Evaluating the Effectiveness of an AI-Powered Physician Assistant in Improving Patients' and Physicians' Satisfaction in Anaesthesiology Clinics of a Tertiary Care Hospital
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 180
- 试验地点
- 1
- 主要终点
- Patient Satisfaction and Outpatient Experience Score (Adapted NHS Outpatient Survey - Patient Questionnaire)
研究概览
简要总结
This trial aimed to evaluate the effectiveness of an AI-Powered Physician Assistant in improving patients' satisfaction with the quality of care. It also aims to evaluate physicians' satisfaction with the integration of a Physician Assistant into their clinical workflows. The primary research question is
A. What is the effect of an AI-powered Physician Assistant on patients' satisfaction with their quality of care compared to the standard care?
The secondary questions are as follows:
B1. How satisfied are physicians with integrating an AI-powered physician assistant into their daily clinical workflows?
B2. Which factors are significantly associated with patient satisfaction regarding the AI-Powered Physician Assistant?
B3. Is there a statistically significant difference in mean consultation time per patient between those receiving AI-assisted care and those receiving only standard of careonly ?
Participants will be enrolled from pre-operative outpatient clinics, including patients attending clinic for anaesthetic clearance prior to surgery and consultant anaesthetists providing care.
Patients will serve as the unit of randomization and will be assigned to one of two study arms on each clinic day. On each clinic day, the first 8 eligible patients presenting for consultation will be randomly assigned to the intervention group or the control group in a 1:1 ratio. Intervention patients will proceed to a dedicated waiting room for structured digital intake via an AI platform (demographics, symptoms, history, clinical data) and receive AI-assisted care. Control group patients will undergo routine standard care protocols. The consultant physician will evaluate both arms during each clinic session, reviewing physician assistant-generated patient summaries and charts for patients in both the intervention and control groups.
Each patient will be asked to fill out the survey at the end of the consultation with the physician. The consultants will be requested to fill out a survey at the end of the day.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Single (Outcomes Assessor)
盲法说明
Both the person allocating the patient to the intervention and control arms and the outcomes assessor will be masked
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patients and Patients' Proxies
- •Inclusion Criteria:
- •Consent to participate
- •Age 18 years and above
- •Initial patients
- •Possession of a phone
- •Read and write Urdu and/or English
排除标准
- •Emergency Care patients
- •Follow-up patients
- •Physicians:
- •Inclusion Criteria
- •Attending or Consultant Physician
- •Consent to participate
- •Workflow integrated with AI Assistant
- •Exclusion Criteria
- •- Residents and Senior Medical Officers
结局指标
主要结局
Patient Satisfaction and Outpatient Experience Score (Adapted NHS Outpatient Survey - Patient Questionnaire)
时间窗: From enrollment to the end of the study, for each patient, for 8 weeks
Patient satisfaction will be evaluated across two domains: (1) effective utilization of waiting time and (2) receipt of patient-centered care during the outpatient visit. Evaluated post-consultation using a structured survey adapted from the NHS Outpatient Survey: Section A (Wait Time): Wait duration (A1) and wait time utility (A2). Section B (Doctor Interaction): Patient-centered care, consultation duration, listening, and clarity (B2-B7). Section C (AI Assistant - Intervention Arm Only): Perceived listening, trust, and privacy (C1-C6). Section D (Overall Impression): Respect, dignity, and care- quality (D1-D3). Ordinal items are assigned numerical scores to calculate a composite mean score and domain sub-scores (range: 1.0-5.0). Higher scores indicate greater satisfaction.
次要结局
- Daily Physician Satisfaction and Workflow Efficiency Score (End-of-Day Physician Survey)(From enrollment to the end of the study, for each physician, for 8 weeks)
- Total Physician Consultation Duration (Stopwatch Timestamps)(From enrollment to the end of the study, for each patient, for 8 weeks)
研究者
Dileep Kumar
Assistant Professor and Section Head
Aga Khan University