Publication Type

Journal Article

Version

publishedVersion

Publication Date

10-2022

Abstract

This article explains how two AI systems have been incorporated into the everyday operations of two Singapore public healthcare nation-wide screening programs. The first example is embedded within the setting of a national level population health screening program for diabetes related eye diseases, targeting the rapidly increasing number of adults in the country with diabetes. In the second example, the AI assisted screening is done shortly after a person is admitted to one of the public hospitals to identify which inpatients—especially which elderly patients with complex conditions—have a high risk of being readmitted as an inpatient multiple times in the months following discharge. Ways in which healthcare needs and the clinical operations context influenced the approach to designing or deploying the AI systems are highlighted, illustrating the multiplicity of factors that shape the requirements for successful large-scale deployments of AI systems that are deeply embedded within clinical workflows. In the first example, the choice was made to use the system in a semi-automated (vs. fully automated) mode as this was assessed to be more cost-effective, though still offering substantial productivity improvement. In the second example, machine learning algorithm design and model execution trade-offs were made that prioritized key aspects of patient engagement and inclusion over higher levels of predictive accuracy. The article concludes with several lessons learned related to deploying AI systems within healthcare settings, and also lists several other AI efforts already in deployment and in the pipeline for Singapore's public healthcare system.

Keywords

AI applications, AI for national screening programs, influence of clinical context on AI design and usage, Singapore

Discipline

Artificial Intelligence and Robotics | Asian Studies | Databases and Information Systems | Health Information Technology

Research Areas

Information Systems and Management

Publication

Health Care Science

Volume

1

Issue

2

First Page

41

Last Page

57

ISSN

2771-1757

Identifier

10.1002/hcs2.10

Publisher

Wiley Open Access

Copyright Owner and License

Authors-CC-BY

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Additional URL

https://doi.org/10.1002/hcs2.10

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