Individual level | Interpersonal level | Institutional level | Community level | Policy |
---|---|---|---|---|
Knowledge about AI • Time to trial AI in practice [39] • Education and training [39] • Conferences and networks [40] Attitude towards profession • No fear of job loss [41, 42] • Improves self-assurance [43] • Educational function [38] • Retaining decision control [36, 39, 44, 45] Management of own knowledge • Time efficiency (e.g. quick access, summarizing information) [29, 30, 46,47,48,49] • Handling of big data in real-time [50, 51] Working with AI • Decrease time on repetitive tasks (medical, non-medical) [30, 40, 46, 52,53,54,55] • Task delegation to AI [47] • More time and focus on patient and/or critical tasks [45, 56] Useability • Ease of use technology (user-friendliniess), useability [36, 38, 39] | Implication of relationships to patients • Communication with patients (e.g. chatbot, multilingual) [30, 32] Relationship with coworkers • Teamwork and Coordination [30, 35, 57] • Collaboration across teams (e.g. AI team, physicians, IT) [36] | Medical decision-making in clinical setting • Complex cases, connecting multiple sources of information (e.g. drug interaction, potential contraindications) [29, 34, 54, 58] • Personalized recommendation [30, 32] • Second opinion, treatment accuracy [60,61,62] • Improved sensitivity/specifity, reduce missed diagnoses [31, 33, 38, 44, 46, 52, 55, 60,61,62,63,64,65,66,67,68,69,70,71,72,73,74,75] • Risk assessment for appropriate patient pathway [33, 76] Workflow/processes in clinical setting • Efficiency [38, 41, 44, 55, 56, 62, 67, 68, 77,78,79,80] • Standardized reporting [69] • Process optimization (e.g. triage of patients) [46, 57, 81] • Real time alert of hazards and complications [57, 72] Quality of care [80] • Patient safety (reduce medical mistakes) [32, 46, 49, 72] • Improve medical standards [85] • Improvement of clinical outcomes [33, 54, 55, 61, 79, 84] • Consistency of care (no exhaustion, no hunger, no emotion) [46, 61, 66] • Timeliness of care [44] • Scientific objectivity [69] | Research community • Endorsed by leaders, academic societies, trusted experts [38, 52] • Transparency in the development process [63] • Explainability and verifiability [63] • Evidence-based technology, large RCTs to support the validity, reliability and effectiveness [36, 38, 39, 42, 58] | Support healthcare system • Relieve workforce crisis [40, 44] • Potential for cost efficient, time efficiency [44] • Improve population health indicators [79] • Access to healthcare [32, 59, 60, 71] • Remote support for patients [34] Ethics and Legal • Uniformity and evidence-based in diagnosis [54, 65] • Non discrimination of patients [44, 86] • Clear legal framework (e.g. data protection, liability) [37, 38, 40] |