ABSTRACT
Background: The use of artificial intelligence (AI) in medicine has been a trending subject in the past few years. Although not frequently used in daily practice yet, it brings along many expectations, doubts, and fears for physicians. Surveys can be used to help understand this situation. Objective: This study aimed to explore the degree of knowledge, expectations, and fears on possible AI use by physicians in daily practice, according to sex and time since graduation. Methods: An electronic survey was sent to physicians of a large hospital in Brazil, from August to September 2022. Results: A total of 164 physicians responded to our survey. Overall, 54.3% (89/164) of physicians considered themselves to have an intermediate knowledge of AI, and 78.5% (128/163) believed that AI should be regulated by a governmental agency. If AI solutions were reliable, fast, and available, 77.9% (127/163) intended to frequently or always use AI for diagnosis (143/164, 87.2%), management (140/164, 85.4%), or exams interpretation (150/164, 91.5%), but their approvals for AI when used by other health professionals (85/163, 52.1%) or directly by patients (82/162, 50.6%) were not as high. The main benefit would be increasing the speed for diagnosis and management (106/163, 61.3%), and the worst issue would be to over rely on AI and lose medical skills (118/163, 72.4%). Physicians believed that AI would be useful (106/163, 65%), facilitate their work (140/153, 91.5%), not alter the number of appointments (80/162, 49.4%), not interfere in their financial gain (94/162, 58%), and not replace their jobs but be an additional source of information (104/162, 64.2%). In case of disagreement between AI and physicians, most (108/159, 67.9%) answered that a third opinion should be requested. Physicians with ≤10 years since graduation would adopt AI solutions more frequently than those with >20 years since graduation (P=.04), and female physicians were more receptive to other hospital staff using AI than male physicians (P=.008). Conclusions: Physicians were shown to have good expectations regarding the use of AI in medicine when they apply it themselves, but not when used by others. They also intend to use it, as long as it was approved by a regulatory agency. Although there was hope for a beneficial impact of AI on health care, it also brings specific concerns.
ABSTRACT
Objetivo: evaluar los resultados de una intervención para mejorar conocimientos, percepciones y prácticas de los médicos relacionados con el diagnóstico, tratamiento y control de la giardiasis. Métodos: para indagar en los conocimientos, percepciones y prácticas de médicos de familia del municipio Playa, La Habana, en relación con el diagnóstico, tratamiento y control de la giardiasis, se diseñó, validó y aplicó a estos un cuestionario de 27 preguntas. Para atenuar las deficiencias evidenciadas con la aplicación de ese instrumento, se ejecutaron, a modo de intervención, un grupo de acciones de tipo académico. Esas medidas incluyeron la preparación, publicación y distribución gratuita a todos los médicos de un libro sobre giardiasis, así como la impartición de conferencias sobre el tema. Para evaluar los resultados de la intervención, a 6 meses de completada su puesta en práctica, se hizo una segunda aplicación del cuestionario antes mencionado. Resultados: la primera aplicación del cuestionario hizo evidente los conocimientos insuficientes, las percepciones inadecuadas y prácticas incorrectas. Por ejemplo, la media de respuestas correctas a las 19 interrogantes sobre aspectos cognoscitivos fue de 7,69. La segunda aplicación del instrumento permitió conocer de una significativa mejoría de los encuestados en la casi totalidad de los aspectos cognoscitivos, perceptuales y conductuales evaluados. Por ejemplo, la media de respuestas correctas a las preguntas sobre aspectos cognoscitivos resultó significativamente más alta (14,61; p< 0,0001). Conclusión: los resultados de la intervención realizada en el municipio Playa sugieren su extensión al resto del país y demuestran, una vez más, la necesidad de monitorear y actualizar con regularidad los programas de formación de médicos y especialistas en los aspectos relacionados con el diagnóstico, tratamiento y control de las enfermedades parasitarias(AU)
