Perceptions of Artificial Intelligence Use in Primary Care: A Qualitative Study with Providers and Staff of Ontario Community Health Centres.

Humans Ontario Artificial Intelligence Qualitative Research Community Health Centers Primary Health Care
Artificial Intelligence Canada Family Medicine Informatics Qualitative Research

Journal

Journal of the American Board of Family Medicine : JABFM
ISSN: 1558-7118
Titre abrégé: J Am Board Fam Med
Pays: United States
ID NLM: 101256526

Informations de publication

Date de publication:
03 04 2023
Historique:
received: 12 05 2022
revised: 18 09 2022
revised: 14 10 2022
accepted: 20 10 2022
medline: 6 4 2023
pubmed: 23 3 2023
entrez: 22 3 2023
Statut: ppublish

Résumé

To understand staff and health care providers' views on potential use of artificial intelligence (AI)-driven tools to help care for patients within a primary care setting. We conducted a qualitative descriptive study using individual semistructured interviews. As part of province-wide Learning Health Organization, Community Health Centres (CHCs) are a community-governed, team-based delivery model providing primary care for people who experience marginalization in Ontario, Canada. CHC health care providers and staff were invited to participate. Interviews were audio-recorded and transcribed verbatim. We performed a thematic analysis using a team approach. We interviewed 27 participants across 6 CHCs. Participants lacked in-depth knowledge about AI. Trust was essential to acceptance of AI; people need to be receptive to using AI and feel confident that the information is accurate. We identified internal influences of AI acceptance, including ease of use and complementing clinical judgment rather than replacing it. External influences included privacy, liability, and financial considerations. Participants felt AI could improve patient care and help prevent burnout for providers; however, there were concerns about the impact on the patient-provider relationship. The information gained in this study can be used for future research, development, and integration of AI technology.

Identifiants

DOI: 10.3122/jabfm.2022.220177R2 PMID: 36948536
pubmed: 36948536
pii: jabfm.2022.220177R2
doi: 10.3122/jabfm.2022.220177R2
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

221-228

Subventions

Organisme : CIHR
Pays : Canada

Informations de copyright

© Copyright by the American Board of Family Medicine.

Déclaration de conflit d'intérêts

Conflict of interest: JR is an employee of the Alliance for Healthier Communities. No other authors have any competing interests.

Auteurs

Danielle M Nash (DM)

From the Department of Epidemiology and Biostatistics, the Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada (DMN, DJL, ALT, MZ); ICES, Ontario, Canada (DMN, MZ); Centre for Studies in Family Medicine, Department of Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada (DMN, CT, JBB, JR, ALT, MZ); Department of Computer Science, Faculty of Science, Western University, London, Ontario, Canada (JKK, DJL); Department of Research and Evaluation, Alliance for Healthier Communities, Toronto, Ontario, Canada (JR); Schulich Interfaculty Program in Public Health, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada (ALT). Danielle.nash@ices.on.ca.

Cathy Thorpe (C)

From the Department of Epidemiology and Biostatistics, the Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada (DMN, DJL, ALT, MZ); ICES, Ontario, Canada (DMN, MZ); Centre for Studies in Family Medicine, Department of Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada (DMN, CT, JBB, JR, ALT, MZ); Department of Computer Science, Faculty of Science, Western University, London, Ontario, Canada (JKK, DJL); Department of Research and Evaluation, Alliance for Healthier Communities, Toronto, Ontario, Canada (JR); Schulich Interfaculty Program in Public Health, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada (ALT).

Judith Belle Brown (JB)

From the Department of Epidemiology and Biostatistics, the Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada (DMN, DJL, ALT, MZ); ICES, Ontario, Canada (DMN, MZ); Centre for Studies in Family Medicine, Department of Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada (DMN, CT, JBB, JR, ALT, MZ); Department of Computer Science, Faculty of Science, Western University, London, Ontario, Canada (JKK, DJL); Department of Research and Evaluation, Alliance for Healthier Communities, Toronto, Ontario, Canada (JR); Schulich Interfaculty Program in Public Health, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada (ALT).

Jacqueline K Kueper (JK)

From the Department of Epidemiology and Biostatistics, the Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada (DMN, DJL, ALT, MZ); ICES, Ontario, Canada (DMN, MZ); Centre for Studies in Family Medicine, Department of Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada (DMN, CT, JBB, JR, ALT, MZ); Department of Computer Science, Faculty of Science, Western University, London, Ontario, Canada (JKK, DJL); Department of Research and Evaluation, Alliance for Healthier Communities, Toronto, Ontario, Canada (JR); Schulich Interfaculty Program in Public Health, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada (ALT).

Jennifer Rayner (J)

From the Department of Epidemiology and Biostatistics, the Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada (DMN, DJL, ALT, MZ); ICES, Ontario, Canada (DMN, MZ); Centre for Studies in Family Medicine, Department of Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada (DMN, CT, JBB, JR, ALT, MZ); Department of Computer Science, Faculty of Science, Western University, London, Ontario, Canada (JKK, DJL); Department of Research and Evaluation, Alliance for Healthier Communities, Toronto, Ontario, Canada (JR); Schulich Interfaculty Program in Public Health, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada (ALT).

Daniel J Lizotte (DJ)

From the Department of Epidemiology and Biostatistics, the Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada (DMN, DJL, ALT, MZ); ICES, Ontario, Canada (DMN, MZ); Centre for Studies in Family Medicine, Department of Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada (DMN, CT, JBB, JR, ALT, MZ); Department of Computer Science, Faculty of Science, Western University, London, Ontario, Canada (JKK, DJL); Department of Research and Evaluation, Alliance for Healthier Communities, Toronto, Ontario, Canada (JR); Schulich Interfaculty Program in Public Health, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada (ALT).

Amanda L Terry (AL)

From the Department of Epidemiology and Biostatistics, the Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada (DMN, DJL, ALT, MZ); ICES, Ontario, Canada (DMN, MZ); Centre for Studies in Family Medicine, Department of Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada (DMN, CT, JBB, JR, ALT, MZ); Department of Computer Science, Faculty of Science, Western University, London, Ontario, Canada (JKK, DJL); Department of Research and Evaluation, Alliance for Healthier Communities, Toronto, Ontario, Canada (JR); Schulich Interfaculty Program in Public Health, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada (ALT).

Merrick Zwarenstein (M)

From the Department of Epidemiology and Biostatistics, the Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada (DMN, DJL, ALT, MZ); ICES, Ontario, Canada (DMN, MZ); Centre for Studies in Family Medicine, Department of Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada (DMN, CT, JBB, JR, ALT, MZ); Department of Computer Science, Faculty of Science, Western University, London, Ontario, Canada (JKK, DJL); Department of Research and Evaluation, Alliance for Healthier Communities, Toronto, Ontario, Canada (JR); Schulich Interfaculty Program in Public Health, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada (ALT).

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Classifications MeSH

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