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. 2023 May 18;7:e46020. doi: 10.2196/46020

Table 3.

Core category [Concern about Medical Field in AI Era].

Category and subcategory Code
Concern about functions extended by AIa

Understanding the AI thought process
  • Physicians are fearful about not understanding the AI thought process

  • The reasoning process behind AI diagnosis is unclear

  • It is probable that the assessment of the AI diagnosis by the AI developer may be different


Capability
  • As a physician, I am feeling fearful that AI can provide life-related important information

  • Physicians who have not learned evidence cannot use evidence


Balance between physician and AI
  • Which one should be adopted, the physician’s diagnosis or the AI diagnosis


Manipulating AI thought process
  • It is difficult for AI to provide medical services compliant with ethical standards

  • AI with embedded-ethics will be required

Concern about physician potential role

Value-based commitment
  • Even adding AI support may not necessarily make it easier for the patient to make decisions

  • I think allowing AI to make decisions regarding critical content will be a problem

  • I think patients will be confused even if AI presents only detailed objective data


Responsibility
  • Who will make the decision and how will it be made

  • Who will guarantee the quality of AI practice

  • Who will have the responsibility for the AI diagnosis

Concern about patients

Inequality
  • Whether AI medical services can be used or not will be determined by the financial affordability of the patient

  • Whether good quality AI medical services can be used or not will be determined by the financial affordability of the patient

  • With advance of AI into medical services, information about anxiety of patients will become widely known, which in turn will spur commercialization


Next action
  • There will be confusion about AI proposal depending on the patient


Privacy
  • There is a concern whether AI will be able to maintain the same level of tolerance as in the current medical practice for handling personal information

  • There will be no privacy

  • There is a concern about how privacy-based medical practice will develop sacrificing privacy for convenience


Experience
  • Patients will need to get used to AI medical services

aAI: artificial intelligence.