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AI and machine applications for healthcare

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How can AI and machine learning be applied to healthcare? How these can be applied and which is their future in this area?

Healthcare Information Technology
Artificial Intelligence
Machine Learning
Paolo Beffagnotti
6 months ago

9 answers

1

Paolo Beffagnotti , this is a fascinating topic and I am investigating a little bit at the moment. Of course the big advantage of AI is to collect Big Data and convert this into Smart Data to be able to predict different scenarios. Healthcare practitioners and insurance companies collect information from the various regular and one-time studies. AI enables to create a virtual model of the patient, a "Digital Twin". To make this more precise, wearables can deliver a flow of additional information,

The healthcare industry an use this to predict potential diseases, but also to identify potentials opportunities. No need to say that this may also develop a sinister side, as for example insurance companies may decide that based on the virtual model, "investing" into the patient does not make sense. If such information gets shared with the patient's employer, this may have additional consequences for the career.

Patrick Henz
6 months ago
digital twins in healthcare could be really helpful. These can help to predict issues, when to schedule maintenance, create different models to study and accelerate innovation through virtual simulations. Basically, we could have the virtual versions of patients, no matter where they are located and this is a huge advantage. Just think about patients living in remote locations. - Paolo 6 months ago
Correct, we will have the "transparent patient", his for the good or bad. - Patrick 6 months ago
and such patient will be a good study case - Paolo 6 months ago
yes, if the insurance companies does not decide to stop working with the patient, - Patrick 6 months ago
we hope they won't stop... - Paolo 6 months ago
right! - Patrick 6 months ago
So - who owns all this healthcare data? - Dr. David E. 6 months ago
This is the big discussion that we require the society to start: The insurance company, the hospital, the doctor or even the patient? - Patrick 6 months ago
I would say both the hospital and patients but this is part of a bigger discussion. - Paolo 6 months ago
Patrick Henz It is true that AI with virtual stimulations will significantly expand the coverage of health care but also save time and financially save a huge sum of money allocated for public health care system in the long run but also improve distance medicine diagnosis where the doctor is able to view the patient as a whole rather than just picture video images. - Lawrence 6 months ago
Lawrence Chun Wei Loy , humans and machines are both complicated holistic structures, AI and Digital Twins can work in a similar way.. - Patrick 6 months ago
Maybe - who is the leader? - Dr. David E. 5 months ago
OR - what is the leader? - Dr. David E. 5 months ago
The human should be in the lead. - Patrick 5 months ago
Agreed - Dr. David E. 5 months ago
The human is the one who gets sued. - Dr. David E. 5 months ago
Correct, even if first robots already received citizenship, they are machines (or hardware independent software) and due to this, have owners. The last is responsible, or in certain cases the AI's manufacturer. - Patrick 5 months ago
NOT EVEN CLOSE; It is the doctor. CITE ONE legal case model. - Dr. David E. 5 months ago
As the technology is not implemented so far, it is not possible to already have a legal case model. An Insurance com[any may create a "virtual doctor", programmed with the knowledge of various doctors. So the question will be how is responsible. Answer: It depends. - Patrick 5 months ago
No it does not depend. The doctor is responsible. No one else. - Dr. David E. 5 months ago
I am responsible for patients; period. - Dr. David E. 5 months ago
If a doctor offers AI to clients, the doctor stays with the responsibility. If the AI is not offered by a doctor, there is not doctor to held responsible. - Patrick 5 months ago
Great. go to the AI. - Dr. David E. 5 months ago
Name a single doctor doing what you suggest. - Dr. David E. 5 months ago
Insurance companies (as in the US) try to avoid paying doctor visits. This they do with preventive programs, including offering information online, which should be read first by their clients, with the hope that this information work and a doctor's visit is not needed anymore. Such a service could be further automated by AI. - Patrick 5 months ago
To offer low budget services to people, who cannot afford healthcare insurance, insurance companies may offer a low-cost service, where people are covered by a free "AI Doc".. - Patrick 5 months ago
But, it is not a Medical Service - Dr. David E. 5 months ago
