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

BackgroundPhysicians 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. ObjectiveThis study aims to examine whether digital ag...

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Main Authors: Andri Färber, Christiane Schwabe, Philipp H Stalder, Mateusz Dolata, Gerhard Schwabe
Format: Article
Language:English
Published: JMIR Publications 2024-03-01
Series:JMIR Human Factors
Online Access:https://humanfactors.jmir.org/2024/1/e49647
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author Andri Färber
Christiane Schwabe
Philipp H Stalder
Mateusz Dolata
Gerhard Schwabe
author_facet Andri Färber
Christiane Schwabe
Philipp H Stalder
Mateusz Dolata
Gerhard Schwabe
author_sort Andri Färber
collection DOAJ
description BackgroundPhysicians 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. ObjectiveThis 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). MethodsWe 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. ResultsStatements 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. ConclusionsUltimately, we derived 9 requirements for designing digital agents to support consultations, treatment adherence, and health literacy based on the literature and our qualitative findings.
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spelling doaj.art-2f25666e571747e5955123859a6ec4f82024-03-18T13:15:33ZengJMIR PublicationsJMIR Human Factors2292-94952024-03-0111e4964710.2196/49647Physicians’ and Patients’ Expectations From Digital Agents for Consultations: Interview Study Among Physicians and PatientsAndri Färberhttps://orcid.org/0000-0002-9748-7817Christiane Schwabehttps://orcid.org/0000-0002-8495-4930Philipp H Stalderhttps://orcid.org/0000-0002-9910-3733Mateusz Dolatahttps://orcid.org/0000-0002-2732-4465Gerhard Schwabehttps://orcid.org/0000-0002-0453-9762 BackgroundPhysicians 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. ObjectiveThis 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). MethodsWe 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. ResultsStatements 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. ConclusionsUltimately, we derived 9 requirements for designing digital agents to support consultations, treatment adherence, and health literacy based on the literature and our qualitative findings.https://humanfactors.jmir.org/2024/1/e49647
spellingShingle Andri Färber
Christiane Schwabe
Philipp H Stalder
Mateusz Dolata
Gerhard Schwabe
Physicians’ and Patients’ Expectations From Digital Agents for Consultations: Interview Study Among Physicians and Patients
JMIR Human Factors
title Physicians’ and Patients’ Expectations From Digital Agents for Consultations: Interview Study Among Physicians and Patients
title_full Physicians’ and Patients’ Expectations From Digital Agents for Consultations: Interview Study Among Physicians and Patients
title_fullStr Physicians’ and Patients’ Expectations From Digital Agents for Consultations: Interview Study Among Physicians and Patients
title_full_unstemmed Physicians’ and Patients’ Expectations From Digital Agents for Consultations: Interview Study Among Physicians and Patients
title_short Physicians’ and Patients’ Expectations From Digital Agents for Consultations: Interview Study Among Physicians and Patients
title_sort physicians and patients expectations from digital agents for consultations interview study among physicians and patients
url https://humanfactors.jmir.org/2024/1/e49647
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