The impact of artificial intelligence on the person-centred, doctor-patient relationship: some problems and solutions.

Journal: BMC medical informatics and decision making
Published Date:

Abstract

Artificial intelligence (AI) is often cited as a possible solution to current issues faced by healthcare systems. This includes the freeing up of time for doctors and facilitating person-centred doctor-patient relationships. However, given the novelty of artificial intelligence tools, there is very little concrete evidence on their impact on the doctor-patient relationship or on how to ensure that they are implemented in a way which is beneficial for person-centred care.Given the importance of empathy and compassion in the practice of person-centred care, we conducted a literature review to explore how AI impacts these two values. Besides empathy and compassion, shared decision-making, and trust relationships emerged as key values in the reviewed papers. We identified two concrete ways which can help ensure that the use of AI tools have a positive impact on person-centred doctor-patient relationships. These are (1) using AI tools in an assistive role and (2) adapting medical education. The study suggests that we need to take intentional steps in order to ensure that the deployment of AI tools in healthcare has a positive impact on person-centred doctor-patient relationships. We argue that the proposed solutions are contingent upon clarifying the values underlying future healthcare systems.

Authors

  • Aurelia Sauerbrei
    Ethox Centre, Nuffield Department of Population Health, University of Oxford, Big Data Institute, Old Road Campus, Oxford, OX3 7LF, UK. aurelia.sauerbrei@ethox.ox.ac.uk.
  • Angeliki Kerasidou
    The Ethox Centre, Nuffield Department of Population Health, University of Oxford, Old Road Campus, Oxford, OX3 7LF, England.
  • Federica Lucivero
    Ethox Centre, Nuffield Department of Population Health, University of Oxford, Big Data Institute, Old Road Campus, Oxford, OX3 7LF, UK.
  • Nina Hallowell
    Codirector of the EPSRC Centre for Doctoral Training in Health Data Science and a professor at the Ethox Centre and Wellcome Centre for Ethics and Humanities at the University of Oxford.