PS: Non responsible Health type info has been on the net since 1995 - Dr. David E. 5 months ago
"Info" is not care. - Dr. David E. 5 months ago
To offer low budget services to people, who cannot afford healthcare insurance, insurance companies may offer a low-cost service, where people are covered by a free "AI Doc".= AI can not practice Medicine in this country - SORY - Dr. David E. 5 months ago
Yes, but if patients cannot afford healthcare, they also cannot afford an accountable doctor. An AI Doc may be the best solution they can get, at least if the there will be no public healthcare. - Patrick 5 months ago
PS: If HI companies could make money - or if doctors couyld make many with all your suggestions; Dont u think they would ? - Dr. David E. 5 months ago
Pharmacies in Mexico, specialized in low-cost medicine offer also access to doctors for very low prices. This to support people with no healthcare insurance. - Patrick 5 months ago
There is a legal prohibition which precludes the corporate [AI-machine-robot-company] practice of medicine in the USA- - Dr. David E. 5 months ago
Amazon analyzes the possibility to enter the healthcare sector. An AI Doc can be hosted outside the US, but nevertheless support patients inside the country.. - Patrick 5 months ago
Name a single AM doc - do not exist. - Dr. David E. 5 months ago
How many babies have been delviered by an AM DOC - - Dr. David E. 5 months ago
AMAZON - really" Paid advertisements - Dr. David E. 5 months ago
How does A get anyone into the "healthcare sector" What is the healthcare sector even mean? - Dr. David E. 5 months ago
"Hosted Docs" What are you talking about" Name one. Where? What HI company. - Dr. David E. 5 months ago
Amazon has access to a high number of potential patients, including having Alexa already installed in their homes: https://www.cnbc.com/2018/03/27/amazons-moves-into-health-what-we-know.html - Patrick 5 months ago
The Top 12 Health Chatbots : https://medicalfuturist.com/top-12-health-chatbots - Patrick 5 months ago
Babies: An AI-Doc may replace some basic tasks, but of course not all. - Patrick 5 months ago
I now Bert; very theoretic and non USA - Dr. David E. 5 months ago
Coulda Woulda Shoulda - BUT currently is NOT - Dr. David E. 5 months ago
Correct, but the question is about what could be, not limited to US. - Patrick 5 months ago
NOT REALLY! I could be tall, dark and handsome. But, I am not. Just ask my wife. - Dr. David E. 5 months ago
So, all these discussions are meaningless, and help no one today. And, may even hurt with bad info and false hope. - Dr. David E. 5 months ago
It is today's responsibility to create tomorrow's solutions. - Patrick 5 months ago
So - you can not. - Dr. David E. 5 months ago
Creation is not the same as pointless pontification. So, who have you treated or saved. - Dr. David E. 5 months ago
Are YOU responsinle - and hence liable? - Dr. David E. 5 months ago
AI is a form of automation, intelligent algorithm have to be connected to experienced doctors. - Patrick 5 months ago
Cook Book Medicine - Dr. David E. 5 months ago
Info - is not knowledge - is not wisdom - is not execution - is not responsibility acceptance - Dr. David E. 5 months ago
So again, who is liable? Still no legal answer? - Dr. David E. 5 months ago
As AI is still in its childhood shoes, liabilities are not decided. Using an AI Doctor, which might be hosted on a server in South Korea, may lead to conclusion that no-one is liable or someone completely different or someone completely different, as the local internet provider, who not blocked such a service. - Patrick 5 months ago
YEP - folks are flocking to stolen IP in SK for their healthcare needs? - Dr. David E. 5 months ago
Perhaps you might schedule an intenet appointment for your doctor in SK? - Dr. David E. 5 months ago
Is this the same SK that practices euthansia and infanticide? - Dr. David E. 5 months ago
The question is not what you and I do, but that many people, even in relative countries as the US, do not have the budget to go to the doctor. In future they will get the target-group for automated solutions. - Patrick 5 months ago
Non responsible talk from non-physicians is easy - liabile and responsible care from neighborhood physicians; not so much - Dr. David E. 5 months ago
Target groups = experiments. - Dr. David E. 5 months ago
I do not advocate for human experimentation; as a doctor or human being.- - Dr. David E. 5 months ago
Target group - experiments - victims. AI has the risk that it will foster the separation of society. If society will not demand high ethical standards in society, AI may be a low-cost solution for low-budgets. This is already happening today: http://www.lebenserwartung.info/index-Dateien/intvgl.htm - Patrick 5 months ago
HUMAN EXPERIMENTATION = morally and legally WRONG: https://www.crcpress.com/Risk-Management-Liability-Insurance-and-Asset-Protection-Strategies-for/Marcinko-Hetico/p/book/9781498725989 GOOD BYE - Dr. David E. 5 months ago
1

