ChatGPT and the Future of Digital Health: A Study on Healthcare Workers’ Perceptions and Expectations
Open accessAbstract
This study aimed to assess the knowledge, attitudes, and intended practices of healthcare workers (HCWs) in Saudi Arabia towards ChatGPT, an artificial intelligence (AI) Chatbot, within the first three months after its launch. We also aimed to identify potential barriers to AI Chatbot adoption among healthcare professionals. A cross-sectional survey was conducted among 1057 HCWs in Saudi Arabia, distributed electronically via social media channels from 21 February to 6 March 2023. The survey evaluated HCWs’ familiarity with ChatGPT-3.5, their satisfaction, intended future use, and perceived usefulness in healthcare practice. Of the respondents, 18.4% had used ChatGPT for healthcare purposes, while 84.1% of non-users expressed interest in utilizing AI Chatbots in the future. Most participants (75.1%) were comfortable with incorporating ChatGPT into their healthcare practice. HCWs perceived the Chatbot to be useful in various aspects of healthcare, such as medical decision-making (39.5%), patient and family support (44.7%), medical literature appraisal (48.5%), and medical research assistance (65.9%). A majority (76.7%) believed ChatGPT could positively impact the future of healthcare systems. Nevertheless, concerns about credibility and the source of information provided by AI Chatbots (46.9%) were identified as the main barriers. Although HCWs recognize ChatGPT as a valuable addition to digital health in the early stages of adoption, addressing concerns regarding accuracy, reliability, and medicolegal implications is crucial. Therefore, due to their unreliability, the current forms of ChatGPT and other Chatbots should not be used for diagnostic or treatment purposes without human expert oversight. Ensuring the trustworthiness and dependability of AI Chatbots is essential for successful implementation in healthcare settings. Future research should focus on evaluating the clinical outcomes of ChatGPT and benchmarking its performance against other AI Chatbots.
AI snapshot
Written from the paper’s full text.
TL;DR
This cross-sectional survey of 1057 healthcare workers in Saudi Arabia assessed early perceptions of ChatGPT within three months of its launch. Most saw potential value in healthcare but reported concerns about credibility, accuracy, and medicolegal implications.
Key findings
- Among respondents, 18.4% had used ChatGPT for healthcare purposes, while 84.1% of non-users expressed interest in using AI Chatbots in the future; 75.1% were comfortable incorporating ChatGPT into healthcare practice.
- Perceived usefulness included medical decision-making (39.5%), patient and family support (44.7%), medical literature appraisal (48.5%), and medical research assistance (65.9%); 76.7% believed ChatGPT could positively impact the future of healthcare systems.
- The main barrier was concern about lack of credibility and unclear sources of information feeding AI Chatbots (46.9%), followed by harmful or incorrect medical decision recommendations (40.2%), difficulty accessing AI models at work (38.1%), and medicolegal implications (30.8%).
- In adjusted analyses, belief that ChatGPT could improve patient outcomes was associated with higher odds of believing it could improve the future healthcare system (OR = 7.92, p < 0.001), as were comfort using ChatGPT for medical purposes (OR = 2.327, p < 0.001), prior healthcare use (OR = 1.902, p = 0.004), and familiarity (OR = 2.023, p < 0.001).
Methods
- Cross-sectional electronic survey distributed via social media channels, email invitations, and personal contacts among healthcare workers in Saudi Arabia from 21 February to 6 March 2023; 1057 HCWs participated.
- The survey was developed by a multidisciplinary team, refined using focus groups, and piloted among 20 HCWs; it had three parts covering knowledge/use, perceived obstacles, and demographics/computer literacy, with multiple-choice questions and no Likert scale or open-ended questions.
- Analysis used descriptive statistics, multiple response dichotomies for multiple-option questions, and multivariate-adjusted odds ratios with 95% confidence intervals; significance was set at p < 0.05 using SPSS version 21.
Limitations
- The paper states that as a cross-sectional survey, the study is subject to sampling bias, response bias, and recall bias; the sampling technique may lead to selection bias, and participants may not represent the entire healthcare worker population.
- The paper states that response bias may occur from socially desirable answers, misunderstanding questions, or unmeasured confounding; almost half reported unfamiliarity with ChatGPT, which could introduce bias.
- The paper states that regional information was not collected due to privacy concerns, the absence of total population size limits generalizability, the study included respondents from one country, and no qualitative techniques were included.
Model-written summary. Check it against the paper before relying on it.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
0 of 14 cited sources checked · 0 supported · 0 flagged
- Findingown data
Of the surveyed healthcare workers, 18.4% had used ChatGPT for healthcare purposes.
“Of the respondents, 18.4% had used ChatGPT for healthcare purposes, while 84.1% of non-users expressed interest in utilizing AI Chatbots in the future.”
- Also stated in: § 3. Results · plain
“Among the surveyed HCWs, only 18.4% reported using ChatGPT for healthcare purposes as of the time of the survey, while 81.6% did not (Figure 1).”
Quote in the paperNot a substantial claim - Also stated in: § 3. Results · plain
- Findingown data
HCWs who were concerned about AI Chatbots potentially taking over human roles in healthcare practice were significantly more inclined to use them for healthcare purposes in the future (OR = 1.969, p = 0.018).
“Interestingly, HCWs who were concerned about AI Chatbots potentially taking over human roles in healthcare practice were significantly more inclined to use them for healthcare purposes in the future (OR = 1.969, p = 0.018).”
Quote in the paperNot a substantial claim - Findingown data
76.7% of HCWs believed ChatGPT could positively impact the future of healthcare systems.
“A majority (76.7%) believed ChatGPT could positively impact the future of healthcare systems.”
- Also stated in: § 3. Results · plain
“Most HCWs (76.7%) anticipate a positive effect; 17.7% anticipate a negative impact, and 5.6% anticipate no impact at all.”
