Recently, consumer-facing health technologies such as Artificial Intelligence (AI)-based symptom checkers (AISCs) have sprung up in everyday healthcare practice. AISCs solicit symptom information from users and provide medical suggestions and possible diagnoses, a responsibility that people usually entrust with real-person authorities such as physicians and expert patients. Thus, the advent of AISCs begs a question of whether and how they transform the notion of medical authority in everyday healthcare practice. To answer this question, we conducted an interview study with thirty AISC users. We found that users assess the medical authority of AISCs using various factors including automated decisions and interaction design patterns of AISC apps, associations with established medical authorities like hospitals, and comparisons with other health technologies. We reveal how AISCs are used in healthcare delivery, discuss how AI transforms conventional understandings of medical authority, and derive implications for designing AI-enabled health technology.
翻译：最近,以人工智能为基础的症状检查(AISC)等以消费者为主的保健技术在日常保健实践中涌现出来,AISC向用户征求症状信息,提供医疗建议和可能的诊断,这是人们通常委托给医生和专家病人等实体当局的责任,因此,AISC的出现提出了一个问题,即它们是否以及如何在日常保健实践中改变医疗权威的概念。为了回答这个问题,我们与30个AISC用户进行了访谈研究。我们发现用户利用各种因素评估AISC的医疗权威,包括AISC应用程序的自动决定和互动设计模式、与医院等常设医疗当局的协会以及与其他卫生技术的比较。我们揭示AISC如何在提供保健时使用,讨论AI如何改变对医疗权威的常规理解,并对设计AI支持的保健技术产生影响。
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