Artificial intelligence (AI) doctors are chatbots that diagnose patients on the Internet using algorithms to determine patients’ medical condition and need for medical treatment. We build a mathematical model to investigate how AI doctors affect patients and the efficiency of healthcare. Intuition suggests that AI doctors improve patients’ healthcare decisions and improve healthcare efficiency and patients’ well-being. Our analysis reveals that these intuitions only hold when AI doctors’ diagnoses are very accurate. When AI doctors are not very accurate, their impacts on patients and healthcare vary with patient types (the severity of their medical condition and the cost they face to visit hospitals). Specifically, AI doctors change patients’ decisions to go to hospitals when patients are moderately uncertain about their need to go there. AI doctors benefit patients with moderate access to hospitals, severe patients with low access, and mild patients with easy access to hospitals; however, AI doctors harm mild patients with low access and severe patients with easy access to hospitals. These findings caution hospitals and public health policymakers that adopting AI for health diagnosis can backfire and harm patients and exacerbate healthcare inefficiency.

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AI Doctor: A Friend or Foe? A Mathematical Analysis of the Impact of AI Doctors on Patients and Healthcare

  • Sophie Xu

摘要

Artificial intelligence (AI) doctors are chatbots that diagnose patients on the Internet using algorithms to determine patients’ medical condition and need for medical treatment. We build a mathematical model to investigate how AI doctors affect patients and the efficiency of healthcare. Intuition suggests that AI doctors improve patients’ healthcare decisions and improve healthcare efficiency and patients’ well-being. Our analysis reveals that these intuitions only hold when AI doctors’ diagnoses are very accurate. When AI doctors are not very accurate, their impacts on patients and healthcare vary with patient types (the severity of their medical condition and the cost they face to visit hospitals). Specifically, AI doctors change patients’ decisions to go to hospitals when patients are moderately uncertain about their need to go there. AI doctors benefit patients with moderate access to hospitals, severe patients with low access, and mild patients with easy access to hospitals; however, AI doctors harm mild patients with low access and severe patients with easy access to hospitals. These findings caution hospitals and public health policymakers that adopting AI for health diagnosis can backfire and harm patients and exacerbate healthcare inefficiency.