Michael L. Millenson is the author of the groundbreaking book Demanding Medical Excellence: Doctors and Accountability in the Information Age and president of Health Quality Advisors.
A webinar on artificial intelligence and the role of patients that was sponsored by one of the world’s most prestigious medical journals showed marked ambivalence about genuine partnership..” A brief introduction extolled the opportunity for attendees to learn how to enhance the “overall patient experience.” The message about respective roles was unmistakable.
On the other hand, throughout the meeting patient advocates were given the chance to present eye-opening “ground truths” about patients’ AI use. There was, for instance, a blunt declaration of independence byAI, he told the group, enables patients to access reliable information outside the traditional care system. “The shift from a hierarchical to a collaborative model empowers patients with greater autonomy and alters the doctor-patient relationship,” said Campos.
Added Andrea Downing, co-founder of the Light Collective, “We need to be at the center of design of AI solutions, to make sure AI is actually improving our care.” In June, the collective published an important monograph entitled,See The Comet And A Supermoon-Saturn Eclipse: The Night Sky This Week The words of Campos, Downing and two other patient advocates particularly resonated with me because of a commentary I wrote forin 2017 about the impact of digital health advances on the doctor-patient relationship. Noting that individuals could increasingly “find, create, control and act on an unprecedented breadth and depth of information,” I urged physicians to respond to the erosion of the traditional information asymmetry by embracing a new kind of “collaborative health” partnership.
After Downing told the group, “Trust is what’s missing, as is partnership,” I found myself thinking of the words of medical ethicist Dr. Jay Katz, who authored“I believe patients can be trusted,” Katz wrote. “If anyone were to contest that belief, I would ask: Can physicians be trusted to make decisions for patients? This book has argued that both must be trusted, but that they can only be trusted if they first learn to trust each other.
New England Journal Of Medicine The Light Collective #Patientsuseai Patient Empowerment Collaborative Health Isaac Kohane Hugo Campos Doctor-Patient Relationship Medical AI
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