3 ms·

I’m actually not clear on what percentage of the doctor’s work-time is spend doing things other than talking to patients (like arguing with insurance or making

I’m actually not clear on what percentage of the doctor’s work-time is spend doing things other than talking to patients (like arguing with insurance or making records).

bluefirebrand 1y ago
The solution to doctors arguing with insurance isn't "have an AI do it" it's universal health care so doctors don't need to worry about insurance in the slightest I worked on software for electronic medical record note taking and I'm not sure how an LLM can help a doctor speed that up tbh. All of the stats need to be typed into the computer regardless. The LLM can't really speed that up?
- monknomo 1y ago
  I have no expertise and am prepared to be quite wrong, but I wonder if llm's would be good at listening to a session, and/or a doctor dictating, and putting the right stats in the right place, and the dictated case history into a note. I think llm's are alright at speech recognition and that sort of unstructured to structured text manipulation. At least, in my corner of the customer success world I've seen some uses along those lines
  - bluefirebrand 1y ago
    Medical records are incredibly highly regulated so this is probably a really risky thing to try and build tbh Actually any medical data being processed by AI is probably going to be under a ton of scrutiny Medicine will likely be one of the last fields we start to see widespread usage of AI for this reason, tbh
  - sumeno 1y ago
    My doctor was in a pilot program for this exact thing. It recorded our conversation and created the after visit summary. It's summary was that I wasn't taking my antibiotics (I was, neither I nor my doctor said anything to the contrary). Luckily my doctor was very skeptical of the whole thing and carefully reviewed the notes, but this could be an absolute disaster if it hallucinates something more nefarious and the doctor isn't diligent about reviewing
- bee_rider 1y ago
  I’d also prefer single payer, but nothing except ourselves has been stopping us from doing that, and we haven’t changed much. Maybe it’ll happen. But I don’t see any recent tech changes making it so. Unless somebody manages to make hyper-convincing LLMs and use them for good, I guess. (Note: I think this is a bad path).
const_cast 1y ago
From me talking to Doctors, it seems most of their job is handling records, contacting insurance, prior auth, talking to pharmacists, etc. This is despite having billing specialists and admins out the wazoo. Also their care is pretty much completely decided by insurance. What surgeries they can perform, what medicine they can give, how much, what materials they can use for surgery, and on and on. Your doctor is practicing shockingly little medicine, your real doctor is thousands of pages of guidelines created by insurers and peer-to-peer doctors who you will never meet.

I’m actually not clear on what percentage of the doctor’s work-time is spend doing things other than talking to patients (like arguing with insurance or making records).

bluefirebrand 1y ago

The solution to doctors arguing with insurance isn't "have an AI do it" it's universal health care so doctors don't need to worry about insurance in the slightest I worked on software for electronic medical record note taking and I'm not sure how an LLM can help a doctor speed that up tbh. All of the stats need to be typed into the computer regardless. The LLM can't really speed that up?

monknomo 1y ago
I have no expertise and am prepared to be quite wrong, but I wonder if llm's would be good at listening to a session, and/or a doctor dictating, and putting the right stats in the right place, and the dictated case history into a note. I think llm's are alright at speech recognition and that sort of unstructured to structured text manipulation. At least, in my corner of the customer success world I've seen some uses along those lines
- bluefirebrand 1y ago
  Medical records are incredibly highly regulated so this is probably a really risky thing to try and build tbh Actually any medical data being processed by AI is probably going to be under a ton of scrutiny Medicine will likely be one of the last fields we start to see widespread usage of AI for this reason, tbh
- sumeno 1y ago
  My doctor was in a pilot program for this exact thing. It recorded our conversation and created the after visit summary. It's summary was that I wasn't taking my antibiotics (I was, neither I nor my doctor said anything to the contrary). Luckily my doctor was very skeptical of the whole thing and carefully reviewed the notes, but this could be an absolute disaster if it hallucinates something more nefarious and the doctor isn't diligent about reviewing
bee_rider 1y ago
I’d also prefer single payer, but nothing except ourselves has been stopping us from doing that, and we haven’t changed much. Maybe it’ll happen. But I don’t see any recent tech changes making it so. Unless somebody manages to make hyper-convincing LLMs and use them for good, I guess. (Note: I think this is a bad path).

const_cast 1y ago

From me talking to Doctors, it seems most of their job is handling records, contacting insurance, prior auth, talking to pharmacists, etc. This is despite having billing specialists and admins out the wazoo. Also their care is pretty much completely decided by insurance. What surgeries they can perform, what medicine they can give, how much, what materials they can use for surgery, and on and on. Your doctor is practicing shockingly little medicine, your real doctor is thousands of pages of guidelines created by insurers and peer-to-peer doctors who you will never meet.