Abstract
The implementation of technology in healthcare has revolutionized patient-centered decision making by providing contextualized information about a patient’s healthcare journey, leading to increased efficiency (Keyworth et al. in BMC Med Inform Decis Mak 18:93, 2018, https://doi.org/10.1186/s12911-018-0661-3). Artificial intelligence has been integrated within Electronic Health Records (EHR) to prompt screenings or diagnostic tests based on a patient’s holistic health profile. While larger hospitals have already widely adopted these technologies, free clinics hold lower utilization of these advanced capability EHRs. The patient population at a free clinic faces a multitude of factors that limits their access to comprehensive care, thus requiring necessary efforts and measures to close the gap in healthcare disparities. Emerging Artificial Intelligence (AI) technology, such as OpenAI’s ChatGPT, GPT-4, and other large language models (LLMs) have remarkable potential to improve patient care outcomes, promote health equity, and enhance comprehensive and holistic care in resource-limited settings. This paper aims to identify areas in which integrating these LLM AI advancements into free clinics operations can optimize and streamline healthcare delivery to underserved patient populations. This paper also identifies areas of improvements in GPT that are necessary to deliver those services.
References
Keyworth, C., J. Hart, C. J. Armitage, et al. What maximizes the effectiveness and implementation of technology-based interventions to support healthcare professional practice? A systematic literature review. BMC Med. Inform. Decis. Mak. 18:93, 2018. https://doi.org/10.1186/s12911-018-0661-3.
Darnell, J. S. Free clinics in the United States: a nationwide survey. Arch. Intern. Med. 170(11):946–953, 2010. https://doi.org/10.1001/archinternmed.2010.107.
Marbouh, D., I. Khaleel, K. Al Shanqiti, M. Al Tamimi, M. C. E. Simsekler, S. Ellahham, D. Alibazoglu, and H. Alibazoglu. Evaluating the impact of patient no-shows on service quality. Risk Manag. Healthc. Policy. 13:509–517, 2020. https://doi.org/10.2147/RMHP.S232114.
Ayanian, J. Z., J. S. Weissman, E. C. Schneider, J. A. Ginsburg, and A. M. Zaslavsky. Unmet health needs of uninsured adults in the United States. JAMA. 284(16):2061–2069, 2000.
Birs, A., X. Liu, B. Nash, S. Sullivan, S. Garris, M. Hardy, M. Lee, J. Simms-Cendan, and M. Pasarica. Medical care in a free clinic: a comprehensive evaluation of patient experience, incentives, and barriers to optimal medical care with consideration of a facility fee. Cureus. 8(2):e500, 2016. https://doi.org/10.7759/cureus.500.
Bedford, L. K., C. Weintraub, and A. W. Dow. Into the storm: a mixed methods evaluation of reasons for non-attendance of appointments in the free clinic setting. SN Compr. Clin. Med. 2(11):2271–2277, 2020. https://doi.org/10.1007/s42399-020-00585-6.
Syed, S. T., B. S. Gerber, and L. K. Sharp. Traveling towards disease: transportation barriers to health care access. J. Community Health. 38(5):976–993, 2013. https://doi.org/10.1007/s10900-013-9681-1.
Mallow, J. A., L. A. Theeke, E. R. Barnes, T. Whetsel, and B. K. Mallow. Free care is not enough: barriers to attending free clinic visits in a sample of uninsured individuals with diabetes. Open J. Nurs. 4(13):912–919, 2014. https://doi.org/10.4236/ojn.2014.413097.
National Commission on Prevention Priorities. Preventive Care: A National Profile on Use, Disparities and Health Benefits. Washington, DC: National Commission on Prevention Priorities, 2007.
Christy, S. M., C. K. Gwede, S. K. Sutton, E. Chavarria, S. N. Davis, R. Abdulla, C. Ravindra, I. Schultz, R. Roetzheim, and C. D. Meade. Health literacy among medically underserved: the role of demographic factors, social influence, and religious beliefs. J. Health Commun. 22(11):923–931, 2017. https://doi.org/10.1080/10810730.2017.1377322.
Institute of Medicine (US) Roundtable on Evidence-Based Medicine, P. L. Yong, R. S. Saunders, and L. A. Olsen (eds.). The Healthcare Imperative: Lowering Costs and Improving Outcomes: Workshop Series Summary. Washington, DC: National Academies Press (US), 2010. 6, Missed Prevention Opportunities. Available from https://www.ncbi.nlm.nih.gov/books/NBK53914/.
Chien, S. Y., M. C. Chuang, and I. P. Chen. Why people do not attend health screenings: factors that influence willingness to participate in health screenings for chronic diseases. Int. J. Environ. Res. Public Health. 17(10):3495, 2020. https://doi.org/10.3390/ijerph17103495.
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Ong, H., Ong, J., Cheng, R. et al. GPT Technology to Help Address Longstanding Barriers to Care in Free Medical Clinics. Ann Biomed Eng 51, 1906–1909 (2023). https://doi.org/10.1007/s10439-023-03256-4
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DOI: https://doi.org/10.1007/s10439-023-03256-4