Patient Input Can Improve AI Models in Health Care: Considerations

Patient Input Can Improve AI Models in Health Care: Considerations

The first article in this series interviewed companies that give patients a voice somehow in the development of AI models affecting health care. I talked to several other companies that try in various ways to improve the typical use of patient input developing AI.“Don” Dongyang Zhang, MD/PhD, AI Lead for Elekta, describes the common technique called instruction tuning that refines existing AI models: “Human feedback, including from patients, is crucial in refining these responses: we can create, the old-fashioned way, what an ideal response should look like and then feed a set of such responses to the AI to allow it to learn by example and generate responses closer to the desired output.”Avanade, now part of Microsoft, is an AI-based collaboration platform. In healthcare, it can help teams find solutions to patient problems; I recently remarked on their use for assessing social determinants of health.

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The use of patient data is nearly ubiquitous in health care AI. And even though we know that the models coming hot out of the AI oven tend to contain inaccuracies, very few AI firms provide a feedback path for patient input, even in this age of the slogan “Nothing about us without us.” As John Squeo, Senior Vice President & Market Head, Healthcare Providers at CitiusTech, says, “There is no direct feedback loop as to quality and trust.” Although CitiusTech does not use direct patient input to change AI models, its Health System clients frequently do have community members or patients on engagement committees, which could be used to gather patient sentiment concerning AI and new technologies.


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