, San Francisco, 10 Koret Way, San Francisco, CA 94143.
The American journal of managed care
|January 27, 2026
Resumen
Los asistentes de inteligencia artificial (IA) redujeron el tiempo de documentación del médico (DocTime), especialmente para aquellos con un DocTime inicial más alto. Los ahorros de tiempo percibidos no se alinearon consistentemente con las reducciones reales en DocTime.
Área de la Ciencia:
- Informática de la Salud
- Optimización del Flujo de Trabajo Clínico
- Inteligencia Artificial en Medicina
Sus antecedentes:
- El tiempo de documentación del médico (DocTime) es una carga significativa.
- Los asistentes de inteligencia artificial (IA) son herramientas emergentes para aliviar esta carga.
- Es crucial comprender el impacto en el mundo real de los asistentes de IA en el flujo de trabajo del médico.
Objetivo del estudio:
- Evaluar la asociación entre los cambios percibidos y reales en el tiempo de documentación del médico (DocTime) después de la implementación de asistentes de IA.
- Determinar si los médicos con un DocTime inicial más alto se benefician más del uso de asistentes de IA.
Principales métodos:
- Análisis retrospectivo de 310 médicos ambulatorios que utilizan un asistente de IA comercial.
- Se recopilaron datos de encuestas de retroalimentación de usuarios y registros de auditoría de registros médicos electrónicos.
- Se utilizaron modelos estadísticos (logit ordenado, regresión multivariante) para analizar los cambios percibidos frente a los reales en DocTime y el impacto del DocTime inicial.
Principales resultados:
- El 86,5% de los médicos percibió una reducción del tiempo de documentación (DocTime), pero esta percepción no se correlacionó con los ahorros de tiempo reales.
- El mayor uso de asistentes de IA se correlacionó con una disminución del DocTime (aproximadamente 30 segundos ahorrados por hora programada por cada aumento del 10% en el uso de asistentes de IA).
- Los médicos con un DocTime inicial más alto experimentaron los ahorros de tiempo reales más significativos.
Conclusiones:
- Si bien la mayoría de los médicos sienten que los asistentes de IA reducen el tiempo de documentación, los ahorros de tiempo reales son más pronunciados en aquellos con cargas de documentación iniciales más altas.
- La implementación de asistentes de IA muestra potencial para la eficiencia del flujo de trabajo, particularmente para los médicos con menor eficiencia de tiempo.
- Investigaciones futuras pueden explorar los factores que influyen en la discrepancia entre los ahorros de tiempo percibidos y reales.
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