Quote in the paperSubstantial claim - Also stated in: § 3. Results · plain
- Findingown data
81.8% of participants expressed a triggered interest in learning more about ChatGPT and other AI Chatbots.
“As a result of our survey, 81.8% of participants expressed a triggered interest in learning more about ChatGPT and other AI Chatbots.”
Quote in the paperNot a substantial claim - Findingown data
No correlation was found between HCWs' trust in AI Chatbots or ChatGPT and the potential for ChatGPT to improve healthcare systems.
“However, no correlation between HCWs’ trust in AI Chatbots or more specifically ChatGPT and the potential for ChatGPT to improve healthcare systems was found.”
Quote in the paperNot a substantial claim
- Findingown data
15.1% of surveyed HCWs were very familiar with ChatGPT.
“As far as familiarity with ChatGPT is concerned, 50.9% were unfamiliar with ChatGPT; 15.1% were very familiar, and 34% reported being familiar to some degree.”
Quote in the paperNot a substantial claim - Findingown data
Among non-users of ChatGPT, 84.1% expressed interest in utilizing AI Chatbots in the future.
“Of the respondents, 18.4% had used ChatGPT for healthcare purposes, while 84.1% of non-users expressed interest in utilizing AI Chatbots in the future.”
- Also stated in: § 3. Results · plain
“Of those who did not use it, 84.1% expressed the expectation of using it in the future (Figure 1).”
Quote in the paperNot a substantial claim - Also stated in: § 3. Results · plain
- Findingown data
38.1% of HCWs expressed difficulty accessing AI models in their work setting.
“Over a third of HCWs (38.1%) expressed difficulty accessing AI models in their work setting, and 37.6% had concerns about AI models not being fully developed for medical practice use.”
Quote in the paperNot a substantial claim - Findingown data
40.2% of HCWs were concerned about harmful or incorrect medical decision recommendations made by AI models.
“Most HCWs were concerned about the lack of credibility and unclear sources of information feeding AI Chatbots (46.9%), followed by concerns over harmful or incorrect medical decision recommendations made by AI models (40.2%).”
Quote in the paperNot a substantial claim - Findingown data
HCWs perceived ChatGPT as useful for medical research assistance (65.9%).
“HCWs perceived the Chatbot to be useful in various aspects of healthcare, such as medical decision-making (39.5%), patient and family support (44.7%), medical literature appraisal (48.5%), and medical research assistance (65.9%).”
- Also stated in: § 3. Results · plain
“Participants’ perceived usefulness of ChatGPT in healthcare practice were captured using the question with multiple choices and included providing medical decisions (39.5%), supporting patients and families (44.7%), appraising medical literature (48.5%), and aiding in medical research (65.9%) (Table 2).”
Quote in the paperNot a substantial claim - Also stated in: § 3. Results · plain
- Findingown data
30.8% of HCWs were concerned about medicolegal implications associated with using AI in patient care.
“Medicolegal implications associated with using AI in patient care were also a concern for many HCWs (30.8%).”
Quote in the paperNot a substantial claim - Findingown data
HCWs perceived ChatGPT as useful for medical decision-making (39.5%).
“HCWs perceived the Chatbot to be useful in various aspects of healthcare, such as medical decision-making (39.5%), patient and family support (44.7%), medical literature appraisal (48.5%), and medical research assistance (65.9%).”
- Also stated in: § 3. Results · plain
“Participants’ perceived usefulness of ChatGPT in healthcare practice were captured using the question with multiple choices and included providing medical decisions (39.5%), supporting patients and families (44.7%), appraising medical literature (48.5%), and aiding in medical research (65.9%) (Table 2).”
Quote in the paperNot a substantial claim - Also stated in: § 3. Results · plain
- Findingown data
HCWs who reported being comfortable using ChatGPT for medical purposes had higher odds of believing ChatGPT had the potential to improve the future of healthcare (OR = 2.327, p < 0.001).
“This was followed by HCWs who reported being comfortable using ChatGPT for medical purposes (OR = 2.327, p-value < 0.001).”
Quote in the paperNot a substantial claim - Findingown data
HCWs who believed that ChatGPT could improve patient outcomes had 7.92 times higher odds of believing that ChatGPT had the potential to improve the future of healthcare (p < 0.001).
“HCWs who believed that ChatGPT could improve patient outcomes had 7.92 times higher odds of believing that ChatGPT had the potential to improve the future of healthcare p < 0.001.”
Quote in the paperSubstantial claim - Findingown data
Medicolegal concerns about using AI Chatbots in medical practice were the most common obstacle identified by participating HCWs, especially among physicians.
“Medicolegal concerns about using AI Chatbots in medical practice were the most common obstacle identified by the participating HCWs, especially among physicians.”
Quote in the paperSubstantial claim - Findingown data
A total of 1057 HCWs participated in the study.
“A total of 1057 HCWs participated in the study.”
Quote in the paperNot a substantial claim - Findingown data
34% of surveyed HCWs were familiar with ChatGPT to some degree.
“As far as familiarity with ChatGPT is concerned, 50.9% were unfamiliar with ChatGPT; 15.1% were very familiar, and 34% reported being familiar to some degree.”
Quote in the paperNot a substantial claim - Findingown data
Previous use of ChatGPT correlated positively and significantly with future intention to use it for healthcare purposes (OR = 2.601, p < 0.001).
“Additionally, their previous use of ChatGPT correlated positively and significantly with their future intention to use it for healthcare purposes (OR = 2.601, p < 0.001).”
Quote in the paperSubstantial claim - Findingown data
75.1% of participants were comfortable with incorporating ChatGPT into their healthcare practice.
