对话式人工智能有助于心理健康评估,并能提高康复率

IF 1.4 Q3 HEALTH CARE SCIENCES & SERVICES BMJ Innovations Pub Date : 2024-03-01 DOI:10.1136/bmjinnov-2023-001110
Max Rollwage, Johanna Habicht, Keno Juchems, Ben Carrington, Tobias U Hauser, Ross Harper
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引用次数: 0

摘要

由于病人对心理治疗的需求增加,而合格的心理健康从业人员却短缺,全球的心理健康服务不堪重负。这种情况在中短期内不太可能改变。我们迫切需要数字化支持,以方便患者获得心理保健服务,同时提高服务效率。在本文中,我们评估了对话式人工智能(AI)解决方案(Limbic Access)的使用情况,该解决方案可协助患者和心理健康从业人员进行轻度至中度成人精神疾病的转诊、分诊和临床评估。通过在英格兰国民健康服务系统(NHS)谈话治疗服务中对该解决方案进行评估,我们在一项队列研究设计中证明,部署这种人工智能解决方案与提高康复率有关。我们发现,那些引入了对话式人工智能解决方案的 NHS 会话治疗服务提高了康复率,而同期全国的同类 NHS 会话治疗服务的康复率却在下降。此外,我们提供的经济分析表明,与其他提高康复率的方法相比,使用这种人工智能解决方案具有很高的成本效益。这些结果共同凸显了人工智能解决方案在劳动力供应恶化和系统负担过重的情况下支持心理健康服务提供优质医疗服务的潜力。为透明起见,本文作者声明我们作为本文提及的人工智能解决方案 Limbic Access 的员工和股东存在利益冲突。数据可在专门的 GitHub 存储库中获取。支持本研究的代码和数据可在专门的 GitHub 存储库中获取。
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Conversational AI facilitates mental health assessments and is associated with improved recovery rates
Mental health services across the globe are overburdened due to increased patient need for psychological therapies and a shortage of qualified mental health practitioners. This is unlikely to change in the short-to-medium term. Digital support is urgently needed to facilitate access to mental healthcare while creating efficiencies in service delivery. In this paper, we evaluate the use of a conversational artificial intelligence (AI) solution ( Limbic Access ) to assist both patients and mental health practitioners with referral, triage, and clinical assessment of mild-to-moderate adult mental illness. Assessing this solution in the context of England’s National Health Service (NHS) Talking Therapies services, we demonstrate in a cohort study design that deploying such an AI solution is associated with improved recovery rates. We find that those NHS Talking Therapies services that introduced the conversational AI solution improved their recovery rates, while comparable NHS Talking Therapies services across the country reported deteriorating recovery rates during the same time period. Further, we provide an economic analysis indicating that the usage of this AI solution can be highly cost-effective relative to other methods of improving recovery rates. Together, these results highlight the potential of AI solutions to support mental health services in the delivery of quality care in the context of worsening workforce supply and system overburdening. For transparency, the authors of this paper declare our conflict of interest as employees and shareholders of Limbic Access, the AI solution referred to in this paper. Data available at a dedicated GitHub repository. Code and data supporting this study are available at a dedicated GitHub repository.
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来源期刊
BMJ Innovations
BMJ Innovations Medicine-Medicine (all)
CiteScore
4.20
自引率
0.00%
发文量
63
期刊介绍: Healthcare is undergoing a revolution and novel medical technologies are being developed to treat patients in better and faster ways. Mobile revolution has put a handheld computer in pockets of billions and we are ushering in an era of mHealth. In developed and developing world alike healthcare costs are a concern and frugal innovations are being promoted for bringing down the costs of healthcare. BMJ Innovations aims to promote innovative research which creates new, cost-effective medical devices, technologies, processes and systems that improve patient care, with particular focus on the needs of patients, physicians, and the health care industry as a whole and act as a platform to catalyse and seed more innovations. Submissions to BMJ Innovations will be considered from all clinical areas of medicine along with business and process innovations that make healthcare accessible and affordable. Submissions from groups of investigators engaged in international collaborations are especially encouraged. The broad areas of innovations that this journal aims to chronicle include but are not limited to: Medical devices, mHealth and wearable health technologies, Assistive technologies, Diagnostics, Health IT, systems and process innovation.
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