Clinicians' Perceptions of Artificial Intelligence: Focus on Workload, Risk, Trust, Clinical Decision Making, and Clinical Integration.

Abstract

Artificial intelligence (AI) offers the potential to revolutionize healthcare, from improving diagnoses to patient safety. However, many healthcare practitioners are hesitant to adopt AI technologies fully. To understand why, this research explored clinicians' views on AI, especially their level of trust, their concerns about potential risks, and how they believe AI might affect their day-to-day workload. We surveyed 265 healthcare professionals from various specialties in the U.S. The survey aimed to understand their perceptions and any concerns they might have about AI in their clinical practice. We further examined how these perceptions might align with three hypothetical approaches to integrating AI into healthcare: no integration, sequential (step-by-step) integration, and parallel (side-by-side with current practices) integration. The results reveal that clinicians who view AI as a workload reducer are more inclined to trust it and are more likely to use it in clinical decision making. However, those perceiving higher risks with AI are less inclined to adopt it in decision making. While the role of clinical experience was found to be statistically insignificant in influencing trust in AI and AI-driven decision making, further research might explore other potential moderating variables, such as technical aptitude, previous exposure to AI, or the specific medical specialty of the clinician. By evaluating three hypothetical scenarios of AI integration in healthcare, our study elucidates the potential pitfalls of sequential AI integration and the comparative advantages of parallel integration. In conclusion, this study underscores the necessity of strategic AI integration into healthcare. AI should be perceived as a supportive tool rather than an intrusive entity, augmenting the clinicians' skills and facilitating their workflow rather than disrupting it. As we move towards an increasingly digitized future in healthcare, comprehending the among AI technology, clinician perception, trust, and decision making is fundamental.