Capturing artificial intelligence applications' value proposition in healthcare - a qualitative research study

Artificial intelligence (AI) applications pave the way for innovations in the healthcare (HC) industry. However, their adoption in HC organizations is still nascent as organizations often face a fragmented and incomplete picture of how they can capture the value of AI applications on a managerial level. To overcome adoption hurdles, HC organizations would benefit from understanding how they can capture AI applications' potential.We conduct a comprehensive systematic literature review and 11 semi-structured expert interviews to identify, systematize, and describe 15 business objectives that translate into six value propositions of AI applications in HC.Our results demonstrate that AI applications can have several business objectives converging into risk-reduced patient care, advanced patient care, self-management, process acceleration, resource optimization, and knowledge discovery.We contribute to the literature by extending research on value creation mechanisms of AI to the HC context and guiding HC organizations in evaluating their AI applications or those of the competition on a managerial level, to assess AI investment decisions, and to align their AI application portfolio towards an overarching strategy.

Validation of a Thai artificial chatmate designed for cheering up the elderly during the COVID-19 pandemic

Background

The COVID-19 pandemic severely affected populations of all age groups. The elderly are a high-risk group and are highly vulnerable to COVID-19. Assistive software chatbots can enhance the mental health status of the elderly by providing support and companionship. The objective of this study was to validate a Thai artificial chatmate for the elderly during the COVID-19 pandemic and floods.

Methods

Chatbot design includes the establishment of a dataset and emotional word vectors in which data consisting of emotional sentences were converted into the word vector form using a pre-trained word2vec model. A word vector was then input into a convolutional neural network (CNN) and trained until the model converges using sentence embedding and similarity word segmentation. Sentence vectors were generated by averaging each word vector using an averaged vector method. For approximate similarity matching, the Annoy library was used to create the indices in tree sorting. Data were collected from 22 elderly and assessed by the Post-Study System Usability Questionnaire (PSSUQ).

Results

The study revealed that 72.73% of the respondents found the chatbot easy to learn and use, 63.64% of the respondents found the chatbot can autonomously determine the next course of action, and 59.09% of the respondents believed that troubleshooting guidelines were provided for overcoming errors. The accuracy of the chatbot providing a reasonable response is 56.20±13.99%.

Conclusions

Most users were satisfied with the chatbot system. The proposed chatbot provided considerable essential insights into the development of assistance systems for the elderly during the coronavirus pandemic (COVID-19) and during the period of national disasters. The model can be expanded to other applications in the future.

Uncertainties about accepting care robots

In the midst of the anticipation of care robots renewing elderly care, care workers are expected to orient themselves in this future, however uncertain. To examine how uncertainty over the appropriateness of care-robot use associates with robot acceptance, different scenarios of robot assistance were presented to a sample of care professionals in two waves 2016-2020. The views of usefulness of robot assistance yielded underlying structures of plausible and implausible care-robot use. The perceived appropriateness of utilizing robots in care was stronger in the plausible robot scenarios. The uncertainty about robots having an appropriate role in care work correlated negatively with the perceived usefulness of robot assistance, but was even highlighted among the scenarios of implausible tasks. Findings further show how uncertainties about care-robot use have been reduced across four years between data collections. In robotizing care work processes, it may be more beneficial to attempt to convince the care workers who are undecided about robot acceptance than to push care-robot orientation to those who strongly oppose care-robot use.

Predictive genomic tools in disease stratification and targeted prevention: a recent update in personalized therapy advancements

In the current era of medical revolution, genomic testing has guided the healthcare fraternity to develop predictive, preventive, and personalized medicine. Predictive screening involves sequencing a whole genome to comprehensively deliver patient care via enhanced diagnostic sensitivity and specific therapeutic targeting. The best example is the application of whole-exome sequencing when identifying aberrant fetuses with healthy karyotypes and chromosomal microarray analysis in complicated pregnancies. To fit into today's clinical practice needs, experimental system biology like genomic technologies, and system biology viz., the use of artificial intelligence and machine learning is required to be attuned to the development of preventive and personalized medicine. As diagnostic techniques are advancing, the selection of medical intervention can gradually be influenced by a person's genetic composition or the cellular profiling of the affected tissue. Clinical genetic practitioners can learn a lot about several conditions from their distinct facial traits. Current research indicates that in terms of diagnosing syndromes, facial analysis techniques are on par with those of qualified therapists. Employing deep learning and computer vision techniques, the face image assessment software DeepGestalt measures resemblances to numerous of disorders. Biomarkers are essential for diagnostic, prognostic, and selection systems for developing personalized medicine viz. DNA from chromosome 21 is counted in prenatal blood as part of the Down's syndrome biomarker screening. This review is based on a detailed analysis of the scientific literature via a vigilant approach to highlight the applicability of predictive diagnostics for the development of preventive, targeted, personalized medicine for clinical application in the framework of predictive, preventive, and personalized medicine (PPPM/3 PM). Additionally, targeted prevention has also been elaborated in terms of gene-environment interactions and next-generation DNA sequencing. The application of 3 PM has been highlighted by an in-depth analysis of cancer and cardiovascular diseases. The real-time challenges of genome sequencing and personalized medicine have also been discussed.

