Generative artificial intelligence in primary care: an online survey of UK general practitioners

IF 4.1 Q1 HEALTH CARE SCIENCES & SERVICES BMJ Health & Care Informatics Pub Date : 2024-09-17 DOI:10.1136/bmjhci-2024-101102
Charlotte R Blease, Cosima Locher, Jens Gaab, Maria Hägglund, Kenneth D Mandl
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Abstract

Objectives Following the launch of ChatGPT in November 2022, interest in large language model-powered chatbots has soared with increasing focus on the clinical potential of these tools. We sought to measure general practitioners’ (GPs) current use of this new generation of chatbots to assist with any aspect of clinical practice in the UK.Methods An online survey was distributed to a non-probability sample of GPs registered with the clinician marketing service Doctors.net.uk. The study was launched as a monthly ‘omnibus survey’ which has a predetermined sample size of 1000 participants.Results 531 (53%) respondents were men, 544 (54%) were 46 years or older. 20% (205) reported using generative artificial intelligence (AI) tools in clinical practice; of those who answered affirmatively and were invited to clarify further, 29% (47) reported using these tools to generate documentation after patient appointments and 28% (45) to suggest a differential diagnosis.Discussion Administered a year after ChatGPT was launched, this is the largest survey we know of conducted into doctors’ use of generative AI in clinical practice. Findings suggest that GPs may derive value from these tools, particularly with administrative tasks and to support clinical reasoning.Conclusion Despite a lack of guidance about these tools and unclear work policies, GPs report using generative AI to assist with their job. The medical community will need to find ways to both educate physicians and trainees and guide patients about the safe adoption of these tools.
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初级医疗中的生成人工智能:对英国全科医生的在线调查
目的 在 2022 年 11 月推出 ChatGPT 之后,人们对由大型语言模型驱动的聊天机器人的兴趣急剧上升,并越来越关注这些工具的临床潜力。我们试图调查英国全科医生(GPs)目前使用新一代聊天机器人协助临床实践的情况。方法 我们向在临床医生营销服务 Doctors.net.uk 注册的全科医生进行了非概率抽样在线调查。结果 531 名受访者(53%)为男性,544 名受访者(54%)年龄在 46 岁或以上。20%的受访者(205人)表示在临床实践中使用了人工智能生成工具;在回答肯定并被邀请进一步说明的受访者中,29%的受访者(47人)表示在预约病人后使用这些工具生成文件,28%的受访者(45人)表示使用这些工具提出鉴别诊断建议。调查结果表明,全科医生可能会从这些工具中获得价值,尤其是在行政任务和支持临床推理方面。结论 尽管缺乏对这些工具的指导,工作政策也不明确,但全科医生仍报告说他们使用了生成式人工智能来协助工作。医学界需要找到既能教育医生和受训人员又能指导患者安全使用这些工具的方法。
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来源期刊
CiteScore
6.10
自引率
4.90%
发文量
40
审稿时长
18 weeks
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