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Acceptance and Use of Artificial Intelligence in Healthcare: A System Dynamics Approach
Acceptance and Use of Artificial Intelligence in Healthcare: A System Dynamics Approach
Acceptance and Use of Artificial Intelligence in Healthcare: A System Dynamics Approach

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자료유형  
 학위논문 서양
최종처리일시  
20260202104729
ISBN  
9798315778448
DDC  
610
저자명  
Moennich, Laurie Ann.
서명/저자  
Acceptance and Use of Artificial Intelligence in Healthcare: A System Dynamics Approach
발행사항  
[Sl] : Case Western Reserve University, 2024
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2024
형태사항  
119 p
주기사항  
Source: Dissertations Abstracts International, Volume: 86-12, Section: B.
주기사항  
Advisor: Rose, Susannah;Dolansky, Mary A.
학위논문주기  
Thesis (Ph.D.)--Case Western Reserve University, 2024.
초록/해제  
요약Artificial intelligence (AI) is a transformative force in healthcare, holding the potential to revolutionize patient care, diagnostics, treatment plans, and administration. The applications of AI in healthcare range from wearable devices with AI-powered algorithms monitoring vital signs to sophisticated clinical decision support tools used by healthcare professionals. For AI to have successful implementation in healthcare, there must be a deeper understanding of both the technical aspects of AI and the human dimension, considering the experiences, expectations, and needs of key stakeholders, including patients, physicians, and data scientists developing healthcare applications. The purpose of this research was to (1) characterize patient, physician, and data scientist perspectives and acceptance of the integration of artificial intelligence (AI) into healthcare (Section 2) and (2) use this qualitative data collected to understand acceptance and use of AI by key stakeholders using a system dynamics approach (Section 3).In the first part of this work, semi-structured individual interviews and focus groups were held with patients (n=23), primary care physicians (n=26), and data scientists (n=14) at the Cleveland Clinic. While recognizing the value of AI as a diagnostic aid, patients envisioned a collaborative approach where physicians retain the role of final decision-makers. Data scientists described systems they use to develop, implement, and maintain AI tools used in healthcare and agreed that a system for monitoring the performance of an AI tool post-implementation must be in place. Physicians placed specific emphasis on improving efficiencies and reducing their burden of work in providing care. All stakeholders regarded AI as a tool, not a replacement for the human aspect in the provision of care. As the second step of this work, data from the focus groups was then viewed with a system dynamics perspective to an existing frameworks of understanding technology acceptance: the Technology Acceptance Model (TAM) and the Unified Theory of Acceptance and Use of Technology (UTAUT). The system dynamics perspective applied to the use of AI in healthcare highlighted the causality and interrelations between variables at play within technology acceptance and the implications on use of AI-enabled technologies. The key enhancements to the TAM when contemporized as a complex adaptive system include the acknowledgement of dynamic interactions, feedback loops, the time dimension in acceptance and use, adaptability and learning, non-linearity, and considerations of human behavioral complexity.At the core of translational research is the process of moving evidence and innovations into the public sector to improve the health of individuals and the public. Combining stakeholder perspectives with a system dynamics approach is a strategy for the successful development and implementation of AI in healthcare. This work not only addresses the individual stakeholder but also considers the broader societal and organizational factors to ensure implementation is timely, relevant, and useful to the populations to which it is intended to serve.
일반주제명  
Medicine
키워드  
System dynamics
키워드  
Technology Acceptance Model
키워드  
Dynamic interactions
기타저자  
Case Western Reserve University Clinical Translational Science
기본자료저록  
Dissertations Abstracts International. 86-12B.
전자적 위치 및 접속  
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MARC

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■1001  ▼aMoennich,  Laurie  Ann.
■24510▼aAcceptance  and  Use  of  Artificial  Intelligence  in  Healthcare:  A  System  Dynamics  Approach
■260    ▼a[Sl]▼bCase  Western  Reserve  University▼c2024
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2024
■300    ▼a119  p
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  86-12,  Section:  B.
■500    ▼aAdvisor:  Rose,  Susannah;Dolansky,  Mary  A.
■5021  ▼aThesis  (Ph.D.)--Case  Western  Reserve  University,  2024.
