Impact of GPT-4–Generated Discharge Letters on Patients’ Medical Comprehension: Prospective Crossover Study

In this explanatory study, GPT-4-generated patient letters improved comprehension of safety-relevant discharge information among standardized patients, particularly regarding medication and organizational aspects. However, they were less effective in supporting higher-order understanding, such as risk prevention or lifestyle management. These hypothesis-driven findings can be interpreted within a CLT framework and may motivate prospective evaluation of multimodal, iterative supports.

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Publication Details

Journal
Journal of Medical Internet Research
Published
2025-12-24
DOI
https://doi.org/10.2196/81243
Primary Topic
Artificial Intelligence in Healthcare and Education
Type
article
Field-Weighted Citation Impact
0.00
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article

Impact of GPT-4–Generated Discharge Letters on Patients’ Medical Comprehension: Prospective Crossover Study

Martin Holderried, Friederike Holderried, Nils Heyne, Konstantin Sering et al.
Journal of Medical Internet Research
Artificial Intelligence in Healthcare and Education
article

Impact of GPT-4–Generated Discharge Letters on Patients’ Medical Comprehension: Prospective Crossover Study

Martin Holderried, Friederike Holderried, Nils Heyne, Konstantin Sering, Felix Eisinger, Alessandra Sonanini, Philipp Spitzer, Martina Guthoff, Christian Stegemann–Philipps, Anne Herrmann–Werner
article en

Abstract

In this explanatory study, GPT-4-generated patient letters improved comprehension of safety-relevant discharge information among standardized patients, particularly regarding medication and organizational aspects. However, they were less effective in supporting higher-order understanding, such as risk prevention or lifestyle management. These hypothesis-driven findings can be interpreted within a CLT framework and may motivate prospective evaluation of multimodal, iterative supports.

Journal of Medical Internet ResearchVol. 28
Friedrich-Alexander-Universität Erlangen-Nürnberg (DE), Städtisches Klinikum Karlsruhe (DE), Nephrologisches Zentrum Villingen-Schwenningen (DE), University of Tübingen (DE)
Openalex Percentile: Top 40%
Artificial Intelligence in Healthcare and Education
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Impact of GPT-4–Generated Discharge Letters on Patients’ Medical Comprehension: Prospective Crossover Study — Martin Holderried, Friederike Holderried, et al. · Journal of Medical Internet Research (2025) | TGRS Research Map | TGRS