AI, Transforming Patient Care or Raising Alarm?

As a former global product manager at Microsoft Research - Health Solutions Group and author of "Value Creation for Healthcare Ecosystems through Artificial Intelligence Applied to Physician-to-Physician Communication: A Systematic Review", I discuss challenges and opportunities for AI in Healthcare
AI, Transforming Patient Care or Raising Alarm?
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Value Creation for Healthcare Ecosystems through Artificial Intelligence Applied to Physician-to-Physician Communication: A Systematic Review - Neural Processing Letters

This study reviews the role of artificial intelligence (AI) in enhancing healthcare through an analysis of physician-to-physician communication. It seeks to identify the best practices for extracting value from professional medical chats (PMCs) and assess the impact of AI on patient outcomes and healthcare systems, emphasizing the integration of ethical and responsible AI practices. We conducted an extensive systematic literature review using the Web of Science Core Collection. Searches encompassed English-language articles published between January 2019 and July 2023 using keywords related to AI, machine learning, natural language processing, and physician communication. Of the 247 articles screened, 13 met the inclusion criteria given their in-depth analysis of AI in healthcare communication, methodological soundness, and relevance to clinical outcomes. The review provides insights into interprofessional communication dynamics, the advancement of NLP and deep learning in medical dialogues, and strategies for effective human-machine collaboration. Ethical considerations and the need for transparency in AI applications are key to these central findings. This study highlights the untapped potential of physician-generated real-world data in creating value for healthcare ecosystems. It advocates for a multidisciplinary strategy encompassing communication, education, and collaboration to advance AI in healthcare responsibly. Moreover, it suggests that by combining existing techniques in the AI discipline, including neural networks, generative AI, and genetic algorithms, as well as keeping a “physician in the loop” when building AI systems, we can have a significant impact on healthcare delivery and medical research.

In the era of rapid technological advancements, Artificial Intelligence (AI) is revolutionizing the healthcare industry. But as we welcome this new era, it brings along questions and concerns. On "AI Rx: Transforming Patient Care or Raising Alarm?" we delve deep into the dual facets of AI in healthcare. Each episode explores how AI is enhancing patient care, from cutting-edge diagnostics and personalized treatment plans to robotic surgeries and virtual health assistants. We feature experts, practitioners, and patients who share their firsthand experiences and insights on how AI is shaping the future of medicine. However, every silver lining has its cloud. We also tackle the ethical dilemmas, privacy issues, and potential pitfalls of relying on AI. Will AI's involvement lead to a more efficient healthcare system, or are we venturing into a territory fraught with risks? Join us on this journey as we unravel the promises and perils of AI in patient care, bringing you stories that inform, inspire, and provoke thought. Whether you're a healthcare professional, tech enthusiast, or simply curious about the future of medicine, this podcast is for you. Please refer to the systematic review for a more comprehensive view and share your thoughts.

There is a fine balance between ethics, privacy, and healthcare innovation. Overattention to on one side of the equation can compromise the other. My research is focused on finding the right balance so that we can provide physicians with AI-assisted guidance during expert discussions. You can hear more about it in the "AI | Balancing Data and Ethics in Healthcare Innovation

(A brief summary of the main aspects is also presented in the Techno-Docs | Bridging Medicine and AI short episode).

Background: Recent reviews on the use of AI for improving healthcare have predominantly focused on data sources such as electronic health records (EHR) and individual patient care in areas such as automatic image analyses (e.g., skin cancer), surgery, oncology, psychiatry, and clinical decision support. Over the past decade, there has also been considerable investment and attention in the field of physician-patient communications. Nevertheless, a recent systematic review of the literature suggests that inter-physician collaboration is still in the development stage. This study was conducted in a niche within this space. Thus, we anticipated that a small number of articles would address the research question. A limited body of literature has investigated how AI systems can collaborate with physicians to (a) assist in decision-making and (b) generate new data based on physicians’ experiences and knowledge so that the broader medical community (and additional stakeholders) can leverage that knowledge to drive innovation and better outcomes in healthcare. By stakeholders, we refer to the participating and interested entities that are either responsible for or affected by health- and healthcare-related decisions. While patients and physicians are the main stakeholders in this context, other potential stakeholders include policymakers, healthcare providers, payers, medical research entities, and pharmaceutical companies. This literature review aimed to synthesize evidence of the potential of leveraging physician-generated real-world data (RWD) captured through secure and HIPAA-compliant Professional Medical Chats (PMCs) for real-time AI-based insights.

Research Question: This study aims to address the following research question: How can physician-generated real-world data and cutting-edge AI be combined to generate valuable insights for healthcare stakeholders to create new business opportunities and/or improve patient care outcomes?

Contribution: This SLR builds upon and contributes to the growing research interest in AI and NLP for communication between physicians and patients, providing an additional perspective by tapping into the opportunities and challenges of applying AI to real-world data (RWD) generated by physician-to-physician communication. It provides future directions for healthcare leaders and researchers: physician-generated data through spontaneous, informal, and unsupervised professional communication may generate insights based on physicians’ real-life experiences that are not widely available or accessible and unfold the considerable, yet underleveraged, potential of physician-generated RWD to improve patient outcomes and healthcare efficiency.

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