■520    ▼aArtificial  intelligence  (AI)  is  a  transformative  force  in  healthcare,  holding  the  potential  to  revolutionize  patient  care,  diagnostics,  treatment  plans,  and  administration.  The  applications  of  AI  in  healthcare  range  from  wearable  devices  with  AI-powered  algorithms  monitoring  vital  signs  to  sophisticated  clinical  decision  support  tools  used  by  healthcare  professionals.  For  AI  to  have  successful  implementation  in  healthcare,  there  must  be  a  deeper  understanding  of  both  the  technical  aspects  of  AI  and  the  human  dimension,  considering  the  experiences,  expectations,  and  needs  of  key  stakeholders,  including  patients,  physicians,  and  data  scientists  developing  healthcare  applications.  The  purpose  of  this  research  was  to  (1)  characterize  patient,  physician,  and  data  scientist  perspectives  and  acceptance  of  the  integration  of  artificial  intelligence  (AI)  into  healthcare  (Section  2)  and  (2)  use  this  qualitative  data  collected  to  understand  acceptance  and  use  of  AI  by  key  stakeholders  using  a  system  dynamics  approach  (Section  3).In  the  first  part  of  this  work,  semi-structured  individual  interviews  and  focus  groups  were  held  with  patients  (n=23),  primary  care  physicians  (n=26),  and  data  scientists  (n=14)  at  the  Cleveland  Clinic.  While  recognizing  the  value  of  AI  as  a  diagnostic  aid,  patients  envisioned  a  collaborative  approach  where  physicians  retain  the  role  of  final  decision-makers.  Data  scientists  described  systems  they  use  to  develop,  implement,  and  maintain  AI  tools  used  in  healthcare  and  agreed  that  a  system  for  monitoring  the  performance  of  an  AI  tool  post-implementation  must  be  in  place.  Physicians  placed  specific  emphasis  on  improving  efficiencies  and  reducing  their  burden  of  work  in  providing  care.  All  stakeholders  regarded  AI  as  a  tool,  not  a  replacement  for  the  human  aspect  in  the  provision  of  care.  As  the  second  step  of  this  work,  data  from  the  focus  groups  was  then  viewed  with  a  system  dynamics  perspective  to  an  existing  frameworks  of  understanding  technology  acceptance:  the  Technology  Acceptance  Model  (TAM)  and  the  Unified  Theory  of  Acceptance  and  Use  of  Technology  (UTAUT).  The  system  dynamics  perspective  applied  to  the  use  of  AI  in  healthcare  highlighted  the  causality  and  interrelations  between  variables  at  play  within  technology  acceptance  and  the  implications  on  use  of  AI-enabled  technologies.  The  key  enhancements  to  the  TAM  when  contemporized  as  a  complex  adaptive  system  include  the  acknowledgement  of  dynamic  interactions,  feedback  loops,  the  time  dimension  in  acceptance  and  use,  adaptability  and  learning,  non-linearity,  and  considerations  of  human  behavioral  complexity.At  the  core  of  translational  research  is  the  process  of  moving  evidence  and  innovations  into  the  public  sector  to  improve  the  health  of  individuals  and  the  public.  Combining  stakeholder  perspectives  with  a  system  dynamics  approach  is  a  strategy  for  the  successful  development  and  implementation  of  AI  in  healthcare.  This  work  not  only  addresses  the  individual  stakeholder  but  also  considers  the  broader  societal  and  organizational  factors  to  ensure  implementation  is  timely,  relevant,  and  useful  to  the  populations  to  which  it  is  intended  to  serve.
■590    ▼aSchool  code:  0042.
■650  4▼aMedicine
■653    ▼aSystem  dynamics
■653    ▼aTechnology  Acceptance  Model
■653    ▼aDynamic  interactions
■690    ▼a0564
■690    ▼a0769
■690    ▼a0800
■71020▼aCase  Western  Reserve  University▼bClinical  Translational  Science.
■7730  ▼tDissertations  Abstracts  International▼g86-12B.
■790    ▼a0042
■791    ▼aPh.D.
■792    ▼a2024
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17358637▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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