register

Digital & Innovation

Does AI facilitate or endanger the clinician-patient interaction? Battle of the experts

Health Industry Hub | March 24, 2021 |
[Total: 1    Average: 5/5]

Digital & Innovation: Artificial intelligence (AI) has significant potential to transform healthcare. Experts debated whether AI facilitates or endangers the clinician-patient interaction at the recent Australian Healthcare Week 2021 conference.

Professor Nilmini Wickramasinghe, Professor of Digital Health & Deputy Director Iverson Health Innovation Research Institute at Swinburne University, opened the debate by discussing why AI facilitates the patient experience. With advances in machine learning, the capabilities in AI have increased with sophisticated techniques extracting and making sense of large data sets.

“In healthcare today, we have huge amounts of disparate, multispectral data. It is cognitively not possible for any clinician or group of clinicians to quickly extract relevant knowledge and pertinent information to apply to a clinical setting or context without AI capabilities. In short, without AI, we would be making sub-optimal decisions in any clinical context.

“Further, a large part of my own research in healthcare is focused on designing and developing AI solutions. Through all the scientific studies we have done we have shown positive feedback from patients and clinicians who feel more empowered.

“We’re not talking about a silver bullet. We’re talking about using a tool in conjunction with clinicians to provide better patient care and better patient experience,” she added.

AI solutions can not only personalise and individualise treatments, but also ahead of time predict patients at risk. Therefore, appropriate preventative measures can take place by analysing large sets of data. Clinicians may gain better clarity around diagnosis and prognosis. By having a better understanding the number of unnecessary tests can be reduced.

Professor Wickramasinghe continued “It is important to understand the current challenges we’re facing in healthcare today – escalating costs, aging population, longer life expectancy, the rapid rise in chronic conditions and now we’re dealing with COVID-19.

“Today, we could not have developed the COVID vaccine so rapidly. We could not perform genomics and visual analytics in oncology.

“It’s just two simple letters, AI, but it is a very powerful tool to help us achieve better healthcare and better patient experiences,” she concluded.

Professor Ian Scott, Princess Alexandra Hospital Southside Clinical Unit, Faculty of Medicine, noted that dating back to the 1960s and 1970s there were great promises of expert systems, robotics and AI where the hype did not match the reality.

“More recently, we were told that the electronic medical records (EMR) is the great digital innovation to help patient interactions and improve clinical advice. In many cases EMR has dehumanised clinician and patient interactions. People now spend time in front of computers and monitors rather than actually at the bedside. More time is being taken away from clinical interactions with patients to fill out documentation. Clinicians also see problems with too many alerts, advice and recommendations not relevant to that particular patient,” he said.

According to Professor Scott, it is important to note that AI can produce harm. There have been cases whereby biased data influenced clinician decision making leading to wrong decisions and physical and psychological harm. IBM’s Watson for Oncology (WFO) is a classic example.

“We need more data and trials to understand where AI really works and where it doesn’t. I would argue that AI is promising, but is it time to replace the clinician-patient interaction with AI?” he said.

A/Professor Luis Prado, Executive Director of Academic and Medical Services and Chief Medical Officer at Epworth Healthcare, commented “This fear of dehumanising as a result of new technology advancements in healthcare has been with us for centuries.

“In the 1700s the stethoscope was invented. There was a fear that the presence of the stethoscope would physically and emotionally separate the doctor and dehumanised interaction. Of course this did not occur. In the 1900s, the Harvey Cushing sphygmomanometer was thought to be dehumanising for medical practice. Imagine trying to do clinical practice without one. Whilst the EMR is a problem, I’m sure my colleagues would never go back to paper prescribing over e-prescribing.

“Dehumanising is about fear. It’s the fear that I don’t know what I’m going to do in this new space, I’m going to have to learn something new, I’m going to be challenged or I might even be replaced,” he argued.

Healthcare professionals need to accept new technology, including AI, while determining where and how it should be best used to enhance patient care. AI has already shown to assist medical practice and it does not need to interrupt or disrupt the important patient-provider interaction.

“Reflect on the last time you were at general practice or saw a specialist. How much of that interaction was influenced by the use of technology on the desk, the stethoscope and other medical technology? Was it not about the doctor’s empathy, their care and their communication skills? AI can’t replace that because if it does, that’s on us,” he concluded.


About the author

About the author

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam luctus finibus scelerisque. Nunc bibendum ipsum sed augue fringilla fringilla. Nullam at consectetur leo. Praesent viverra rutrum porta. Quisque vitae mi vel purus vulputate tincidunt. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Suspendisse et mi quis nisi rhoncus feugiat at ac tellus. Sed aliquam sodales nulla ac auctor. Sed pretium lobortis purus accumsan ullamcorper. Phasellus sodales vel odio in lobortis. Duis maximus sagittis bibendum. Interdum et malesuada fames ac ante ipsum primis in faucibus. Nunc dictum tincidunt ipsum in vestibulum. Donec ut sem consectetur, aliquam quam vitae, pharetra orci. Nam egestas non velit eu rhoncus. Duis congue neque non lacus tincidunt porta. Vestibulum ultricies pulvinar sem, molestie congue dui aliquet non.
  • Ut imperdiet leo id lorem fermentum consectetur.
  • Ut vitae orci et dui varius tincidunt.
  • Ut id magna non libero vestibulum pharetra ac faucibus nulla.
Aliquam erat volutpat. Vestibulum vitae varius diam. Nulla eget congue ante. Nunc ullamcorper sagittis augue vel dictum. Mauris finibus nibh ut pulvinar auctor. Vestibulum ut faucibus nisi. Orci varius natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus. Quisque porta tortor ac justo malesuada elementum. Nulla tellus ante, cursus nec ex sit amet, suscipit bibendum arcu. Duis posuere orci dui, et mollis enim dictum at. Sed ullamcorper, sapien ut vulputate viverra, sem purus porttitor tellus, nec mattis mauris ligula sed risus. Nulla sagittis id ipsum eu mattis. Link to full profile

Leadership & Management

Leadership Management Qualities - The power of being an authentic leader

The power of being an authentic leader

Health Industry Hub | April 21, 2021 |

Leadership & Management: Welcome to Health Industry Hub’s Women in Leadership Series – connecting, engaging and empowering women in the […]

More


Digital & Innovation

Healthcare Technology Digital Innovations - Data is the biggest challenge, and opportunity, for MedTech

Data is the biggest challenge, and opportunity, for MedTech

Health Industry Hub | April 21, 2021 |

Digital & Innovation: Medical technology is increasingly shaping the future of healthcare. The sector is also a growing part of […]

More


News & Trends - Medical Technology

MedTech News - Thermo Fisher acquisition to better serve its pharma and biotech clients

Thermo Fisher acquisition to better serve its pharma and biotech clients

Health Industry Hub | April 21, 2021 |

MedTech News: Thermo Fisher Scientific is buying clinical research services provider PPD for a hearty $17.4 billion, and that’s not its only acquisition this […]

More


News & Trends - Pharmaceuticals

Pharma News - First-in-class oncology drug candidate licensed by Aussie pharma

First-in-class oncology drug candidate licensed by Aussie pharma

Health Industry Hub | April 21, 2021 |

Pharma News: An Australian oncology-focused drug development company entered into a worldwide exclusive licensing agreement and a master services agreement […]

More