How do patients feel about AI in healthcare? It depends

May 12, 2022 – Over the years, artificial intelligence has shifted from science fiction to everyday reality, being used in everything from online activities to driving. Even, yes, to make medical diagnoses. But this does not mean that people are willing to let AI guide all their medical decisions.

Technology is advancing rapidly to help more medical professionals make clinical decisions about diagnoses, especially when it comes to detecting something unusual during a colonoscopy. skin cancer check or x-ray image.

New research examines what patients think about the use of artificial intelligence in healthcare. Yale University physician Sanjay Aneja and colleagues surveyed a total of 926 patients in the national representative group for general opinions about their comfort in using technology, their concerns, and their artificial intelligence.

It turns out that the comfort of an AI patient depends on its use.

For example, 12% of respondents found it “very comfortable” and 43% found it “somewhat comfortable” to use a chest x-ray using artificial intelligence. But only 6% were very comfortable, and 25% were somewhat comfortable with AI Cancer diagnosisby: Survey results: in an online magazine published on May 4 JAMA network open.

“The AI ​​algorithm for reading your X-rays is a very different story than if a person relied on artificial intelligence to diagnose a malignant tumor or to report cancer to someone,” said Dr. Sean Khozin, who was not involved. : with research.

“It is very interesting that there is a lot of optimism among patients about the role of AI in improving everything. That level of optimism was great, “said Khozin, an oncologist and data scientist who is a member of the executive committee. In the Alliance of Artificial Intelligence in Health (AAIH). It: AAIH: is a global advocacy organization based in Baltimore that focuses on responsible, ethnically sound standards for the use of artificial intelligence in machine learning.

For the benefit of all, say AI

Most people have a very positive view of AI in healthcare. The poll showed that 56% believe that artificial intelligence will improve health in the next 5 years, while 6% believe that it will worsen health.

“Most of the work of medical AI focuses on the clinical areas that can benefit the most,” but we seldom ask ourselves in which areas patients really want AI to affect their health, “he says. Aneja, senior author of the research ենտ assistant at Yale School. Medicine

Ignoring the patient’s views leaves a flawed picture.

“In many ways, I would say that our work underscores the potential blind spot for AI researchers that needs to be addressed as these technologies become more common in clinical practice,” says Aneja.

AI awareness

It remains unclear to what extent patients already know or are aware of the role of artificial intelligence in medicine. Aneja, who praised the AI ​​attitude among health professionals previous work“What became clear when we surveyed both patients and doctors was that transparency was needed regarding the specific role of AI in a patient’s treatment.”

An ongoing survey shows that about 66% of patients think it is “very important” to know when AI plays a big role in their diagnosis or treatment. In addition, 46% believe that information is very important when AI plays a small role in their care.

At the same time, less than 10% of people will find it “very comfortable” to get a diagnosis from a software program, even one that makes the correct diagnosis in more than 90% of cases but fails to explain why.

“Patients may not be aware of the automation that has been introduced in many of our devices today,” Khozin said. Examples are electrocardiograms (tests that record the heart’s electrical signals), imaging software, and colonoscopy interpretation systems.

Even if unaware, patients are likely to benefit from the use of AI in diagnosis. One example is a 63-year-old man ulcerative colitis lives in Brooklyn, New York. Dr. Asma Shaukat, a gastroenterologist at NYU Langone Medical Center, performed a routine colonoscopy of the patient.

“Because I was focused on taking biopsies in: [intestines] I did not notice 6 mm [millimeter] smooth polyp… until AI warned me about it. “

Shaukat removed Polypswho have had abnormal cells that may be precancerous.

Addressing AI concerns

Yale’s research has shown that most people are “very worried” or “somewhat worried” about the potential side effects of artificial intelligence in healthcare. Overall, 92% said they were concerned about a misdiagnosis, 71% said they were concerned about a breach of privacy, and 70% said they were concerned. % spending less time with doctors and 68% spending more on health care.

a previous study Aneja և Partners, published in July 2021, focuses on AI և medical liability. They found that physicians and patients disagreed about the responsibility when AI leads to clinical error. Although the majority of physicians and patients believed that physicians should be held accountable, physicians were more likely to want to hold vendors and health care providers accountable.

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