“Most participants (75.1%) were comfortable with incorporating ChatGPT into their healthcare practice.”
- Also stated in: § 3. Results · plain
“Most participants expressed comfort using ChatGPT in their healthcare practice (61.9% were comfortable to some extent, and 13.2% were very comfortable) (Table 2).”
Quote in the paperSubstantial claim - Also stated in: § 3. Results · plain
- Findingown data
Participants who believed that ChatGPT has the potential to improve medical research were significantly more inclined to use it in the future (OR = 1.835, p = 0.005).
“Participants who believed that ChatGPT has the potential to improve medical research and patients’ outcomes were significantly more inclined to use it in the future (OR = 1.835, p = 0.005, OR = 5.404, p < 0.001), respectively.”
Quote in the paperSubstantial claim - Findingown data
20.6% of HCWs were worried about AI models replacing human roles in healthcare practice.
“Interestingly 20.6% of HCWs were worried about AI models replacing human roles in healthcare practice (Table 3).”
Quote in the paperNot a substantial claim - Findingown data
Prior use of ChatGPT for healthcare purposes was associated with an increased positive expectation of ChatGPT improving the future of healthcare (OR = 1.902, p = 0.004).
“Prior use of ChatGPT for healthcare purposes was associated with an increased positive expectation of ChatGPT improving the future of healthcare (OR = 1.902, p = 0.004).”
Quote in the paperNot a substantial claim - Findingown data
Worrying about breaking patient confidentiality was associated with high medicolegal concerns.
“Additionally, those who had questioned the credibility of AI Chatbots or worried about breaking patient’s confidentiality or recommending harmful or wrong medical decisions and expectations of HCWs’ resistance to adopting AI Chatbots all were associated with high medicolegal concerns.”
Quote in the paperSubstantial claim - Findingown data
17.7% of HCWs anticipated a negative impact of ChatGPT on future healthcare practice.
“Most HCWs (76.7%) anticipate a positive effect; 17.7% anticipate a negative impact, and 5.6% anticipate no impact at all.”
Quote in the paperNot a substantial claim - Findingown data
Use of ChatGPT in the future was less likely to be considered by those who expressed concerns about the lack of personalized care provided by AI Chatbots (OR = 0.225, p = 0.003).
“In contrast, the use of ChatGPT in the future was less likely to be considered by those who expressed concerns about the lack of personalized care provided by AI Chatbots (OR = 0.225, p = 0.003).”
Quote in the paperSubstantial claim - Findingown data
50.9% of surveyed HCWs were unfamiliar with ChatGPT.
“As far as familiarity with ChatGPT is concerned, 50.9% were unfamiliar with ChatGPT; 15.1% were very familiar, and 34% reported being familiar to some degree.”
Quote in the paperNot a substantial claim - Findingown data
37.6% of HCWs had concerns about AI models not being fully developed for medical practice use.
“Over a third of HCWs (38.1%) expressed difficulty accessing AI models in their work setting, and 37.6% had concerns about AI models not being fully developed for medical practice use.”
Quote in the paperNot a substantial claim - Findingown data
Concerns about credibility and the source of information provided by AI Chatbots were identified as the main barriers by HCWs (46.9%).
“Nevertheless, concerns about credibility and the source of information provided by AI Chatbots (46.9%) were identified as the main barriers.”
- Also stated in: § 3. Results · plain
“Most HCWs were concerned about the lack of credibility and unclear sources of information feeding AI Chatbots (46.9%), followed by concerns over harmful or incorrect medical decision recommendations made by AI models (40.2%).”
Quote in the paperSubstantial claim - Also stated in: § 3. Results · plain
- Findingown data
HCWs perceived ChatGPT as useful for medical literature appraisal (48.5%).
“HCWs perceived the Chatbot to be useful in various aspects of healthcare, such as medical decision-making (39.5%), patient and family support (44.7%), medical literature appraisal (48.5%), and medical research assistance (65.9%).”
- Also stated in: § 3. Results · plain
“Participants’ perceived usefulness of ChatGPT in healthcare practice were captured using the question with multiple choices and included providing medical decisions (39.5%), supporting patients and families (44.7%), appraising medical literature (48.5%), and aiding in medical research (65.9%) (Table 2).”
Quote in the paperNot a substantial claim - Also stated in: § 3. Results · plain
- Findingown data
Participants who believed that ChatGPT has the potential to improve patients' outcomes were significantly more inclined to use it in the future (OR = 5.404, p < 0.001).
“Participants who believed that ChatGPT has the potential to improve medical research and patients’ outcomes were significantly more inclined to use it in the future (OR = 1.835, p = 0.005, OR = 5.404, p < 0.001), respectively.”
Quote in the paperSubstantial claim - Findingown data
HCWs perceived ChatGPT as useful for patient and family support (44.7%).
“HCWs perceived the Chatbot to be useful in various aspects of healthcare, such as medical decision-making (39.5%), patient and family support (44.7%), medical literature appraisal (48.5%), and medical research assistance (65.9%).”
- Also stated in: § 3. Results · plain
“Participants’ perceived usefulness of ChatGPT in healthcare practice were captured using the question with multiple choices and included providing medical decisions (39.5%), supporting patients and families (44.7%), appraising medical literature (48.5%), and aiding in medical research (65.9%) (Table 2).”
Quote in the paperNot a substantial claim - Also stated in: § 3. Results · plain
- Findingown data
HCWs were significantly more likely to use ChatGPT for healthcare purposes in the future if they trusted in AI Chatbot capabilities for providing medical decisions (OR = 1.969, p < 0.001).
“HCWs were significantly more likely to use ChatGPT for healthcare purposes if they trusted in AI Chatbot capabilities for providing medical decisions (OR = 1.969, p < 0.001).”
