人工智能对患者和医生的信任的影响:横截面图片研究
Anna G M Zondag1, Raoul Rozestraten2, Stephan G Grimmelikhuijsen2
1Central Diagnostic Laboratory, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.
Journal of medical Internet research
|May 28, 2024
概括
临床决策支持系统 (CDSS) 可能会对患者和医生的信任产生负面影响,特别是在高风险情况下的女性. 人们对技术的普遍信任可以促进人工智能在医疗保健中的应用.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健中的人工智能
- 患者信任患者的信任
背景情况:
- 利用人工智能 (AI) 的临床决策支持系统 (CDSS) 越来越普遍.
- 患者对人工智能驱动的CDSS的接受和信任仍未得到充分研究.
- 之前的研究主要集中在人工智能实施的技术方面.
研究的目的:
- 调查人工智能支持的CDSS对患者医生信任的影响.
- 评估信任层面,包括能力,诚信和善意.
- 探索潜在的缓解因素,如患者人口统计和对技术的普遍信任.
主要方法:
- 一项对398名来自乌得勒支大学医学中心的患者进行了图片研究.
- 患者被随机分配到干预 (CDSS使用) 和高风险和低风险病例的控制组.
- 患者与医生的信任被测量使用7点利克特级别问卷.
主要成果:
- 在高风险病例中,CDSS组的医生能力和诚信感知并没有显著下降.
- 然而,女性报告说,CDSS使用的感知能力和诚信显著降低.
- 在低风险病例中没有观察到信任差异,但更高的技术信任与更大的仁慈和诚信相关.
结论:
- 虽然整体患者对医生的信任仍然很高,但人工智能驱动的CDSS可能会对这种关系产生负面影响,特别是在女性和高风险情况下.
- 对技术的信任可以积极影响医疗保健专业人员接受CDSS.
- 需要进行进一步的研究,以了解和减轻对患者医生关系动态的潜在负面影响.
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