Physicians' and Patients' Expectations From Digital Agents for Consultations: Interview Study Among Physicians and Patients.

Autor:	Färber A; ZHAW School of Management and Law, Zurich University of Applied Sciences, Winterthur, Switzerland.; Department of Informatics, University of Zurich, Zurich, Switzerland., Schwabe C; Department of Informatics, University of Zurich, Zurich, Switzerland., Stalder PH; ZHAW School of Management and Law, Zurich University of Applied Sciences, Winterthur, Switzerland., Dolata M; Department of Informatics, University of Zurich, Zurich, Switzerland., Schwabe G; Department of Informatics, University of Zurich, Zurich, Switzerland.
Jazyk:	angličtina
Zdroj:	JMIR human factors [JMIR Hum Factors] 2024 Mar 18; Vol. 11, pp. e49647. Date of Electronic Publication: 2024 Mar 18.
DOI:	10.2196/49647
Abstrakt:	Background: Physicians are currently overwhelmed by administrative tasks and spend very little time in consultations with patients, which hampers health literacy, shared decision-making, and treatment adherence. Objective: This study aims to examine whether digital agents constructed using fast-evolving generative artificial intelligence, such as ChatGPT, have the potential to improve consultations, adherence to treatment, and health literacy. We interviewed patients and physicians to obtain their opinions about 3 digital agents-a silent digital expert, a communicative digital expert, and a digital companion (DC). Methods: We conducted in-depth interviews with 25 patients and 22 physicians from a purposeful sample, with the patients having a wide age range and coming from different educational backgrounds and the physicians having different medical specialties. Transcripts of the interviews were deductively coded using MAXQDA (VERBI Software GmbH) and then summarized according to code and interview before being clustered for interpretation. Results: Statements from patients and physicians were categorized according to three consultation phases: (1) silent and communicative digital experts that are part of the consultation, (2) digital experts that hand over to a DC, and (3) DCs that support patients in the period between consultations. Overall, patients and physicians were open to these forms of digital support but had reservations about all 3 agents. Conclusions: Ultimately, we derived 9 requirements for designing digital agents to support consultations, treatment adherence, and health literacy based on the literature and our qualitative findings. (©Andri Färber, Christiane Schwabe, Philipp H Stalder, Mateusz Dolata, Gerhard Schwabe. Originally published in JMIR Human Factors (https://humanfactors.jmir.org), 18.03.2024.)
Databáze:	MEDLINE
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