Quote in the paperSubstantial claim - Findingown data
5.6% of HCWs anticipated no impact of ChatGPT on future healthcare practice.
“Most HCWs (76.7%) anticipate a positive effect; 17.7% anticipate a negative impact, and 5.6% anticipate no impact at all.”
Quote in the paperNot a substantial claim - Findingown data
Familiarity of HCWs with ChatGPT was associated with positive expectations for healthcare (OR = 2.023, p < 0.001).
“Similarly, the familiarity of HCWs with ChatGPT was associated with positive expectations for healthcare (OR = 2.023, p-value < 0.001).”
Quote in the paperNot a substantial claim - Findingown data
Questioning the credibility of AI Chatbots was associated with high medicolegal concerns.
“Additionally, those who had questioned the credibility of AI Chatbots or worried about breaking patient’s confidentiality or recommending harmful or wrong medical decisions and expectations of HCWs’ resistance to adopting AI Chatbots all were associated with high medicolegal concerns.”
Quote in the paperSubstantial claim - Findingown data
Worrying about recommending harmful or wrong medical decisions was associated with high medicolegal concerns.
“Additionally, those who had questioned the credibility of AI Chatbots or worried about breaking patient’s confidentiality or recommending harmful or wrong medical decisions and expectations of HCWs’ resistance to adopting AI Chatbots all were associated with high medicolegal concerns.”
Quote in the paperSubstantial claim - Findingown data
Previous use of ChatGPT was associated with fewer medicolegal concerns in this study.
“However, previous use of ChatGPT was associated with fewer medicolegal concerns in this study.”
Quote in the paperNot a substantial claim- Rests on an assumption: The survey responses accurately reflect the participants' true perceptions and experiences.
- Findingown data
HCWs perceived medicolegal implications as a significant barrier to ChatGPT's use in healthcare.
“HCWs perceived medicolegal implications as a significant barrier to ChatGPT’s use in healthcare.”
Quote in the paperSubstantial claim- Rests on an assumption: The survey responses accurately reflect the participants' true perceptions and experiences.
- Findingreasoning
Physicians were significantly more likely to perceive medicolegal concerns.
“Physicians were significantly more likely to perceive medicolegal concerns, which could be due to their greater awareness of legal and ethical issues in healthcare.”
Quote in the paperNot a substantial claim- Rests on an assumption: The survey responses accurately reflect the participants' true perceptions and experiences.
- Findingown data
The most significant obstacle identified was ChatGPT's lack of credibility and question of the source of information.
“However, the most significant obstacle identified was ChatGPT’s lack of credibility and question of the source of information, which is consistent with previous studies that have reported similar concerns about AI Chatbots’ accuracy and reliability [26,27].”
Quote in the paperNot a substantial claim- Rests on an assumption: The survey responses accurately reflect the participants' true perceptions and experiences.
- Findingreasoning
Familiarity with ChatGPT correlated positively with HCWs' concerns.
“Familiarity with ChatGPT correlated positively with HCWs’ concerns, indicating that those who were more familiar with ChatGPT may be more aware of its potential risks and limitations.”
Quote in the paperNot a substantial claim- Rests on an assumption: The survey responses accurately reflect the participants' true perceptions and experiences.
- Findingown data
Expectations of HCWs' resistance to adopting AI Chatbots were associated with high medicolegal concerns.
“Additionally, those who had questioned the credibility of AI Chatbots or worried about breaking patient’s confidentiality or recommending harmful or wrong medical decisions and expectations of HCWs’ resistance to adopting AI Chatbots all were associated with high medicolegal concerns.”
Quote in the paperSubstantial claim - Findingown data
HCWs expressed positive expectations for ChatGPT's impact on the future of healthcare.
“It is also important to note that while HCWs expressed positive expectations for ChatGPT’s impact on the future of healthcare, they also expressed concerns about the potential for AI Chatbots to take over human roles in healthcare and the lack of personalized care when using them.”
Quote in the paperSubstantial claim- Rests on an assumption: The survey responses accurately reflect the participants' true perceptions and experiences.
- Findingown data
HCWs expressed concerns about the lack of personalized care when using AI Chatbots.
“It is also important to note that while HCWs expressed positive expectations for ChatGPT’s impact on the future of healthcare, they also expressed concerns about the potential for AI Chatbots to take over human roles in healthcare and the lack of personalized care when using them.”
Quote in the paperNot a substantial claim- Rests on an assumption: The survey responses accurately reflect the participants' true perceptions and experiences.
- Findingown data
The study included respondents from one country.
“The study included respondents from one country and a larger multi-countries study is warranted.”
Quote in the paperSubstantial claim- Rests on an assumption: The survey responses accurately reflect the participants' true perceptions and experiences.
- Findingown data
Most participants felt comfortable using ChatGPT in their healthcare practice.
“While most participants showed a lack of familiarity with ChatGPT, the majority of those who had not used it expressed an interest in using it in the future, and most participants felt comfortable using it in their healthcare practice.”
Quote in the paperSubstantial claim- Rests on an assumption: The survey responses accurately reflect the participants' true perceptions and experiences.
- Findingown data
Almost half of the study sample reported unfamiliarity with ChatGPT.
“For instance, almost half of the study sample reported unfamiliarity with ChatGPT, which could introduce a source of bias that must be considered.”
Quote in the paperNot a substantial claim- Rests on an assumption: The survey responses accurately reflect the participants' true perceptions and experiences.
- Findingown data
Respondents came from different regions of Saudi Arabia.
“Therefore, while respondents came from different regions of Saudi Arabia, we were unable to provide detailed information about the representation of each specific region.”
Quote in the paperNot a substantial claim- Rests on an assumption: The survey responses accurately reflect the participants' true perceptions and experiences.
- Findingown data
The majority of those who had not used ChatGPT expressed an interest in using it in the future.
