Real-World Data Needs Real-World Doctors: When Automation Advances Faster Than Clinical Workflow

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Publication Details

Journal
Journal of Participatory Medicine
Published
2026-05-29
DOI
https://doi.org/10.2196/97972
Primary Topic
Artificial Intelligence in Healthcare and Education
Type
article
Field-Weighted Citation Impact
0.00
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article

Real-World Data Needs Real-World Doctors: When Automation Advances Faster Than Clinical Workflow

Amy Price, Christine Von Raesfeld
Journal of Participatory Medicine
Artificial Intelligence in Healthcare and Education
article

Real-World Data Needs Real-World Doctors: When Automation Advances Faster Than Clinical Workflow

Amy Price, Christine Von Raesfeld
article en

Abstract

Unlabelled: Health care is entering an era of unprecedented detection. Artificial intelligence (AI)-driven monitors and real-world data streams now identify clinical risks in minutes, promising a future of proactive, earlier intervention. While AI automation is often marketed as a tool to reduce administrative burden and allow health care providers to focus more on direct patient care, this unrealized potential currently stands in contrast to our reality. Building high-speed data "freeways" without "off-ramps" such as clinical staffing, workflow synergy, and the patient education required for meaningful response is like building a superhighway without well-engineered off-ramps to provide a safe way to get home, and this creates a dangerous paradox. Earlier detection without earlier care does not improve outcomes; it simply redistributes anxiety and extends the patient's period of uncertainty. We argue that the "public as a sensor" is already signaling a systemic infrastructure gap. True safety in clinical AI isn't found in more algorithmic guardrails, but in participatory co-design that ensures every digital alert has a viable human pathway to care and resolution. We must stop building high-speed roads that lead to a cliff edge of clinical unavailability and consider that while the technology is a feat of engineering, it's our human architecture that makes it medicine.

Journal of Participatory MedicineVol. 18
Dartmouth–Hitchcock Medical Center (US), Colorado School of Public Health (US), JMIR Publications (CA), Eugene Research Institute (US), University of Colorado Anschutz Medical Campus (US)
Industry, innovation and infrastructure
Openalex Percentile: Top 8%
Artificial Intelligence in Healthcare and Education
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