Quality and Accountability of ChatGPT in Health Care in Low- and Middle-Income Countries: Simulated Patient Study.

AI AI integration ChatGPT LMIC artificial intelligence effectiveness generative AI health care low- and middle-income countries medication prescription noncommunicable diseases patient study prescription quality quality and safety reliability simulated patient

Journal

Journal of medical Internet research
ISSN: 1438-8871
Titre abrégé: J Med Internet Res
Pays: Canada
ID NLM: 100959882

Informations de publication

Date de publication:
09 Sep 2024
Historique:
received: 06 01 2024
accepted: 30 07 2024
revised: 21 04 2024
medline: 9 9 2024
pubmed: 9 9 2024
entrez: 9 9 2024
Statut: epublish

Résumé

Using simulated patients to mimic 9 established noncommunicable and infectious diseases, we assessed ChatGPT's performance in treatment recommendations for common diseases in low- and middle-income countries. ChatGPT had a high level of accuracy in both correct diagnoses (20/27, 74%) and medication prescriptions (22/27, 82%) but a concerning level of unnecessary or harmful medications (23/27, 85%) even with correct diagnoses. ChatGPT performed better in managing noncommunicable diseases than infectious ones. These results highlight the need for cautious AI integration in health care systems to ensure quality and safety.

Identifiants

pubmed: 39250188
pii: v26i1e56121
doi: 10.2196/56121
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e56121

Informations de copyright

©Yafei Si, Yuyi Yang, Xi Wang, Jiaqi Zu, Xi Chen, Xiaojing Fan, Ruopeng An, Sen Gong. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 09.09.2024.

Auteurs

Yafei Si (Y)

UNSW Business School and CEPAR, The University of New South Wales, Kensington, Australia.

Yuyi Yang (Y)

Division of Computational and Data Sciences, Washington University in St Louis, St. Louis, MO, United States.

Xi Wang (X)

Brown School, Washington University in St Louis, St Louis, MT, United States.

Jiaqi Zu (J)

Global Health Research Center, Duke Kunshan University, Kunshan, China.

Xi Chen (X)

Department of Health Policy and Management, Yale University, New Haven, CT, United States.
Department of Economics, Yale University, New Haven, CT, United States.

Xiaojing Fan (X)

School of Public Policy and Administration, Xi'an Jiaotong University, Xi'an, China.

Ruopeng An (R)

Brown School, Washington University in St Louis, St Louis, MT, United States.
Silver School of Social Work, New York University, New York, NY, United States.

Sen Gong (S)

Centre for International Studies on Development and Governance, Zhejiang University, Hangzhou, China.

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Classifications MeSH