AI and machine learning could helps in urgent and primary care where they could be "taught" to diagnose diseases thereby reducing doctor to patient loads and also speed to attain health care support. Furthermore AI and machine learning could reduce the risk of wrong or mis-diagnosis by doctor as AI could provide a list of possible diagnosis for the doctor to consult as a 2nd opinion. Furthermore AI and machine learning could also helps in breaking the language barrier between health care provider and the patient where language may no be a significant barrier in doctor to patient communication.

Lawrence Loy
6 months ago
I agree with your points. However how comfortable are we now with the diagnosis performed through AI? I mean in particular for important cases. - Paolo 6 months ago
Great question Paolo, well in my opinion may be for primary care it would be ok, but i don't think we would be comfortable using it in the ER or urgent care. However, it could use as a screening tool inorder to help the health care provider to triage/ screen the patient according to the level of urgency to be seen by a doctor so to prioritize vital emergency/urgent cases to save life. - Lawrence 6 months ago
In future, we all will have our personal AI,, which supports us in decision making. Such AI is connected to global data bases, but also learns from us. This software will give suggestions, but the decision will still made by the human. - Patrick 6 months ago
For basic therapy I would be already ok with AI, as well as diagnosis but I would prefer to have a human diagnosis at the end - Paolo 6 months ago
I guess this will valid for all services, first level: AI, second level: human+AI. Of course this will become also a question of the budget, as richer patients will directly receive access to Human+AI. - Patrick 6 months ago
Actually, better for tertiary care - Dr. David E. 5 months ago
Cite a single case.. - Dr. David E. 5 months ago
What patient would even desire non-accountability? - Dr. David E. 5 months ago
What insurance company would accept non-accountability? - Dr. David E. 5 months ago
What TPA would accept non-accountability - Dr. David E. 5 months ago
Individuals without healtchare-service try to auto-medicate themselves. For this they search the internet to find recommendations for the defined symptoms. An "AI Doc" can automate such a process. - Patrick 5 months ago
Mechanics are NOT liable for life; are they? - Dr. David E. 5 months ago
If u are not in the HI plan network, the internet is meaningless.- - Dr. David E. 5 months ago
You still seem to think health care is free market - it is not - Dr. David E. 5 months ago
Individuals without Insurance are themselves responsible for their health. If they have no other financial possibility, they may use an AI Doc, as it is better than no doc at all. - Patrick 5 months ago
What is an AI doc - Specious info? Do U trust the internet. Do u trust Amazon. And no, bad info is not better than real info - Dr. David E. 5 months ago
WRONG - All folks are responsible for their own health - Nothing to do with insurance . - Dr. David E. 5 months ago
Everybody is responsible for its own health. Nevertheless insurance companies can be included for additional responsibility. Furthermore other can held responsible, if they sabotage own's state of health. - Patrick 5 months ago
HI pays bilsl; they are not responsible for stupid things folks do; except to pay according to the contract. . HI is contact law; period. I was an insurance agent and professor for a decade. - Dr. David E. 5 months ago
What is included? Owner's state of mind. OMG. - Dr. David E. 5 months ago
Cite one case law. - Dr. David E. 5 months ago
Industry companies who sabotage local health are responsible due to US law. - Patrick 5 months ago
Name ONE? Local health is by doctors, not companies- - Dr. David E. 5 months ago
Is there any scientific evidence, concrete porof to support ANYTHING said, today> - Dr. David E. 5 months ago
Science cannot proof anything, it can confirm theories until they get dis-proofed. The question is related to the future of healthcare, not today's situation.. - Patrick 5 months ago
1

A. I.  and Digital Health

New AI and digital models change the way the insurers interact with patients.

For example, digital insurers have reworked the trust equation with the patient, outsourced much of their value chain to their members, and now know much more about them. Digital business models tend to also blur the lines between payer and care giver organizations.

