论文标题
用户驱动的医学票据生成软件研究
User-Driven Research of Medical Note Generation Software
论文作者
论文摘要
越来越多的工作使用自然语言处理（NLP）方法自动从医生咨询的音频记录中生成医疗笔记。但是，很少有关于如何在临床实践中使用此类系统的研究，临床医生将如何适应使用它们或应如何受到此类考虑的影响。在本文中，我们介绍了三轮用户研究，这些用户研究是在开发医学票据生成系统的背景下进行的。我们介绍，分析和讨论参与的临床医生的印象和观点，即应该如何适应该系统对它们具有价值。接下来，我们在现场远程医疗临床实践中描述了系统的三周测试。主要发现包括（i）五种不同的笔记行为的出现； （ii）系统在咨询期间实时生成笔记的重要性； （iii）鉴定许多临床用例，这些临床用例可能对自动注释系统具有挑战性。
A growing body of work uses Natural Language Processing (NLP) methods to automatically generate medical notes from audio recordings of doctor-patient consultations. However, there are very few studies on how such systems could be used in clinical practice, how clinicians would adjust to using them, or how system design should be influenced by such considerations. In this paper, we present three rounds of user studies, carried out in the context of developing a medical note generation system. We present, analyse and discuss the participating clinicians' impressions and views of how the system ought to be adapted to be of value to them. Next, we describe a three-week test run of the system in a live telehealth clinical practice. Major findings include (i) the emergence of five different note-taking behaviours; (ii) the importance of the system generating notes in real time during the consultation; and (iii) the identification of a number of clinical use cases that could prove challenging for automatic note generation systems.
