scholarly journals The impact of artificial intelligence in medicine on the future role of the physician

PeerJ ◽  
2019 ◽  
Vol 7 ◽  
pp. e7702 ◽  
Author(s):  
Abhimanyu S. Ahuja
Keyword(s):  
Artificial Intelligence ◽  
Machine Learning ◽  
Computer Processing ◽  
Patient Relationship ◽  
Medical Work ◽  
Physician Patient Relationship ◽  
Practice Of Medicine ◽  
Physician Patient ◽  
The Impact

The practice of medicine is changing with the development of new Artificial Intelligence (AI) methods of machine learning. Coupled with rapid improvements in computer processing, these AI-based systems are already improving the accuracy and efficiency of diagnosis and treatment across various specializations. The increasing focus of AI in radiology has led to some experts suggesting that someday AI may even replace radiologists. These suggestions raise the question of whether AI-based systems will eventually replace physicians in some specializations or will augment the role of physicians without actually replacing them. To assess the impact on physicians this research seeks to better understand this technology and how it is transforming medicine. To that end this paper researches the role of AI-based systems in performing medical work in specializations including radiology, pathology, ophthalmology, and cardiology. It concludes that AI-based systems will augment physicians and are unlikely to replace the traditional physician–patient relationship.

The physician's disease: The impact of medical knowledge on personal illness

2007 ◽  
Vol 5 (1) ◽  
pp. 71-76 ◽  
Author(s):  
JEFFREY P. TUTTLE
Keyword(s):  
Treatment Plan ◽  
Medical Knowledge ◽  
Sick Role ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Consultation Room ◽  
Patients Experience ◽  
Physician Patient ◽  
The Impact

Objective: When physicians confront a personal illness of a serious nature, they may discover that the transition to the sick role is challenging, and the inability to relinquish their stethoscope may cause undo anxiety. The physician–patient relationship is intrinsically asymmetrical, and the role of the physician is to regulate the amount of information patients need in order to become educated about their illness and to make informed decisions about their treatment plan. This article explores the challenges in the physician–patient relationship when the patient is also a physician.Methods: This article is a literature review of publications involving the unique challenges physician–patients experience when suffering from serious personal illness.Results: The medical knowledge physician–patients harbor has the potential to complicate their ability to cope with difficult or terminal diagnoses. Paradoxically, knowledge about a condition may fuel anxiety instead of alleviating the fear associated with the unknown. Medical knowledge therefore may entail a certain loss of innocence, and physicians are often unable to revert to being “mere” patients. Furthermore, managing this anxiety in physician–patients may prove to be challenging to the treating physician.Significance of results: From a medical perspective, physician–patients need to be addressed like any other patient. Psychologically, however, these patients are unique, and the specific challenges their education and experience bring into the consultation room needs to be explicitly addressed.

Crisis and Informed Consent: Analysis of a Law-Medicine Malocclusion

1987 ◽  
Vol 12 (1) ◽  
pp. 55-97 ◽  
Author(s):  
Fran Carnerie
Keyword(s):  
Informed Consent ◽  
Medical Treatment ◽  
Clinical Setting ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Catastrophic Illness ◽  
Physician Patient ◽  
Emotional Impairment

AbstractMany individuals develop a temporary state of cognitive and emotional impairment after being diagnosed with catastrophic illness. Thus, when crucial decisions about medical treatment are required, they are unable to assimilate information; or worse, the legal need to be informed can rival a psychological desire to not be informed. The Canadian informed consent doctrine is unresponsive to crisis and clinically impracticable, and so paradoxically compromises the integrity and autonomy it was designed to protect. Many aspects of the physician-patient relationship and clinical setting also undermine the philosophical values enshrined in this doctrine. This further jeopardizes the individual's integrity. The Article explores proposals for change such as delaying the informing and consenting, improving the concept of consent, and improving the role of the physician.

scholarly journals An analytical survey on the role of machine learning algorithms in case of intrusion detection

2020 ◽  
Vol 5 (19) ◽  
pp. 32-35
Author(s):  
Anand Vijay ◽  
Kailash Patidar ◽  
Manoj Yadav ◽  
Rishi Kushwah
Keyword(s):  
Artificial Intelligence ◽  
Machine Learning ◽  
Intrusion Detection ◽  
Intrusion Detection System ◽  
Detection System ◽  
Learning Algorithms ◽  
Machine Learning Algorithms ◽  
Handling Mechanism ◽  
The Impact

In this paper an analytical survey on the role of machine learning algorithms in case of intrusion detection has been presented and discussed. This paper shows the analytical aspects in the development of efficient intrusion detection system (IDS). The related study for the development of this system has been presented in terms of computational methods. The discussed methods are data mining, artificial intelligence and machine learning. It has been discussed along with the attack parameters and attack types. This paper also elaborates the impact of different attack and handling mechanism based on the previous papers.