“While most participants showed a lack of familiarity with ChatGPT, the majority of those who had not used it expressed an interest in using it in the future, and most participants felt comfortable using it in their healthcare practice.”
Quote in the paperSubstantial claim- Rests on an assumption: The survey responses accurately reflect the participants' true perceptions and experiences.
- Findingown data
Most participants showed a lack of familiarity with ChatGPT.
“While most participants showed a lack of familiarity with ChatGPT, the majority of those who had not used it expressed an interest in using it in the future, and most participants felt comfortable using it in their healthcare practice.”
Quote in the paperNot a substantial claim- Rests on an assumption: The survey responses accurately reflect the participants' true perceptions and experiences.
- Findingnone given
The perceived medicolegal implications of using AI Chatbots were higher among physicians and those with more experience.
“The perceived medicolegal implications of using AI Chatbots were higher among physicians and those with more experience, indicating the need for clear guidelines and regulations around the use of AI Chatbots in healthcare.”
Quote in the paperNot a substantial claim- Rests on an assumption: The survey responses accurately reflect the participants' true perceptions and experiences.
- Findingown data
HCWs expressed concerns about the potential for AI Chatbots to take over human roles in healthcare.
“It is also important to note that while HCWs expressed positive expectations for ChatGPT’s impact on the future of healthcare, they also expressed concerns about the potential for AI Chatbots to take over human roles in healthcare and the lack of personalized care when using them.”
Quote in the paperSubstantial claim- Rests on an assumption: The survey responses accurately reflect the participants' true perceptions and experiences.
- Study design and conductreasoning
The survey tool's content validity and relevance were established through expert opinions from a multidisciplinary research team using the focus group technique.
“Using the focus group technique, we then drafted and refined the survey, based on expert opinions from the research team in terms of content validity and relevance.”
Quote in the paperNot a substantial claim - Interpretationown data
HCWs are eager to learn more about ChatGPT and other AI Chatbots.
“The high level of interest generated by our study indicates that HCWs are eager to learn more about ChatGPT and other AI Chatbots.”
Quote in the paperSubstantial claim- Rests on an assumption: The survey responses accurately reflect the participants' true perceptions and experiences.
- Interpretationcitation
The positive perception of ChatGPT among HCWs aligns with the broader sentiment toward AI in Saudi Arabia.
“Interestingly, this positive perception aligns with the broader sentiment toward AI in Saudi Arabia.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [10] HAI (2023, June 12). Artificial Intelligence Index Report 2023, Available online: https://aiindex.stanford.edu/wp-content/uploads/2023/04/HAI_AI-Index-Report_2023.pdf.
Not checked in the free run.
- Interpretationown data
The findings show that ChatGPT was looked at as having the potential to become a valuable tool in healthcare, based on HCWs' perception of it being useful in supporting patient care, medical research, and appraisal of medical literature.
“the findings from this study show that ChatGPT was looked at as having the potential to become a valuable tool in healthcare.”
- Also stated in: § 4.2. Perceived Usefulness of ChatGPT · plain
“This is based on the HCWs’ perception of the tool being a useful resource in supporting patient care, medical research, and appraisal of medical literature.”
Quote in the paperSubstantial claim - Also stated in: § 4.2. Perceived Usefulness of ChatGPT · plain
- Premisecitation
These concerns were positively associated with questioning the credibility of AI Chatbots and a lack of comfort in using them in medical practice.
“These concerns were positively associated with questioning the credibility of AI Chatbots and a lack of comfort in using them in medical practice [33].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [33] Tsigaris, P., and Teixeira da Silva, J.A. (2023). Can ChatGPT be trusted to provide reliable estimates?. Account. Res., 1–3. source
Not checked in the free run.
- Study design and conductreasoning
Recall bias may influence the results if participants have difficulty remembering their experiences with ChatGPT.
“Recall bias may influence the results if the participants have difficulty remembering their experiences with ChatGPT; however, ChatGPT was launched only three months prior to our study, and about half of our HCWs were not yet familiar with it.”
Quote in the paperNot a substantial claim- Rests on an assumption: ChatGPT was launched only three months prior to the study.
- Interpretationreasoning
Healthcare workers are open to using AI Chatbots like ChatGPT in their practice.
“This indicates that while there is a need for further education and training, healthcare workers are open to using AI Chatbots like ChatGPT in their practice.”
Quote in the paperSubstantial claim- Rests on an assumption: The survey responses accurately reflect the participants' true perceptions and experiences.
- Study design and conductnone given
The sampling technique may lead to selection bias, as participants may not be representative of the entire population of healthcare workers.
“The sampling technique may lead to selection bias, as the participants may not be representative of the entire population of healthcare workers.”
Quote in the paperNot a substantial claim - Study design and conductreasoning
The study did not collect specific regional information from respondents due to privacy concerns.
“So, another limitation of our study is that we did not collect specific regional information from the respondents due to privacy concerns.”
Quote in the paperNot a substantial claim - Study design and conductown data
The generalizability of the study findings to the broader population may be limited due to absence of data on total population size.
“Considering the absence of data on the total population size from which the sample was drawn, the generalizability of the study findings to the broader population may be limited.”
Quote in the paperNot a substantial claim
- May combine two claims. 11
- Classified as probably not a substantial claim. 14
May combine two claims.
Findingown dataThe study identified several obstacles and concerns about ChatGPT's use in healthcare, including lack of credibility and questioned source of information, medicolegal implications, resistance to its use, and concerns about patient confidentiality and personalized care.
“Our study identified several obstacles and concerns about ChatGPT’s use in healthcare, including its lack of credibility and questioned source of information, medicolegal implications, resistance to its use, and concerns about patient confidentiality and personalized care.”
