评估人工智能系统,解决医护人员的心理健康问题:综合文献综述

IF 3.7 2区 医学 Q2 COMPUTER SCIENCE, INFORMATION SYSTEMS International Journal of Medical Informatics Pub Date : 2024-07-26 DOI:10.1016/j.ijmedinf.2024.105566
C. Levin , E. Naimi , M. Saban
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引用次数: 0

摘要

背景医护人员的心理健康问题仍然是全球范围内的一个严重问题。最近的调查报告显示,不同职业群体中的抑郁、焦虑、职业倦怠和其他疾病的发病率都很高。本综合文献综述旨在探讨使用生成式人工智能(GenAI)和机器学习(ML)系统预测医疗保健专业人员的心理健康问题并识别相关风险因素的研究现状。方法在 Medline 数据库中进行文献检索,然后根据需要调整为 Scopus、Web of Science、Google Scholar、PubMed 和 CINAHL 全文。结果九项研究采用了各种机器学习技术来预测医护人员的不同心理健康结果。模型显示出良好的预测性能,抑郁、焦虑和安全感等结果的AUC从0.82到0.904不等。发现的主要风险因素包括疲劳、压力、职业倦怠、工作量、睡眠问题和缺乏支持。有两项研究探讨了基于传感器的技术和 GenAI 生理数据分析的潜力。结论初步研究表明,人工智能/ML 模型可以有效预测心理健康问题。然而,还需要做更多的工作来评估这些工具(包括 GenAI 系统)在现实世界中的整合情况及其对识别临床医生的困扰和长期支持福祉的影响。进一步的研究应旨在探索如何开发和应用 GenAI,为医护人员提供心理健康支持。
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Evaluating GenAI systems to combat mental health issues in healthcare workers: An integrative literature review

Background

Mental health issues among healthcare workers remain a serious problem globally. Recent surveys continue to report high levels of depression, anxiety, burnout and other conditions amongst various occupational groups. Novel approaches are needed to support clinician well-being.

Objective

This integrative literature review aims to explore the current state of research examining the use of generative artificial intelligence (GenAI) and machine learning (ML) systems to predict mental health issues and identify associated risk factors amongst healthcare professionals.

Methods

A literature search of databases was conducted in Medline then adapted as necessary to Scopus, Web of Science, Google Scholar, PubMed and CINAHL with Full Text. Eleven studies met the inclusion criteria for the review.

Results

Nine studies employed various machine learning techniques to predict different mental health outcomes among healthcare workers. Models showed good predictive performance, with AUCs ranging from 0.82 to 0.904 for outcomes such as depression, anxiety and safety perceptions. Key risk factors identified included fatigue, stress, burnout, workload, sleep issues and lack of support. Two studies explored the potential of sensor-based technologies and GenAI analysis of physiological data.

None of the included studies focused on the use of GenAI systems specifically for providing mental health support to healthcare workers.

Conclusion

Preliminary research demonstrates that AI/ML models can effectively predict mental health issues. However, more work is needed to evaluate the real-world integration and impact of these tools, including GenAI systems, in identifying clinician distress and supporting well-being over time. Further research should aim to explore how GenAI may be developed and applied to provide mental health support for healthcare workers.

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来源期刊
International Journal of Medical Informatics
International Journal of Medical Informatics 医学-计算机:信息系统
CiteScore
8.90
自引率
4.10%
发文量
217
审稿时长
42 days
期刊介绍: International Journal of Medical Informatics provides an international medium for dissemination of original results and interpretative reviews concerning the field of medical informatics. The Journal emphasizes the evaluation of systems in healthcare settings. The scope of journal covers: Information systems, including national or international registration systems, hospital information systems, departmental and/or physician''s office systems, document handling systems, electronic medical record systems, standardization, systems integration etc.; Computer-aided medical decision support systems using heuristic, algorithmic and/or statistical methods as exemplified in decision theory, protocol development, artificial intelligence, etc. Educational computer based programs pertaining to medical informatics or medicine in general; Organizational, economic, social, clinical impact, ethical and cost-benefit aspects of IT applications in health care.
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