Conversational Agents in Palliative Care: Potential Benefits, Risks, and Next Steps.

Journal: Journal of palliative medicine
PMID:

Abstract

Conversational agents (sometimes called chatbots) are technology-based systems that use artificial intelligence to simulate human-to-human conversations. Research on conversational agents in health care is nascent but growing, with recent reviews highlighting the need for more robust evaluations in diverse settings and populations. In this article, we consider how conversational agents might function in palliative care-not by replacing clinicians, but by interacting with patients around select uncomplicated needs while facilitating more targeted and appropriate referrals to specialty palliative care services. We describe potential roles for conversational agents aligned with the core domains of quality palliative care and identify risks that must be considered and addressed in the development and use of these systems for people with serious illness. With careful consideration of risks and benefits, conversational agents represent promising tools that should be explored as one component of a multipronged approach for improving patient and family outcomes in serious illness.

Authors

  • Yael Schenker
    Section of Palliative Care and Medical Ethics, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
  • Saeed Abdullah
    College of Information Sciences and Technology, Penn State University, University Park, Pennsylvania, USA.
  • Robert Arnold
    Section of Palliative Care and Medical Ethics, Division of General Internal Medicine, University of Pittsbiurgh, Pittsburgh, Pennsylvania, USA.
  • Kathryn H Schmitz
    UPMC Hillman Cancer Center, Pittsburgh, Pennsylvania, USA.