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Design+ AI’s role in medical history taking

From the TUI, the construct anxiety can be used in number of respondents as potential benefits of AI in
combination with the answers of the interviewees to shed medical history taking. In addition, it was highlighted that
light on the concerns of potential users and thus answer RQ2. the use of AI could increase patient trust and satisfaction,
which could lead to an overall more positive patient
The findings of this research highlight several significant
concerns expressed by physicians regarding the integration experience and increased trust in medical care. Detection
of AI in medical history taking. A major apprehension is of health risks and the ability to better target medical
that AI tools may not adequately address the individual history taking were also cited as potential benefits of AI in
needs and health conditions of patients, potentially medical history taking.
compromising the quality of care. “Yes, well, I just said a bit earlier (laughing). I think
In addition, physicians emphasize the importance of the it’s good that the patient has the feeling that they
doctor–patient relationship, fearing that AI technologies can now do something themselves. They’re not just
could undermine the personal contact and interpersonal sitting down and made to wait. Somehow, they can
connections that are crucial in medical practice. Concerns become active themselves.” (I03 – L77-79)
were also raised about data protection, the potential for This illustrates the potential of AI-based approaches
errors, and patient uncertainty. These insights reflect the to identify health risks at an early stage and to better
broader apprehensions among medical professionals tailor the medical history to the individual needs of the
about the impact of AI on the nuances and complexities patient. Three of the respondents also saw potential in the
of patient care. standardization and structuring of data, which could be
“However, I still see great dangers if there is not ensured by an AI system.
enough demand and the more a system is used for However, this does not lead to the integration of AI
treatment, the more a system is used, the greater into the daily work of the physicians surveyed. Intention
the source of error. But the doctor himself is of to use is a construct that needs to be evaluated. The use
course also a source of error.” (I02, L98 – 99) of a technology acceptance model in combination with
These findings underscore the complexity and a reflection of the use in a specific application area can
multifaceted nature of the challenges associated with explain the intention to use. 36
implementing AI in medical practice, emphasizing the need To shed light on RQ4, we analyzed the codes that we
for careful consideration of the potential risks and benefits had obtained through the interviews. Based on Güsken
in terms of patient care and the doctor–patient relationship. et al.’s research on the “factors influencing the intention of
36
RQ3 focuses on the benefits of using AI in medical caregivers to use digital technologies in outpatient care,” we
history taking. Analysis of the interview data regarding organized the analysis into two main segments – technology
the potential benefits of AI in medical history taking acceptance and actual situation (here anamnesis).
reveals a wide range of positive aspects highlighted by The focus on technology acceptance was answered
the physicians surveyed. The data collected suggests that with RQ1. Therefore, we focused on the medical history
AI-based approaches can make a significant contribution and physician responses. The key factors we identified that
to improving various aspects of medical practice. Most need to be addressed to impact usage intention positively
importantly, physicians unanimously agreed that AI makes are shown in Figure 3. The figure shows the frequency of
their work easier. All respondents saw great potential for nomination of relevant codes within the dimension of the
AI to support their work. analyzed factors.
“I think, above all, it saves us time and allows The intention to use AI in medical history taking is
patients to fill out their medical history at home. influenced by a combination of perceived benefits and
And then we have already filled it out, the file, the concerns, encapsulated in the factors of time, stress level
documents are prepared and then we can also ask management, adaptation to the area of application, doctor–
the patients specific questions.” (I06, L. 47 – 50) patient relationship, and system functions as shown in Figure 3.

In addition, a large majority of respondents expressed AI promises significant time savings by streamlining
the expectation that the use of AI would lead to an the anamnesis process. Physicians reported that AI could
improvement in the quality of care. In particular, the shorten the time needed for data collection, allowing them
potential reduction of physician errors was cited as a factor to focus more on patient care and complex clinical tasks.
in improving the quality of care. Increased efficiency and This efficiency gain is a compelling reason for adopting AI
associated time savings were also cited by a significant in medical settings.

Volume 2 Issue 1 (2025) 6 doi: 10.36922/dp.7675