- Also stated in: § 4.5. Medicolegal Implications of ChatGPT · plain
“Notably, HCWs expressed concerns regarding the credibility of AI Chatbots and their potential medicolegal implications.”
Quote in the paperSubstantial claim- Rests on an assumption: The survey responses accurately reflect the participants' true perceptions and experiences.
- Also stated in: § 4.5. Medicolegal Implications of ChatGPT · plain
May combine two claims.
Findingown dataHCWs showed moderate to low levels of trust in ChatGPT's ability to generate medical decisions, and only a small proportion showed a high level of trust.
“The current study revealed that HCWs showed moderate to low levels of trust in ChatGPT’s ability to generate medical decisions, and only a small proportion showed a high level of trust.”
Quote in the paperSubstantial claim- Rests on an assumption: The survey responses accurately reflect the participants' true perceptions and experiences.
May combine two claims.
Findingown dataHCWs who were users of ChatGPT and those with more clinical experience, self-rated familiarity, and comfort level in using ChatGPT for medical purposes had a positive perception of its usefulness and higher levels of trust.
“HCWs users of ChatGPT and those with more clinical experience, self-rated familiarity, and comfort level in using ChatGPT for medical purposes a positive perception of its usefulness and with higher levels of trust.”
Quote in the paperSubstantial claim- Rests on an assumption: The survey responses accurately reflect the participants' true perceptions and experiences.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe Artificial Intelligence Index Report 2023 ranked Saudi Arabia as one of the top three countries with a positive perception of AI products and services.
“The recent Artificial Intelligence Index Report 2023 from Stamford University about the world countries’ acceptability ranked Saudi Arabia as one of the top three countries with a positive perception of AI products and services [10].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [10] HAI (2023, June 12). Artificial Intelligence Index Report 2023, Available online: https://aiindex.stanford.edu/wp-content/uploads/2023/04/HAI_AI-Index-Report_2023.pdf.
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationAccording to the Artificial Intelligence Index Report 2023, 76% of Saudi respondents agreed that products and services using AI have more benefits than drawbacks, making Saudi Arabia the second most positive country towards AI after China.
“According to the Artificial Intelligence Index Report 2023 by Stanford University, 76% of Saudi respondents agreed that products and services using AI have more benefits than drawbacks, making it the second most positive country towards AI after China [10].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [10] HAI (2023, June 12). Artificial Intelligence Index Report 2023, Available online: https://aiindex.stanford.edu/wp-content/uploads/2023/04/HAI_AI-Index-Report_2023.pdf.
Not checked in the free run.
Classified as probably not a substantial claim.
Study design and conductreasoningThe minimum sample size required for the study was 463 HCWs, calculated from an estimated proportion of 50%, margin of error 0.05, 95% confidence, 80% power, and increased by 20% for non-response.
“Estimating a proportion of 50% of HCWs using ChatGPT and a margin of error of 0.05, confidence level of 95%, and study power of 80%, the sample size required for this study was 386. To account for incomplete and non-responses, the sample size was increased by 20%, making the minimum sample size required 463 HCWs.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductnone givenThe study was approved by the IRB at King Saud University (Approval # 23/0155/IRB) and informed consent was obtained from all participants.
“The Institutional Review Board (IRB) at King Saud University approved the study (Approval # 23/0155/IRB). Informed consent was obtained from all participants.”
Quote in the paperNot a substantial claimMay combine two claims.
Study design and conductreasoningThe survey was piloted among 20 HCWs and refined based on feedback, resulting in a valid and reliable instrument.
“As a result of their feedback, it was further refined to eliminate any ambiguities, ultimately resulting in a well-structured, valid, and reliable instrument for assessing HCWs’ perceptions of ChatGPT (Supplementary Materials).”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationChatGPT was frequently utilized to quickly generate educational materials and provide healthcare advice to patients and communities.
“ChatGPT was frequently utilized to quickly generate educational materials and provide healthcare advice to patients and communities [22,23,24].”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites [22] Alhasan, K., Al-Tawfiq, J., Aljamaan, F., Jamad, A., Al-Eyadhy, A., and Temsah, M.-H. (2023). Mitigating the Burden of Severe Pediatric Respiratory Viruses in the Post-COVID-19 Era: ChatGPT Insights and Recommendations. Cureus. source
Not checked in the free run.
- cites [23] Temsah, 2023, Reflection with ChatGPT about the excess death after the COVID-19 pandemic, New Microbes New Infect. source
Not checked in the free run.
- cites [24] Alhasan, K., Raina, R., Jamal, A., and Temsah, M.H. (2023). Combining human and AI could predict nephrologies future, but should be handled with care. Acta Paediatr. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationPrevious studies have reported concerns about the accuracy and reliability of AI Chatbots in healthcare, labeled as "Artificial Hallucinations".
“These findings are consistent with previous studies that have reported concerns about the accuracy and reliability of AI Chatbots in healthcare and were labeled as “Artificial Hallucinations” [26,27].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [26] Howard, 2023, ChatGPT and antimicrobial advice: The end of the consulting infection doctor?, Lancet Infect. Dis. source
Not checked in the free run.
- cites [27] Alkaissi, 2023, Artificial Hallucinations in ChatGPT: Implications in Scientific Writing, Cureus
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationThe checklist emphasizes the need for algorithms and data to be auditable and accessible and for redressal processes to be fair and equally accessible.
“The checklist emphasizes the need for algorithms and data to be auditable and accessible and for redressal processes to be fair and equally accessible [31].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [31] Parikh, 2023, Judge Juan Manuel Padilla Garcia, ChatGPT, and a controversial medicolegal milestone, Indian J. Med. Sci. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe European Commission has outlined a checklist for trustworthy AI, which includes requirements for human oversight, robustness and safety, data privacy, process transparency, equitability, societal well-being, and accountability.
