AI Telemedicine Support for Primary Care Physicians in El Salvador
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorHospital El Salvador
About this trial
The goal of this clinical trial is to learn whether access to an artificial intelligence (AI) clinical decision support assistant can improve diagnostic accuracy during real-world telemedicine consultations among primary care physicians in El Salvador.
The main questions it aims to answer are:
* Does access to the AI assistant increase the proportion of correct diagnoses compared to telemedicine without AI assistance? * Does the effect of the AI assistant differ according to the physician's prior experience using AI in telemedicine?
Researchers will compare physicians with the AI assistant enabled to physicians with the AI assistant temporarily disabled to see if access to AI improves diagnostic accuracy.
Participants (physicians) will:
* Provide telemedicine consultations as part of their routine clinical duties. * Be randomly assigned to either have the AI assistant enabled or disabled during the study period. * Continue documenting clinical encounters in the electronic platform as usual. * Have their anonymized consultation notes reviewed by an independent expert panel to determine diagnostic accuracy.
Eligibility criteria
Qualifiers
Must be a physician employed by the DoctorSV telemedicine program
Must provide written informed consent to participate in the study
Consultations must be for acute pathologies of the digestive, respiratory, or urinary systems, or acute ophthalmic infections manageable in primary care
Consultation must be the first medical contact (first visit) for the current acute episode
Disqualifiers
Physicians who are inactive on the platform for more than 4 consecutive weeks
Physicians who transition to work modalities other than telemedicine or reduce their working hours to less than 20 hours per week
Physicians whose employment contract ends (resignation, dismissal, or contract completion) during the data collection period
Consultations classified by the physician as requiring immediate in-person attention
Trial design
Treatments tested in this trial
- DoctorSV AI Assistant
- Standard Telemedicine Workflow (No AI)
Treatment groups
180 Participants
are divided into 2 treatment groupsSponsors and collaborators
Source ClinicalTrials.gov