Providing Care: Intrinsic Human-Machine Teams and Data

Despite the many successes of artificial intelligence in healthcare applications where human-machine teaming is an intrinsic characteristic of the environment, there is little work that proposes methods for adapting quantitative health data-features with human expertise insights. A method for incorporating qualitative expert perspectives in machine learning training data is proposed. The method implements an entropy-based consensus construct that minimizes the challenges of qualitative-scale data such that they can be combined with quantitative measures in a critical clinical event (CCE) vector. Specifically, the CCE vector minimizes the effects where (a) the sample size is too small, (b) the data may not be normally distributed, or (c) The data are from Likert scales, which are ordinal, so parametric statistics cannot be used. The incorporation of human perspectives in machine learning training data provides encoding of human considerations in the subsequent machine learning model. This encoding provides a basis for increasing explainability, understandability, and ultimately trust in AI-based clinical decision support system (CDSS), thereby improving human-machine teaming concerns. A discussion of applying the CCE vector in a CDSS regime and implications for machine learning are also presented.

Empirical Analysis for Improving Food Quality Using Artificial Intelligence Technology for Enhancing Healthcare Sector

Artificial intelligence or AI has a wide range of applications in healthcare and food industries. AI helps in different ways in medical industries, such as analysing the disease progression rate, effective prediction of treatment method, and proper disease diagnosis. Advantages of artificial intelligence in the food business include enhanced customer accessibility, improved technological innovation, readily accessible client requirements and comments, strategic advantage through unique products, and plenty others. Different AI technologies such as “Machine Learning (ML),” “Neural Language Processing (NLP),” “Rule-Based Expert Systems (RESs),” “Deep Learning (DL),” and so on are used in healthcare and food industries for big “medical data” analysis. This study has applied three critical variables to measure the application of AI in enhancing food quality (viz., usage of machine learning models, NLP models, etc.). This study has stated that these models support in enhancing the overall food quality in an effective manner. The present research analyses the importance of these AI technologies in enhancing service quality in healthcare and food industries. A primary survey-based data analysis has been done with 153 individuals taken from healthcare industries. Moreover, statistical analysis has been done in this research with SPSS software. Four independent variables are taken in this research, which are ML, NLP, RES, and DL. The service quality of healthcare has been taken as a dependent variable, and the effect of independent variables on “enhancing healthcare service” has been analysed. Secondary thematic analysis has been done to justify primary data. The results show that 43.79% of the individuals have supported DL and 56.86% have supported the treatment prediction ability AI. 37.9% of the individuals have also supported AI over traditional medications. Further analysis has shown that independent variables ML, DL, NLP, and RES have a strong positive correlation with improving SQ. These results have been justified by secondary journals, and it is proved that AI technologies enhance the service quality in healthcare and food sectors.

Smart Health

In recent decades, healthcare organizations around the world have increasingly appreciated the value of information technologies for a variety of applications. Three of the new technological advancements that are impacting smart health are metaverse, artificial intelligence (AI), and data science. The metaverse is the intersection of three major technologies — AI, augmented reality (AR), and virtual reality (VR). Metaverse provides new possibilities and potential that are still emerging. The increased work efficiency enabled by artificial intelligence and data science in hospitals not only improves patient care but also cuts costs and workload for healthcare providers. Artificial intelligence, coupled with machine learning, is transforming the healthcare industry. The availability of big data enables data scientists to use the data for descriptive, predictive, and prescriptive analytics. This article reviews multiple case studies and the literature on AI and data science applications in hospital administration. The article also presents unresolved research questions and challenges in the applications of the metaverse, AI, and data science in the smart health context. For researchers, in addition to providing a good synopsis of the development and applications of the metaverse, AI, and data science in the healthcare area, this article identifies possible future research directions and discusses the possibilities of the metaverse, artificial intelligence, and data science in smart health. For practitioners, this article provides both hospital decision-makers and healthcare workers with practical guidelines and a smart health management model.

Adopting Artificial Intelligence in Public Healthcare: The Effect of Social Power and Learning Algorithms

Although the use of artificial intelligence (AI) in healthcare is still in its early stages, it is important to understand the factors influencing its adoption. Using a qualitative multi-case study of three hospitals in China, we explored the research of factors affecting AI adoption from a social power perspective with consideration of the learning algorithm abilities of AI systems. Data were collected through semi-structured interviews, participative observations, and document analysis, and analyzed using NVivo 11. We classified six social powers into knowledge-based and non-knowledge-based power structures, revealing a social power pattern related to the learning algorithm ability of AI.