Transformer Models in Healthcare: A Survey and Thematic Analysis of Potentials, Shortcomings and Risks.

Large Language Models (LLMs) such as General Pretrained Transformer (GPT) and Bidirectional Encoder Representations from Transformers (BERT), which use transformer model architectures, have significantly advanced artificial intelligence and natural language processing. Recognized for their ability t...

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Publicado en:Journal of Medical Systems Vol. 48; no. 1; pp. 1 - 12
Autores principales: Denecke, Kerstin, May, Richard, Rivera-Romero, Octavio
Formato: research tables/charts Journal Article
Publicado: Springer Nature 2/17/2024
Acceso en línea:Ver este registro en EBSCOhost
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      place: New York, New York
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        atl: Transformer Models in Healthcare: A Survey and Thematic Analysis of Potentials, Shortcomings and Risks.
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          Denecke, Kerstin
          May, Richard
          Rivera-Romero, Octavio
        affil: https://ror.org/02bnkt322 Institute Patient-centered Digital Health, Bern University of Applied Sciences, Quellgasse 21, 2502, Biel, Switzerland
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        subj:
          Natural Language Processing
          Artificial Intelligence
          Prediction Models Utilization
          Health Care Industry
          Human
          Qualitative Studies
          Open-Ended Questionnaires
          Thematic Analysis
          Organizational Efficiency
          Employment
          Patient Care
          Data Security
          Checklists
          Female
          Male
          Clinical Documentation Improvement
          Empowerment
          Quality Improvement
          Communication
          Health Inequities
          Female
          Male
      ab: Large Language Models (LLMs) such as General Pretrained Transformer (GPT) and Bidirectional Encoder Representations from Transformers (BERT), which use transformer model architectures, have significantly advanced artificial intelligence and natural language processing. Recognized for their ability to capture associative relationships between words based on shared context, these models are poised to transform healthcare by improving diagnostic accuracy, tailoring treatment plans, and predicting patient outcomes. However, there are multiple risks and potentially unintended consequences associated with their use in healthcare applications. This study, conducted with 28 participants using a qualitative approach, explores the benefits, shortcomings, and risks of using transformer models in healthcare. It analyses responses to seven open-ended questions using a simplified thematic analysis. Our research reveals seven benefits, including improved operational efficiency, optimized processes and refined clinical documentation. Despite these benefits, there are significant concerns about the introduction of bias, auditability issues and privacy risks. Challenges include the need for specialized expertise, the emergence of ethical dilemmas and the potential reduction in the human element of patient care. For the medical profession, risks include the impact on employment, changes in the patient-doctor dynamic, and the need for extensive training in both system operation and data interpretation.
      pubtype: Academic Journal
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    language: English
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