Some of the first-movers already crossed the line and started to offer services which have previously been provided exclusively by doctors and nurses. The ten digital business models are defined as follows:

  1. Digitally assisted member acquisition is a freemium business model concept.
  2. Mobile health concierge is a business approach designed for members to complete all health insurance tasks using mobile phones with the support from a concierge team.
  3. Peer-to-peer (P2P) insurance refers to a risk-sharing community.
  4. Mobile micro-insurance refers to the health insurance plans that cover short-term small health events or minimal ongoing health insurance.
  5. Health insurers tech platforms license their technology for the management of health plans and members to their customers.
  6. On-demand insurance is a usage-based model that enables members to access desired health plans upon request with the help of a mobile app.
  7. High-risk patient preventive care model concentrates on insuring and managing potentially costly patient groups.
  8. The payer & provider collaboration model stands for a closer, digitally enabled partnership between payers and care providers, especially hospitals.
  9. The API health insurance model uses a list of pre-defined health insurance products accessible to websites and app providers via an application programming interface (API).
  10. Direct primary care model. Within this model, a care provider or a hospital act like a health insurance company using a monthly subscription model.

Dr. David E. M
6 months ago
High-risk patient preventive care model is fundamental to support vulnerable individuals and improve access to healthcare. The goal is to limit disparities and take care of people most at risk - Paolo 6 months ago
CMS is debating a SDOH payment component. - Dr. David E. 6 months ago
1

REDUCE "MORAL  HAZARDS"

But, patients must be responsible and avoid moral hazards, too!

Dr. David E. M
6 months ago
Right but it is part of the medical team job to avoid this and clarify the situation - Paolo 6 months ago
REALLY - eat less, walk more and avoid moral hazards? - Dr. David E. 5 months ago
How difficult is the above? - Dr. David E. 5 months ago
Still - do whatever you like. Just don't ak me to pay for it. - Dr. David E. 5 months ago
too difficult! - Paolo 5 months ago
Agreed - Dr. David E. 5 months ago
1

NOPE

Reducing moral hazard is under the patient's control; not doctor.

IE; Don't smoke. Don't drink, etc!

Dr. David E. M
6 months ago
Right, I was thing more about the medical treatments to choose. - Paolo 6 months ago
MORAL HAZARD: In economics, moral hazard occurs when one person takes more risks because someone else bears the cost of those risks. A moral hazard may occur where the actions of one party may change to the detriment of another after a financial transaction has taken place. - Dr. David E. 6 months ago
The costs have to be included into the tax, as for example tax for smoking, alcohol etc. - Patrick 5 months ago
Have been for years; little effects; human nature - Dr. David E. 5 months ago
Yes, but the taxes can be used to pay for the negative impact on society. - Patrick 5 months ago
Great idea - tax the moral hazards to treat them - and then promote the MHs to tax them - Dr. David E. 5 months ago
And, the vicious cycle continues! - Dr. David E. 5 months ago
1

SDOH

So, are doctor's responsible for all of societies ills? NOPE!

Dr. David E. M
6 months ago
Not at all, we are responsible for most of these. - Paolo 6 months ago
Agree; but of course to the extent they are controllable. Many thanks. - Dr. David E. 6 months ago
0

A.I. Everywhere AND Still Wrong!

YEP; the algorithms of this very site flagged me for plagiarism - of my own copyrighted words.

Still not ready for prime time.

UG!

Dr. David E. M
6 months ago
0

A.I. and MEDICAL LIABILITY?



Any thoughts?

Dr. David E. M
5 months ago
ahah it could be real. however who developed the system will be still accountable for this - Paolo 5 months ago
NOPE: the engineers are not doctors!- - Dr. David E. 5 months ago
DOCTORS get sued. Robots, instruments and tools do not get sued. - Dr. David E. 5 months ago
Name ONE case. - Dr. David E. 5 months ago
Sirry I was unclear, I meant the doctor. My bad! - Paolo 5 months ago
No prob; just brush up on medical malpractice liability. - Dr. David E. 5 months ago
0

HIMSS  2019

The state of digital health is not yet good:

https://www.aiin.healthcare/topics/connected-care/himss-digital-health-tools-provide-better-results?utm_source=newsletter&utm_medium=ai_news

Any thoughts?

Dr. David E. M
5 months ago
Idea and opportunity are interesting, let's see the applications and the results during the year - Paolo 5 months ago
Agree - Dr. David E. 5 months ago

Have some input?