论文标题

与基于AI的医疗建议的患者关系的转变:

The Transformation of Patient-Clinician Relationships With AI-Based Medical Advice: A "Bring Your Own Algorithm" Era in Healthcare

论文作者

Nov, Oded, Aphinyanaphongs, Yindalon, Lui, Yvonne W., Mann, Devin, Porfiri, Maurizio, Riedl, Mark, Rizzo, John-Ross, Wiesenfeld, Batia

论文摘要

计算和医疗保健交集的巨大趋势之一是,患者增加了获得医疗信息的机会,从自我跟踪的生理数据到遗传数据,测试和扫描。但是,越来越多的患者和临床医生可以根据大量数据获得基于机器学习的高级学习工具,以进行诊断,预测和建议,其中一些患者会生成。因此,正如组织不得不处理“带您自己的设备”(BYOD)现实,在该现实中,员工将其个人设备(电话和平板电脑)用于工作的某些方面一样,类似的现实是“带您自己的算法”(BYOA)(BYOA)在医疗保健中出现了自己的挑战和支持需求。 BYOA正在改变患者 - 阵容的互动以及与它们相关的技术,技能和工作流程。在本文中,我们认为:(1)BYOA正在改变患者临床的关系和医疗保健专家工作的性质,以及(2)可以通过整合技术和组织观点的解决方案来促进更好的患者 - 临床医生信息的解释关系。

One of the dramatic trends at the intersection of computing and healthcare has been patients' increased access to medical information, ranging from self-tracked physiological data to genetic data, tests, and scans. Increasingly however, patients and clinicians have access to advanced machine learning-based tools for diagnosis, prediction, and recommendation based on large amounts of data, some of it patient-generated. Consequently, just as organizations have had to deal with a "Bring Your Own Device" (BYOD) reality in which employees use their personal devices (phones and tablets) for some aspects of their work, a similar reality of "Bring Your Own Algorithm" (BYOA) is emerging in healthcare with its own challenges and support demands. BYOA is changing patient-clinician interactions and the technologies, skills and workflows related to them. In this paper we argue that: (1) BYOA is changing the patient-clinician relationship and the nature of expert work in healthcare, and (2) better patient-clinician-information-interpretation relationships can be facilitated with solutions that integrate technological and organizational perspectives.

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