Artificial intelligence (AI) technology has been increasingly used in the implementation of advanced Clinical Decision Support Systems (CDSS). Research demonstrated the potential usefulness of AI-powered CDSS (AI-CDSS) in clinical decision making scenarios. However, post-adoption user perception and experience remain understudied, especially in developing countries. Through observations and interviews with 22 clinicians from 6 rural clinics in China, this paper reports the various tensions between the design of an AI-CDSS system (``Brilliant Doctor'') and the rural clinical context, such as the misalignment with local context and workflow, the technical limitations and usability barriers, as well as issues related to transparency and trustworthiness of AI-CDSS. Despite these tensions, all participants expressed positive attitudes toward the future of AI-CDSS, especially acting as ``a doctor's AI assistant'' to realize a Human-AI Collaboration future in clinical settings. Finally we draw on our findings to discuss implications for designing AI-CDSS interventions for rural clinical contexts in developing countries.
翻译:人工智能(AI)技术越来越多地用于实施先进的临床决策支持系统(CDSS),研究表明,AI授权的CDSS(AI-CDSS)在临床决策情景中具有潜在效用,然而,被选后用户的观念和经验仍然得不到充分研究,特别是在发展中国家,通过对中国6个农村诊所的22名临床医生的观察和访谈,本文件报告了在设计AI-CDSS系统(“优秀医生”)和农村临床环境(如与当地环境和工作流程不相符、技术限制和可用性障碍以及与AI-CDSS透明度和可信度有关的问题)之间各种紧张关系。尽管存在这些紧张关系,所有与会者都对AI-CDSS的未来表示了积极的态度,特别是作为“医生的AI助理”在临床环境中实现人类-AI合作的未来。最后,我们借鉴我们的调查结果,讨论设计AI-CDSS对发展中国家农村临床环境的干预的影响。