Artificial Intelligence Decision Support for Medical Triage

Marchiori, Chiara, Dykeman, Douglas, Girardi, Ivan, Ivankay, Adam, Thandiackal, Kevin, Zusag, Mario, Giovannini, Andrea, Karpati, Daniel, Saenz, Henri

arXiv.org Artificial Intelligence 

Applying state-of-the-art machine learning and natural language processing on approximately one million of teleconsultation records, we developed a triage system, now certified and in use at the largest European telemedicine provider. The system evaluates care alternatives through interactions with patients via a mobile application. Reasoning on an initial set of provided symptoms, the triage application generates AIpowered, personalized questions to better characterize the problem and recommends the most appropriate point of care and time frame for a consultation. The underlying technology was developed to meet the needs for performance, transparency, user acceptance and ease of use, central aspects to the adoption of AIbased decision support systems. Providing such remote guidance at the beginning of the chain of care has significant potential for improving cost efficiency, patient experience and outcomes. Being remote, always available and highly scalable, this service is fundamental in high demand situations, such as the current COVID-19 outbreak. Introduction Shortage of physicians and increasing healthcare costs have created a need for digital solutions to better optimize medical resources. In addition, patient expectations for mobile, fast and easy 24/7 access to doctors and health services drive the development of patient-centered solutions.

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