Peer-Reviewed Publication
JAMA Netw Open2025;8(3):e250449.March 3, 2025Journal Article

Ethics in Patient Preferences for Artificial Intelligence-Drafted Responses to Electronic Messages.

Joanna S Cavalier1, Benjamin A Goldstein2, Vardit Ravitsky3, Jean-Christophe Bélisle-Pipon4, Armando Bedoya1, Jennifer Maddocks5, Sam Klotman5, Matthew Roman5, Jessica Sperling6, Chun Xu2, Eric G Poon5, Anand Chowdhury1
1Department of Medicine, Duke University School of Medicine, Durham, North Carolina.
2Department of Biostatistics & Bioinformatics, Duke University School of Medicine, Durham, North Carolina.
3Center for Bioethics, Harvard Medical School, Boston, Massachusetts.
4Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada.
5Department of Health Technology Solutions, Duke University Health System, Durham, North Carolina.
6Duke Clinical & Translational Science Institute, Duke University, Durham, North Carolina.

Abstract

IMPORTANCE: The rise of patient messages sent to clinicians via a patient portal has directly led to physician burnout and dissatisfaction, prompting uptake of artificial intelligence (AI) to alleviate this burden. It is important to understand patient preferences around AI in patient-clinician communication as ethical guidelines on appropriate use and disclosure (patient notification of AI use) a…

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