Frequent Flyer

2020 ◽  
pp. 121-128
Author(s):  
Catherine A. Marco
Keyword(s):  
Therapeutic Interventions ◽  
Patient Comfort ◽  
Shared Decision ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Frequent Flyer ◽  
Course Of Action ◽  
Practice Of Medicine ◽  
The Individual ◽  
Physician Patient

Stewardship of health care resources is an important bioethical tenet of the practice of medicine. Physicians should act as stewards of resources and ensure that they are appropriately used to provide the best possible medical care for individual patients and for society as a whole. As in all cases of the physician-patient relationship, goals of therapy should be delineated, and appropriate diagnostic and therapeutic interventions to achieve that goal should be undertaken. Emergency physicians should advocate for the best treatment of the individual patient. In most cases, physician and patients agree, with the same goal of improving patient comfort and health. However, at times, there may be discordance between patient and physician. Shared decision-making should be undertaken to elicit the patient’s goals and values and then to educate and inform the patient about the physician’s recommendations. The goal is to reach a mutually agreeable course of action based on the patient’s goals and values. If unable to reach agreement, the physician should offer the tests and therapy that offer the best good to the patient.

scholarly journals What Role Does Patient Gratitude Play in the Relationship Between Relationship Quality and Patient Loyalty?

2019 ◽  
Vol 56 ◽  
pp. 004695801986832
Author(s):  
Chih-Hsuan Huang ◽  
Hsin-Hung Wu ◽  
Yii-Ching Lee ◽  
Li Li
Keyword(s):  
Health Care ◽  
Relationship Quality ◽  
Medical Service ◽  
Health Care Organizations ◽  
Service Industry ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Patient Loyalty ◽  
Physician Patient

The environment in health care organizations is becoming increasingly competitive. Therefore, to improve patient return rates, health care organizations need to examine how to enhance the physician-patient relationship. In particular, the role of patient gratitude on the physician-patient relationship in health care organizations is still ambiguous. The specific role of patient gratitude in the medical service industry needs to be identified. Therefore, this study aimed to investigate physician-patient interactions with reference to relationship marketing and to further understand the relationships among relationship quality, patient gratitude, and patient loyalty. The potential effects of patient gratitude on the physician-patient relationship were examined by testing mediation effect. The results demonstrated that patient gratitude had a notable effect on the association between relationship quality and patient loyalty. To improve the physician-patient relationship in the medical service industry, health care managements should not ignore the 3 relationship quality tactics perceived by patients, specially the role of the potential effect of patient gratitude on relational building.

Error of Accommodation in the Care of the Difficult Patient in the 1990s

1992 ◽  
Vol 20 (2) ◽  
pp. 191-206 ◽  
Author(s):  
A. Martin Lerner ◽  
Elliot D. Luby
Keyword(s):  
Clinical Judgment ◽  
Scientific Practice ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Difficult Patient ◽  
Case Examples ◽  
Practice Of Medicine ◽  
And Control ◽  
Physician Patient ◽  
The Ideal

Consumerism, patient rights legislation, and malpractice litigation have created a greater power symmetry between patient and physician. Patients read, question, and insist upon greater participation in decision-making involving treatment. The ideal patient is knowledgeable and an active negotiator in the physician/patient relationship. However, there are some patients who feel so empowered that they are determined to direct and control their treatment. They may request or refuse laboratory tests and attempt to dictate the terms under which diagnosis and treatment should be accomplished. There are as well some physicians who, as a result of conciliatory personal styles, are willing to accommodate to the demands of these patients. In this article, four cases are presented in which physicians have accepted those terms against their better judgment. In two cases malpractice suits followed, ultimately won by the defendant physician. In the last instance a physician patient committed suicide and a malpractice action was settled by mediation. These four case examples establish the principle that physicians, for whatever reason, cannot accommodate the demands of empowered patients that contradict clinical judgment and violate the scientific practice of medicine. Such accommodation may have disastrous results for both patient and physician. Physicians should listen compassionately to patients’ needs and desires, but they may have to refer a patient elsewhere when a negotiated consensus cannot be reached.

Conflicts of Interest and Management in Managed Care

2000 ◽  
Vol 9 (2) ◽  
pp. 189-204 ◽  
Author(s):  
GEORGE J. AGICH ◽  
HEIDI FORSTER
Keyword(s):  
Managed Care ◽  
Conflicts Of Interest ◽  
Economic Incentives ◽  
Patient Relationship ◽  
New Paradigm ◽  
Physician Patient Relationship ◽  
Physician Autonomy ◽  
Practice Of Medicine ◽  
Physician Patient ◽  
Significant Attention

The bioethics literature on managed care has devoted significant attention to a broad range of conflicts that managed care is perceived to have introduced into the practice of medicine. In the first part of this paper we discuss three kinds of conflict of interest: conflicts of economic incentives, conflicts with patient and physician autonomy, and conflicts with the fiduciary character of the physician–patient relationship. We argue that the conflicts are either not as serious as they are often alleged to be or not unique to managed care. In part two we argue that managed care represents a new paradigm for medical care that features a new concept of management. We discuss three types or levels of management that managed care highlights, namely, administrative, clinical, and resource, which together offer a more sophisticated vantage point from which to assess patient care. We do not endorse managed care, but attempt to highlight some of the positive changes brought by managed care that were difficult to attain under traditional reimbursement systems.

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