Evidence map›Paper›PMID 41051963›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2025

What patients want from healthcare chatbots: insights from a mixed-methods study.

Natalia S Dellavalle, Jessica R Ellis, Annie A Moore, Marlee Akerson, Matt Andazola, Eric G Campbell, Matthew DeCamp

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. AI Privacy and Security in Healthcare: A Systematic Literature Review.International journal of telerehabilitation · 2026
    Article
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

7 authors.

Natalia S DellavalleCenter for Bioethics and Humanities, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, United States.
Jessica R EllisCenter for Bioethics and Humanities, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, United States.
Annie A MooreDepartment of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, United States.
Marlee AkersonCenter for Bioethics and Humanities, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, United States.
Matt AndazolaUCHealth, Denver, CO 80216, United States.
Eric G CampbellCenter for Bioethics and Humanities, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, United States.
Matthew DeCampCenter for Bioethics and Humanities, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, United States.

Funding

Greenwall Foundation
6 · The paper itself

Abstract

objectivesTo understand whether patients prefer chatbots for certain tasks in healthcare, and their motivations for doing so, recognizing that chatbots are already assisting patients with various healthcare tasks. MATERIALS AND

methodsWe conducted a mixed-methods study with patient-users of a healthcare system multi-task chatbot integrated in an electronic health record. We purposively oversampled by race or ethnicity to survey 617/3089 (response rate, 20.0%) chatbot users using de novo and validated survey items. We conducted semi-structured interviews with 46 patient-users and 2 chatbot developers between November 2022 and May 2024. We used modified grounded theory to analyze interviews, descriptive statistics and Chi-square tests to compare survey results, and mixed-methods techniques to integrate findings.

resultsPatient-users preferred chatbots for administrative tasks to save providers' time, because of the chatbot availability, and to avoid unpleasant interactions. Some preferred to discuss sensitive tasks (such as mental health or gender-affirming care) with chatbots due to more privacy or anonymity and less embarrassment or judgment. Developer interviews corroborated this finding. Avoiding bias and using a preferred means of communication applied to all tasks. In surveys, patient-users were less likely to worry about being judged based on chatbot interactions (153/608, 25.2%) compared to interactions with a doctor (219/606, 36.1%) (P < .001). Patient-users preferred human clinicians for diagnostic tasks. DISCUSSION: Patient-users appear to simultaneously prefer chatbots for simple tasks or sensitive ones, with diverse motivations. Whether chatbots best meet patient needs while balancing ethical tensions regarding access, privacy, judgment, and bias is unclear.

conclusionFuture chatbot design must accommodate different and diverse patient preferences.

Indexed as

CommunicationPatient PreferenceAdultAgedElectronic Health RecordsFemaleGenerative Artificial IntelligenceHumansInterviews as TopicMaleMiddle AgedMotivationSurveys and Questionnairesartificial intelligencebioethicschatbothealth communicationnatural language processing

Identifiers

PMID41051963
PMCPMC12626215

What OpenQuestion holds

Textmetadata
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.