Objective: evaluate the results of an intervention aimed at improving physicians' knowledge, perceptions and practices in the diagnosis, treatment and control of giardiasis. Methods: a 27-question survey was designed, validated and given to family doctors from the municipality of Playa, Havana, aimed at inquiring about their knowledge, perceptions and practices in the diagnosis, treatment and control of giardiasis. To make up for deficiencies found in the application of this tool, a number of academic actions were implemented. For example, a book on giardiasis was prepared, published and distributed free-of-charge among all doctors, and lectures on the topic were delivered. Six months after implementation of the intervention, the questionnaire was applied again with the purpose of evaluating the results obtained. Results: the first application of the questionnaire revealed that knowledge was insufficient, perceptions inadequate and practices incorrect. For instance, the mean number of correct answers to the 19 questions on cognitive aspects was 7.69. The second application of the questionnaire showed a significant improvement in practically all the cognitive, perceptual and behavioral aspects evaluated. This time the mean number of correct answers to questions on cognitive aspects was significantly higher (14.61; p< 0.0001). Conclusion: the results obtained from the intervention implemented in the municipality of Playa point to the advisability of its expansion to the rest of the country. They also suggest, once again, the need to regularly monitor and update the contents of training programs for doctors and specialists in relation to the diagnosis, treatment and control of parasitic diseases(AU)
Subject(s)
Humans , Giardiasis/diagnosis , Giardiasis/prevention & control , Giardiasis/therapyABSTRACT
Objetivo: evaluar los resultados de una intervención para mejorar conocimientos, percepciones y prácticas de los médicos relacionados con el diagnóstico, tratamiento y control de la giardiasis. Métodos: para indagar en los conocimientos, percepciones y prácticas de médicos de familia del municipio Playa, La Habana, en relación con el diagnóstico, tratamiento y control de la giardiasis, se diseñó, validó y aplicó a estos un cuestionario de 27 preguntas. Para atenuar las deficiencias evidenciadas con la aplicación de ese instrumento, se ejecutaron, a modo de intervención, un grupo de acciones de tipo académico. Esas medidas incluyeron la preparación, publicación y distribución gratuita a todos los médicos de un libro sobre giardiasis, así como la impartición de conferencias sobre el tema. Para evaluar los resultados de la intervención, a 6 meses de completada su puesta en práctica, se hizo una segunda aplicación del cuestionario antes mencionado. Resultados: la primera aplicación del cuestionario hizo evidente los conocimientos insuficientes, las percepciones inadecuadas y prácticas incorrectas. Por ejemplo, la media de respuestas correctas a las 19 interrogantes sobre aspectos cognoscitivos fue de 7,69. La segunda aplicación del instrumento permitió conocer de una significativa mejoría de los encuestados en la casi totalidad de los aspectos cognoscitivos, perceptuales y conductuales evaluados. Por ejemplo, la media de respuestas correctas a las preguntas sobre aspectos cognoscitivos resultó significativamente más alta (14,61; p< 0,0001). Conclusión: los resultados de la intervención realizada en el municipio Playa sugieren su extensión al resto del país y demuestran, una vez más, la necesidad de monitorear y actualizar con regularidad los programas de formación de médicos y especialistas en los aspectos relacionados con el diagnóstico, tratamiento y control de las enfermedades parasitarias
Objective: evaluate the results of an intervention aimed at improving physicians' knowledge, perceptions and practices in the diagnosis, treatment and control of giardiasis. Methods: a 27-question survey was designed, validated and given to family doctors from the municipality of Playa, Havana, aimed at inquiring about their knowledge, perceptions and practices in the diagnosis, treatment and control of giardiasis. To make up for deficiencies found in the application of this tool, a number of academic actions were implemented. For example, a book on giardiasis was prepared, published and distributed free-of-charge among all doctors, and lectures on the topic were delivered. Six months after implementation of the intervention, the questionnaire was applied again with the purpose of evaluating the results obtained. Results: the first application of the questionnaire revealed that knowledge was insufficient, perceptions inadequate and practices incorrect. For instance, the mean number of correct answers to the 19 questions on cognitive aspects was 7.69. The second application of the questionnaire showed a significant improvement in practically all the cognitive, perceptual and behavioral aspects evaluated. This time the mean number of correct answers to questions on cognitive aspects was significantly higher (14.61; p< 0.0001). Conclusion: the results obtained from the intervention implemented in the municipality of Playa point to the advisability of its expansion to the rest of the country. They also suggest, once again, the need to regularly monitor and update the contents of training programs for doctors and specialists in relation to the diagnosis, treatment and control of parasitic diseases