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Design+ AI’s role in medical history taking

transcription method. The clear transcription rules
used in this approach contribute not only to scientific
reproducibility but also help maintain focus during both
transcription and subsequent reading. Kuckartz supports
this view, noting that deliberately simple and quickly
learnable transcription rules smooth out the language
and emphasize the semantic content of the utterances.
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By applying this transcription method, the data collected
were precisely captured and subsequently analyzed
efficiently. The structured transcription process following
Dresing and Pehl’s guidelines enabled systematic analysis
of the interview content, significantly contributing to
the generation of meaningful results. The transcription Figure 2. Code trends technology acceptance
adhered to the following rules outlined by Dresing and Pehl Abbreviation: PH: Physician.
in “Praxisbuch Interview, Transkription, and Analyse.” and without previous experience of AI. Accessibility and
Data analysis was conducted using qualitative content curiosity, which also have positive effects, were mentioned
analysis according to Kuckartz, utilizing the software less frequently. We understand that this might come from
MAXQDA. Initially, the transcribed interviews were the fact that many interviewees (seven out of nine without
uploaded to MAXQDA to commence the analysis. The prior knowledge concerning AI) had no prior experience
qualitative content analysis followed the steps defined by with AI tools in medical history taking.
Kuckartz. The majority of interviewees expressed skepticism, often
The coding was aligned to the technology usage due to a lack of understanding of the practical application
inventory (TUI) by Kothgassner et al. The TUI developed and spatial implementation of AI in their practices:
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by Kothgassner et al. is a model designed to measure “I don’t have any idea how it would work in
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technology acceptance and usage behavior. The TUI practice. I also don’t have an idea how it should
consists of several dimensions that evaluate different work spatially.” (I04, L152ff).
aspects of technology acceptance:
• Accessibility (ZUG) Four doctors expressed a certain fear of technology.
• Immersion (IMM) Despite this, all interviewees were very interested in
• Usefulness (NUT) the functions of AI tools. Although curiosity was only
• Ease of use (BEN) touched upon briefly, it was evident during the interviews,
• Interest (INT) particularly while discussing and inspecting the Idana tool.
• Curiosity (NEU) In questions 15 and 16, interpersonal curiosity and interest
• Technology anxiety (ANG) were particularly evident, with all physicians expressing
• Technology skepticism (SKE). their willingness to accept technological support regarding
their intention to use the tool:
These dimensions collectively provide a comprehensive
understanding of technology acceptance and usage “Well, I’m basically open to new technologies.
behavior, taking into account not only the functional Including AI. And I can well imagine trying
and practical aspects of the technology but also the something new.” (I07 – L84 – 85)
psychological and social factors that influence user These findings suggest that the TUI can successfully
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behavior and are therefore more aligned with our research evaluate AI applications in medical history taking by
focus than the other well-known models. 34 addressing factors such as perceived usefulness, ease of
3. Results use, and interest. However, the models need to consider
the practical challenges and skepticism that health-care
The analysis of the interview data revealed that physicians’ professionals might have toward AI. 35
statements about their general acceptance of technology The TUI has proven itself in this qualitative study
corresponded to the categories of the TUI. as a model for evaluating the technology acceptance of
Figure 2 shows that the factors of usefulness, interest, completely new application possibilities. The expansion
and usability, which have a positive impact on technology of the constructs characterized by usefulness to include
acceptance, were mentioned in almost all interviews, psychological constructs such as curiosity and anxiety has
with no significant difference between physicians with proven successful in this context (RQ1).

Volume 2 Issue 1 (2025) 5 doi: 10.36922/dp.7675