“The European Commission has outlined a checklist for trustworthy AI, which includes requirements for human oversight, robustness and safety, data privacy, process transparency, equitability, societal well-being, and accountability [32].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [32] Commission, E. (2023, March 26). Ethics Guidelines for Trustworthy AI. Available online: https://digital-strategy.ec.europa.eu/en/library/ethics-guidelines-trustworthy-ai.
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationOne study showed that physicians had a deeper level of specific training in ethics than nurses.
“One study showed that physicians had a deeper level of specific training in ethics than nurses [30].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [30] Leuter, 2018, Ethical difficulties in healthcare: A comparison between physicians and nurses, Nurs. Ethics source
Not checked in the free run.
Probably not a substantial claim: may not pass S4 (based).
Interpretationnone givenThis is the first study that explored early HCWs' usage of ChatGPT.
“To the best of our knowledge, this is the first study that explored early HCWs’ usage of ChatGPT.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationPrior to the ChatGPT era, several papers described adaptations of AI Chatbots by specific medical disciplines, with promising initial results.
“Prior to the ChatGPT era, several papers described adaptations of AI Chatbots by specific medical disciplines, with promising initial results [35].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [35] Noble, 2022, Developing, Implementing, and Evaluating an Artificial Intelligence-Guided Mental Health Resource Navigation Chatbot for Health Care Workers and Their Families During and Following the COVID-19 Pandemic: Protocol for a Cross-sectional Study, JMIR Res. Protoc. source
Not checked in the free run.
Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing), S4 (based).
Study design and conductnone givenThe anonymity of the survey responses will ensure that participants feel comfortable providing honest and accurate responses.
“Additionally, the anonymity of the survey responses will ensure that participants feel comfortable providing honest and accurate responses.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationA recent study found that transparency, accountability, and user-centered design are key factors that can improve the acceptance of AI Chatbots among healthcare professionals.
“A recent study found that transparency, accountability, and user-centered design are key factors that can improve the acceptance of AI Chatbots among healthcare professionals [34].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [34] Borji, A. (2023). A categorical archive of chatgpt failures. arXiv. source
Not checked in the free run.
May combine two claims.
Study design and conductreasoningThe study is subject to sampling bias, response bias, and recall bias.
“As a cross-sectional survey study, this research is subject to some limitations, including sampling bias, response bias, and recall bias.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductnone givenResponse bias may occur if participants provide socially desirable answers, misunderstand questions, or if unmeasured confounding factors influenced results.
“Response bias may occur if participants provide answers that are socially desirable, if they misunderstand the questions, or if there were other unmeasured confounding factors that could have influenced the results.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataChatGPT is seen as a potentially beneficial tool in healthcare settings, but concerns about its accuracy, reliability, and medicolegal implications persist.
“While ChatGPT is seen as a potentially beneficial tool in healthcare settings, concerns about its accuracy, reliability, and medicolegal implications persist.”
Quote in the paperSubstantial claim- Rests on an assumption: The survey responses accurately reflect the participants' true perceptions and experiences.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenThe study has a relatively large sample size of HCWs from different regions in Saudi Arabia.
“Additionally, the study has a relatively large sample size of HCWs from different regions in Saudi Arabia.”
Quote in the paperNot a substantial claim
The paper relies on this without support.
At the time of the study, there was no available data to assess healthcare workers' experience with ChatGPT.
“With ChatGPT’s recent emergence, there is no available data to assess healthcare workers’ (HCWs) experience, which is crucial information, given the potential consequences to healthcare.”
The paper relies on this without support.
Current forms of ChatGPT and other Chatbots are unreliable.
“Therefore, due to their unreliability, the current forms of ChatGPT and other Chatbots should not be used for diagnostic or treatment purposes without human expert oversight.”
The paper relies on this without support.
The social media recruitment sample is representative of healthcare workers in Saudi Arabia.
“This recruitment method was chosen to ensure broad geographic coverage and to include a diverse group of HCWs, considering the widespread use of these social media platforms among HCWs in Saudi Arabia [14].”
The paper relies on this without support.
The survey responses accurately reflect the participants' true perceptions and experiences.
“Additionally, the anonymity of the survey responses will ensure that participants feel comfortable providing honest and accurate responses.”
The paper relies on this without support.
ChatGPT was launched only three months prior to the study.
“ChatGPT was launched only three months prior to our study”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Facilitators of trust include endorsement of the technology by experts and academically backed clinicians (including regulating bodies such as the government), evidence of output accuracy based on evaluation of AI, and positive opinions from trusted thought leaders in clinical fields.
“Facilitators of trust included the endorsement of the technology by experts as well as academically backed clinicians, including regulating bodies such as the government; evidence of output accuracy based on the evaluation of AI; and positive opinions from trusted thought leaders in the respective clinical fields [42,58,60].”
From Barriers to and facilitators of artificial intelligence adoption in health care: scoping review (2024) · cites this paper as [60]
Section 4.3, “Trust and Credibility of ChatGPT” (page not provided), says that evidence-based data on ChatGPT’s accuracy and reliability could enhance healthcare workers’ trust. The cited paper does not identify endorsement by experts, academically backed clinicians, or government bodies, or positive opinions from clinical thought leaders, as facilitators of trust. (LLM, conf=0.88)
Experimental — accuracy not yet measuredLack of regulation and policies from the government, including uncertainty around legal direction or law, is a barrier to the application of AI technologies.
“A lack of regulation and policies from the government, including uncertainty around legal direction or law, was presented as a barrier to the application of AI technologies [37,45,57,60,77,78].”
