自主人工智能在集群随机试验中增加了现实世界专家诊所的生产力
Michael D Abramoff1,2,3,4,5, Noelle Whitestone6, Jennifer L Patnaik6,7
1University of Iowa, Iowa City, Iowa, USA. michael-abramoff@uiowa.edu.
NPJ digital medicine
|October 4, 2023
概括
自主人工智能 (AI) 显著提高了糖尿病眼科诊所的生产率,提高了40%. 这种人工智能工具提高了医疗保健的效率,潜在地改善了患者的获取和减少了健康差距.
科学领域:
- 眼科医生 眼科 眼科
- 医疗保健中的人工智能
- 医疗保健服务研究 医疗服务研究
背景情况:
- 自主人工智能 (AI) 显示出提高医疗保健生产率的潜力.
- 现实世界的证据证明AI对临床效率的影响是有限的.
- 糖尿病人眼科检查对于预防糖尿病患者视力丧失至关重要.
研究的目的:
- 测试假设,用于糖尿病人眼科检查的AI可以提高诊所的生产力.
- 评估人工智能对每小时每专家医生完成护理次数的影响.
- 为了生成可测试的假设和研究设计,用于AI在临床环境中的实施.
主要方法:
- 进行了一项预先注册的集群随机临床试验.
- 105个临床日被随机分配到AI干预或标准护理 (对照).
- 临床生产力被衡量为每个医生每小时完成的护理接触.
主要成果:
- 与对照组相比,人工智能使用导致临床生产率增加了40% (1.59对1.14次/小时).
- 主要终点得到满足,显示出统计学上显著的改善 (p < 0.001).
- 第二个终点,测量所有患者的生产力,也得到了满足.
结论:
- 自主人工智能显著提高了糖尿病眼睛护理机构的生产力.
- 通过人工智能提高医疗保健系统的生产力可能会改善患者获得护理的机会.
- 人工智能实施有潜力通过优化资源配置来减少健康差异.
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