Artificial Intelligence in Children's Clinic

Study Overview
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Brief Summary
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In China, the number of children's medical services is still far behind the growing demand for children's health care. The phenomenon of children's parents queuing overnight for registration is no longer surprising. This is because of the increase in the number of children and the shortage of pediatric talents. In the department of pediatrics, the number of patients increases year by year, but pediatrician is short of supply from beginning to end. In addition to outpatient service, pediatricians in large hospitals also perform operations, scientific research and other tasks. As a result, many doctors have to give up their vacations, which makes them miserable and reduces their enthusiasm for work. The long queuing time also reduced the satisfaction of patients, resulting in the intensification of the conflict between pediatric doctors and patients. This research project aims to create a human-computer integrated system and develop a new diagnosis process embedded with artificial intelligence (AI). The function of AI system mainly includes 3 aspects. (1) The patient uses a mobile phone application embedded with AI that allows him to have check-up before see a doctor. The program will ask the patient a number of questions. Then, based on the patient's answers, AI will recommend a series of examination, all of which would be reviewed by the physician beforehand. After the patient pays for it, he could go straight to do the examination. So, next he could go to the doctor with the examination report which saves the patient the trouble of queuing. (2) At the same time, the AI system could also automate the medical history. The patient would complete self-help history collection in the spare time. The AI system collects the medical history and automatically import it to the doctor's computer. Doctors' main job is to modify the medical history generated by AI. To some extent, it lightens the burden of doctors. (3) During the visit, the AI system automatically captures the information in the patient's electronic medical record and generates the possible diagnosis. This process is of great help to junior doctors, and may serve as a cue. In short, this study is helpful to effectively reduce the waiting time of patients and greatly increase their medical experience. While reducing the work intensity of doctors, the outpatient procedure of our hospital has been effectively optimized to alleviate the shortage of pediatricians to some extent.

Detailed Description
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Relying on mobile application and computer software, it would achieve: Intelligent guidance and matching the department; Intelligent medical history collection, and AI medical record generation; Automatically recommend examination items; Assist in clinical diagnosis and make intelligent diagnosis suggestion.

Official Title
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Application of Artificial Intelligence in Children's Clinic

Conditions
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Artificial Intelligence, Outpatient

Intervention / Treatment
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* Other: Routine diagnostic process
* Other: Artificial intelligence assisted diagnosis process


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients aged 2 months to 18 years old and will go to Shanghai children's medical center for treatment. Exclusion Criteria: People who don't agree to participate. People who can't cooperate. People who are difficult to follow up.

Ages Eligible for Study
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Minimum Age: 2 Months
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Patients with routine outpatient service process<br>After registration, the patient waits in line at the door of the doctor's office. His doctor uses traditional methods to enter medical records by hand and make diagnosis independently. Then the patient waits in line to pay the bill and queues up for examination. Finally, the patient would take the examination report back to the doctor. | Other: Routine diagnostic process<br>* Patients follow the procedures of registration, waiting, attendance, waiting, examination, waiting, attendance.<br>|
| Experimental: Patients with AI assisted outpatient service process<br>After registration, the patient binds his information to the mobile phone application through outpatient' number. First, AI system would ask the patient a series of questions. Then it would make a judgment based on the patient's response. The system transmits the examination items to the doctor's computer and, with the doctor's approval, sends items back to the patient. So, patient could go straight to do the examination. While waiting for his turn, the patient enters the phone program again, and the AI system collects his medical history. The information is sent back to the doctor. When the patient goes to the doctor's office with the examination report, the doctor's computer already has his medical records. The doctor only needs to adjust the history according to the actual situation. After writing the medical history, the AI system could automatically make the diagnosis. Doctor uses the AI' results and his own judgment to make a comprehensive diagnosis. | Other: Artificial intelligence assisted diagnosis process<br>* Patients follow the procedures of registration, AI recommended examination items, Self-service medical history collection ,examination, waiting, AI-assisted attendance.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Evaluate the efficiency of the two processes | Compare the average waiting time for single patient and average visiting time for single patient. | up to 1 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Evaluate patients' rate of satisfaction for medical processes | The satisfaction questionnaire would be used to compare the rate of satisfaction between the two processes. | up to 1 months | 
| Economic measurements | Spend money of outpatient, spend money of examination et al. | up to 1 months | 
| Work efficiency of doctors | Using historical data for before-and-after comparisons, to compare the influence of intelligent medical history collection on the visit time of each patient. | up to 1 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Artificial Intelligence, Outpatient, process improvement