Evidence map›Paper›PMID 39930155›Full record

ArticleJournal of general internal medicine2026

Association of Primary Care Access with Health-Related ChatGPT Use: A National Cross-Sectional Survey.

Oluwatobiloba Ayo-Ajibola, Catherine Julien, Matthew E Lin, Jeffrey Riddell, Naihua Duan, Richard L Kravitz

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

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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

6 authors.

Oluwatobiloba Ayo-AjibolaKeck School of Medicine of the University of Southern California, Los Angeles, CA, USA.
Catherine JulienKeck School of Medicine of the University of Southern California, Los Angeles, CA, USA.
Matthew E LinDepartment of Head and Neck Surgery, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, CA, USA.
Jeffrey RiddellDepartment of Emergency Medicine, Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA.
Naihua DuanDivision of Mental Health Data Science, Department of Psychiatry, Columbia University, New York, NY, USA.
Richard L KravitzDepartment of General Medicine, Geriatrics, and Bioethics, University of California, Davis, Sacramento, CA, USA. rlkravitz@ucdavis.edu.ORCID 0000-0001-5575-529X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChatGPT has quickly gained popularity as a source of online health information (OHI). However, it is unclear how having a usual source of primary care (USPC) is related to OHI-seeking.

objectiveExplore how having a USPC and other characteristics thought to affect access-to-care influence the use of ChatGPT and other OHI forms.

designCross-sectional national survey.

participantsAdult members of ResearchMatch, a non-profit affiliate of the National Institutes of Health, between June and August 2023. MAIN MEASURES: The survey evaluated demographics, health characteristics, and OHI-seeking behaviors, including ChatGPT usage. OHI sources were categorized as "passive" (Google, Wikipedia, WebMD) and "interactive" (forums, Q&A sites, ChatGPT). Descriptive statistics, t-tests, and chi-square tests compared users by USPC status. Multiple logistic regression estimated adjusted effects on ChatGPT use. KEY

resultsOf 21,499 adults invited to participate in the survey, 2406 (11.2%) responded. Among respondents, 56% reported having a USPC. Those with a USPC, compared to those without, were older, spoke English as their primary language, had higher income, and had more formal education (all p<.001). Participants with a USPC were more likely to use passive OHI (OR 2.46, 95% CI 1.55-3.90, p<.001) and less likely to use interactive OHI (OR 0.73, 95% CI 0.60-0.89, p=.002) or ChatGPT (OR 0.56, 95% CI 0.44-0.71, p<.001). Age over 50 (OR 0.11, 95% CI 0.06-0.20, p<.001), non-White race (OR 0.51, 95% CI 0.38-0.70, p<.001), very good or better health (OR 0.71, 95% CI 0.55-0.92, p=.009), and college education (OR 0.61, 95% CI 0.39-0.97, p=.035) were inversely related to ChatGPT use.

conclusionsIn this national survey of patients participating in a clinical research matching service, those with regular primary care access relied less on ChatGPT, suggesting that a personal primary care relationship may attenuate the need or motivation to use AI-derived OHI.

Indexed as

Consumer Health InformationHealth Services AccessibilityInformation Seeking BehaviorInternetPrimary Health CareAdolescentAdultAgedCross-Sectional StudiesFemaleGenerative Artificial IntelligenceHumansMaleMiddle AgedSurveys and QuestionnairesUnited Statesartificial intelligencechatGPTonline health informationpatient information seekingprimary care

Identifiers

PMID39930155
PMCPMC12894562

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.