"这是未来,来吧! ":一个大声思考的研究,探讨临床医生使用基于知识的AI决策支持
Adele Hill1, Dylan Morrissey1, William Marsh1
1Queen Mary University of London, Bancroft Road, London E1 4NS, United Kingdom.
International journal of medical informatics
|August 24, 2025
概括
这项研究探讨了临床医生的AI临床决策支持 (CDS) 的经验. 结果显示,用户体验,工作流程整合和患者导航是成功实施AI CDS的关键.
科学领域:
- 医疗保健技术
- 临床决策支持系统
- 医学中的人工智能
背景情况:
- 建议基于人工智能的临床决策支持 (CDS) 应对医疗保健能力挑战.
- 人工智能CDS的实施存在重大差距.
- 现有的研究通常依赖于抽象的定义或参与者对AI的一般理解,缺乏特定的背景.
研究的目的:
- 通过检查人工智能CDS的实践经验来解决研究缺口.
- 通过直接用户体验探索人工智能CDS实施的障碍和推动因素.
- 在广泛采用之前,提供AI CDS实际应用的见解.
主要方法:
- 现象学的视角与大声思考的协议和认知面试.
- 招募了14名参与者 (5名医生,9名理疗师).
- 参与者使用原型AI CDS来评估腰部疼痛患者的严重病理;分析使用接地理论.
主要成果:
- 三个主题出现:态度,工作流程和患者导航.
- 临床医生在他们的工作环境中发现了障碍和促进因素,并指出了决策支持的潜力.
- 工作流程整合,设计,提示和临床推理至关重要;节省时间的功能和组织支持是促进者.
结论:
- 直接探索临床医生的经验为AI CDS的实际应用提供了宝贵的见解.
- 参与者仍然专注于解决方案, 无论他们最初对人工智能的态度如何.
- 这项研究强调了人工智能CDS如何影响临床判断和患者旅程.
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