Evidence map›Paper›PMID 33031411›Full record

ArticlePloS one2020

US primary care in 2029: A Delphi survey on the impact of machine learning.

Charlotte Blease, Anna Kharko, Cosima Locher, Catherine M DesRoches, Kenneth D Mandl

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
5.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

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  13. The Predicted Future of Psychotherapy: A Decennial e-Delphi Poll.Professional psychology, research and practice · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 3 countries.

Charlotte BleaseDivision of General Medicine, OpenNotes, Beth Israel Deaconess Medical Center, Boston, MA, United States of America.ORCID 0000-0003-3657-2476
Anna KharkoDepartment of Psychology, University of Plymouth, Plymouth, United Kingdom.ORCID 0000-0003-0908-6173
Cosima LocherDivision of Clinical Psychology and Psychotherapy, University of Basel, Basel, Switzerland.
Catherine M DesRochesDivision of General Medicine, OpenNotes, Beth Israel Deaconess Medical Center, Boston, MA, United States of America.
Kenneth D MandlDepartment of Biomedical Informatics, Harvard Medical School, Boston, MA, United States of America.
Beth Israel Deaconess Medical Center · USBoston Children's Hospital · USUniversity of Plymouth · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo solicit leading health informaticians' predictions about the impact of AI/ML on primary care in the US in 2029.

designA three-round online modified Delphi poll.

participantsTwenty-nine leading health informaticians.

methodsIn September 2019, health informatics experts were selected by the research team, and invited to participate the Delphi poll. Participation in each round was anonymous, and panelists were given between 4-8 weeks to respond to each round. In Round 1 open-ended questions solicited forecasts on the impact of AI/ML on: (1) patient care, (2) access to care, (3) the primary care workforce, (4) technological breakthroughs, and (5) the long-future for primary care physicians. Responses were coded to produce itemized statements. In Round 2, participants were invited to rate their agreement with each item along 7-point Likert scales. Responses were analyzed for consensus which was set at a predetermined interquartile range of ≤ 1. In Round 3 items that did not reach consensus were redistributed.

resultsA total of 16 experts participated in Round 1 (16/29, 55%). Of these experts 13/16 (response rate, 81%), and 13/13 (response rate, 100%), responded to Rounds 2 and 3, respectively. As a result of developments in AI/ML by 2029 experts anticipated workplace changes including incursions into the disintermediation of physician expertise, and increased AI/ML training requirements for medical students. Informaticians also forecast that by 2029 AI/ML will increase diagnostic accuracy especially among those with limited access to experts, minorities and those with rare diseases. Expert panelists also predicted that AI/ML-tools would improve access to expert doctor knowledge.

conclusionsThis study presents timely information on informaticians' consensus views about the impact of AI/ML on US primary care in 2029. Preparation for the near-future of primary care will require improved levels of digital health literacy among patients and physicians.

Indexed as

AdultFemaleForecastingHumansMachine LearningMaleMedical InformaticsMiddle AgedPrimary Health CareSurveys and Questionnaires

Identifiers

PMID33031411
PMCPMC7544100
OpenAlexW3092491824

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.