ReviewThe Lancet regional health. Western Pacific2023
ChatGPT: promise and challenges for deployment in low- and middle-income countries.
Review in The Lancet regional health. Western Pacific, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
73 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Large language models for primary care ophthalmic education: a systematic review.Frontiers in medicine · 2026Pooled it
- Unveiling the Potential of Large Language Models in Transforming Chronic Disease Management: Mixed Methods Systematic Review.Journal of medical Internet research · 2025Pooled it
- Effectiveness of ChatGPT and DeepSeek in Urology Medical Education: Randomized Controlled Trial.Journal of medical Internet research · 2026Trial
- Development of an Equity-Centered Sociotechnical Architecture for Generative AI Integration in Public Health Promotion: Conceptual Framework.Journal of medical Internet research · 2026Article
- Integrating ChatGPT to support children and adolescents with diabetes mellitus in South African healthcare: Perspectives of healthcare professionals and academics.African journal of primary health care & family medicine · 2026Article
- Local LLMs as cooperative agents for low-cost surgical navigation support.International journal of computer assisted radiology and surgery · 2026Article
- Can ChatGPT provide reliable guidance to families of children with Duchenne Muscular Dystrophy? A dual perspective of parents and experts.BMC pediatrics · 2026Article
- BRIDGE: benchmarking large language models for understanding real-world clinical practice texts.Nature biomedical engineering · 2026Article
- Evaluating the performance of ChatGPT in responding to myotonic dystrophy type 1 patient inquiries: a specialist physician-based study.BMC neurology · 2026Article
- A bilingual evaluation of chatbot performance in bruxism-related information: accuracy and readability across two models.BMC oral health · 2026Article
- Accuracy of ChatGPT and DeepSeek in answering clinical questions from the 2025 Society for Cardiovascular Angiography & Interventions/Heart Rhythm Society left atrial appendage occlusion guidelines.The Journal of international medical research · 2026Article
- When Agentic LLMs Trust Poisoned Tools: Vulnerability of Clinical LLMs to Adversarial Guidelines.Research square · 2026Article
- AI Literacy Among Chinese Medical Students: Cross-Sectional Examination of Individual and Environmental Factors.JMIR medical education · 2026Article
- The paradox of agency in psychotherapy: How people with mental distress experience support from generative AI chatbots and human therapists.BMC psychiatry · 2025Article
- Reclaiming clinical time: The promise and challenges of ambient AI for oncology nurses in the Asia-Pacific region.Asia-Pacific journal of oncology nursing · 2025Article
- A Prompt Engineering Framework for Large Language Model-Based Mental Health Chatbots: Conceptual Framework.JMIR mental health · 2025Article
- Strengthening ethics review of the development of artificial intelligence (AI) systems in health research: a guide for research ethics committees in Uganda.BMC medical ethics · 2025Article
- Large language models and global health equity: a roadmap for equitable adoption in LMICs.The Lancet regional health. Western Pacific · 2025Review
- Attitudes and perceptions of biomedical journal editors in chief towards the use of artificial intelligence chatbots in the scholarly publishing process: a cross-sectional survey.Research integrity and peer review · 2025Article
- Artificial General Intelligence and Its Threat to Public Health.Journal of evaluation in clinical practice · 2025Article
13 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In low- and middle-income countries (LMICs), the fields of medicine and public health grapple with numerous challenges that continue to hinder patients' access to healthcare services. ChatGPT, a publicly accessible chatbot, has emerged as a potential tool in aiding public health efforts in LMICs. This viewpoint details the potential benefits of employing ChatGPT in LMICs to improve medicine and public health encompassing a broad spectrum of domains ranging from health literacy, screening, triaging, remote healthcare support, mental health support, multilingual capabilities, healthcare communication and documentation, medical training and education, and support for healthcare professionals. Additionally, we also share potential concerns and limitations associated with the use of ChatGPT and provide a balanced discussion on the opportunities and challenges of using ChatGPT in LMICs.
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Registered trials
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.