From Barriers to and facilitators of artificial intelligence adoption in health care: scoping review (2024) · cites this paper as [60]
Section 4.5 (page not provided) says healthcare workers perceived medicolegal implications as a significant barrier to using ChatGPT in healthcare and calls for clear guidelines and regulations. It does not say that a lack of government policies or uncertainty about legal direction or law was itself identified as the barrier; it also refers to existing local bylaws. (LLM, conf=0.86)
Experimental — accuracy not yet measuredIn pharmaceutical research, ChatGPT can contribute by sifting through vast volumes of scientific literature, identifying potential drug candidates, and suggesting innovative research directions.
“In the realm of pharmaceutical research, ChatGPT can contribute by sifting through vast volumes of scientific literature, identifying potential drug candidates, and suggesting innovative research directions.”
ChatGPT can assist in drug discovery, research proposal writing, and summarising complex medical research, expediting the research process.
“It can assist in drug discovery, research proposal writing, and summarising complex medical research, expediting the research process [11,24,34,35,36,37,38].”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Survey extended beyond the first three months after launch
MinorThe paper dates ChatGPT's launch to 30 November 2022, so the first three months ended by the end of February 2023. The survey continued through 6 March, contrary to the stated timeframe.
“within the first three months after its launch. We also aimed to identify potential barriers to AI Chatbot adoption among healthcare professionals. A cross-sectional survey was conducted among 1057 HCWs in Saudi Arabia, distributed electronically via social media channels from 21 February to 6 March 2023.”
“OpenAI launched Chat Generative Pre-trained Transformer version 3.5 (ChatGPT-3.5) on 30 November 2022, as an advanced AI Chatbot.”
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ChatGPT and antimicrobial advice: the end of the consulting infection doctor?
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Self-citationAssessing the utility of ChatGPT throughout the entire clinical workflow
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Self-citationOn the cusp: considering the impact of artificial intelligence language models in healthcare
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Self-citationTemsah, M.-H. A., Alenezi, S., Alarabi, M., Aljamaan, F., Alhasan, K. A., Assiri, R., Bassrawi, R. K., Alshahrani, F. S., Alhaboob, A. A. N., Alaraj, A., et al. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19041944 · Cited by 50 · see citing works
Self-citationAlmazyad, M. A., Aljofan, F., Abouammoh, N. A., Muaygil, R. A., Malki, K. H., Aljamaan, F., Alturki, A., Alayed, T. M., Alshehri, S. S., Alrbiaan, A., et al. (2023) · Cureus · doi:10.7759/cureus.38249 · Cited by 45 · see citing works
Self-citationPapini, F., Mazzilli, S., Paganini, D., Rago, L., Arzilli, G., Pan, A., Goglio, A., Tuvo, B., Privitera, G. P., & Casini, B. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19020733 · Cited by 29 · see citing works
Judge Juan Manuel Padilla Garcia, ChatGPT, and a controversial medicolegal milestone
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Reflection with ChatGPT about the excess death after the COVID-19 pandemic
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Self-citationCan ChatGPT be trusted to provide reliable estimates?
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Self-citationEthics Guidelines for Trustworthy AI
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Explaining Technology We Do Not Understand
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Self-citationCombining human and <scp>AI</scp> could predict nephrologies future, but should be handled with care
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Self-citation
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Cited by
Sorted by citations
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ChatGPT Use Among Pediatric Health Care Providers: Cross-Sectional Survey Study
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Healthcare's New Horizon With ChatGPT's Voice and Vision Capabilities: A Leap Beyond Text
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Utilizing ChatGPT in Telepharmacy
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Registered Nurses' Attitudes Towards ChatGPT and Self‐Directed Learning: A Cross‐Sectional Study
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Artificial Intelligence-Powered Surgical Consent: Patient Insights
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A Vision of the Future: Harnessing Artificial Intelligence for Strategic Social Marketing
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- Authors
- Temsah, M.-H., Aljamaan, F., Malki, K. H., Alhasan, K., Altamimi, I., Aljarbou, R., Bazuhair, F., Alsubaihin, A., Abdulmajeed, N., Alshahrani, F. S., Temsah, R., Alshahrani, T., Al-Eyadhy, L., Alkhateeb, S. M., Saddik, B., Halwani, R., Jamal, A., Al-Tawfiq, J. A., & Al-Eyadhy, A.
- Affiliations
- King Saud Medical City (SA)
- King Saud University (SA)
- King Faisal Specialist Hospital & Research Centre (SA)
- Pediatric Department, King Saud University Medical City, King Saud University, Riyadh 11411, Saudi Arabia
- Riyadh Armed Forces Hospital (SA)
- Alfaisal University (SA)
- Jordan University of Science and Technology (JO)
- University of Sharjah (AE)
- Specialty Internal Medicine and Quality Department, Johns Hopkins Aramco Healthcare, Dhahran 34465, Saudi Arabia
- Corresponding author
- Temsah, Mohamad-Hani
- ORCID
- Venue
- Healthcare
- Publisher
- MDPI AG
- Published
- 2023-06-21
- Volume
- 11
- Issue
- 13
- Pages
- 1812
- ISSN
- 2227-9032 (ISSN-L)
- PMC
- PMC10340744
- OpenAlex
- W4381550225
- Cited by
- 179
- References
- 39
- Citations by year
- 2026: 30 · 2025: 59 · 2024: 65 · 2023: 25
- FWCI
- 7.13
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Healthcare (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- IUScholarWorks (Indiana University) (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
- Physical Sciences › Computer Science › Artificial Intelligence › Artificial Intelligence Applications
- Health Sciences › Health Professions › Health Information Management › Artificial Intelligence in Healthcare
- Keywords
- ChatGPT, AI chatbots, healthcare workers, digital health, AI adoption barriers, perceived usefulness, clinical decision-making, AI credibility, medicolegal issues, Saudi Arabia
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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