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A Large Language Model in Outpatient Care

7. juni 2026 opdateret af: Tien Yin Wong, Tsinghua University

A Prospective Randomized Controlled Trial of a Large Language Model in Outpatient Care

The goal of this clinical trial is to learn how the use of a large language model (LLM) based tool affects outpatient clinical care in adult patients attending general hospital outpatient clinics. The main questions it aims to answer are:

Does the use of an LLM-based tool affect the efficiency of outpatient visits? Does the use of an LLM-based tool affect the experience of doctors and patients during outpatient care?

Researchers will compare outpatient visits supported by an LLM-based tool to standard outpatient visits without such a tool, to see whether and how the tool influences the care process and the experiences of doctors and patients.

Participants will:

Take part in outpatient visits that may or may not involve an LLM-based tool, depending on their assigned group Complete a short questionnaire about their visit experience after the consultation

Studieoversigt

Status

Ikke rekrutterer endnu

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

3500

Fase

  • Ikke anvendelig

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ingen

Beskrivelse

Inclusion Criteria:

Doctors:

  1. Licensed physicians providing outpatient consultations at a participating study hospital
  2. Expected to complete a sufficient number of outpatient clinic sessions during the study period
  3. Provides written informed consent

Patients:

  1. Age 18 years or older
  2. Attending an outpatient consultation with a participating doctor
  3. Able to interact with the tool using an internet-connected device such as a smartphone
  4. Provides written informed consent

Exclusion Criteria:

Patients:

  1. Psychiatric conditions, unstable vital signs, or other medical situations considered unsuitable for AI-based interaction
  2. Declines to provide informed consent

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Sundhedstjenesteforskning
  • Tildeling: Randomiseret
  • Interventionel model: Crossover opgave
  • Maskning: Enkelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Ingen indgriben: Standard Outpatient Care (No AI)
Neither doctors nor patients use a large language model based tool. Outpatient consultations and documentation are conducted following routine clinical practice.
Eksperimentel: Outpatient Care With a Large Language Model Tool
Before the consultation, patients complete an AI-based pre-consultation interaction. During the visit, a large language model based tool is available to support the outpatient consultation process. Doctors may refer to the tool during the visit.
Andet: Large Language Model Based Tool
A large language model based tool is introduced into the outpatient consultation workflow to support the consultation and documentation process.
Eksperimentel: Outpatient Care With a Large Language Model Tool and Workflow Support
Before the consultation, patients complete an AI-based pre-consultation interaction. During the visit, a large language model based tool is used together with additional workflow support to integrate the tool's output into the outpatient consultation process.
Andet: Workflow Support for Large Language Model Tool Integration
Additional workflow support is provided to integrate the output of the large language model based tool into the consultation process, approximating a more integrated deployment of the tool.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Duration of the Outpatient Consultation
Tidsramme: During the outpatient visit
Time of the outpatient consultation, measured in milliseconds
During the outpatient visit
Doctor-Reported Efficiency of the Consultation
Tidsramme: Immediately after the consultation
Doctor's self-rated efficiency of the consultation, measured on a 5-point Likert scale (1 = very low to 5 = very high), with higher scores indicating higher perceived efficiency.
Immediately after the consultation
Doctor-Reported Satisfaction With the Consultation Process
Tidsramme: Immediately after the consultation
Doctor's satisfaction with the consultation process, measured on a 5-point Likert scale (1 = very low to 5 = very high), with higher scores indicating higher satisfaction.
Immediately after the consultation

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Doctor-Reported Efficiency of Obtaining Patient Information
Tidsramme: Immediately after the consultation
Doctor's self-rated efficiency in obtaining the patient's clinical information (such as symptoms, history, prior examinations) during the consultation, measured on a 5-point Likert scale (1 = very low to 5 = very high); higher scores indicate higher efficiency.
Immediately after the consultation
Doctor-Reported Cognitive Effort in Clinical Decision-Making
Tidsramme: Immediately after the consultation
Doctor's self-rated cognitive effort invested in clinical decision-making during the consultation, measured on a 5-point Likert scale (1 = very low to 5 = very high); higher scores indicate greater effort.
Immediately after the consultation
Doctor-Reported Burden of Clinical Documentation
Tidsramme: Immediately after the consultation
Doctor's self-rated burden of completing the outpatient medical record for the consultation, measured on a 5-point Likert scale (1 = very low to 5 = very high); higher scores indicate greater burden.
Immediately after the consultation
Doctor's Intention to Continue Using the Tool
Tidsramme: Within 1 week after the participating doctor completes all enrolled consultations
Doctor's intention to continue using the large language model based tool in routine practice, measured on a 5-point Likert scale (1 = strongly unwilling to 5 = strongly willing); higher scores indicate stronger intention.
Within 1 week after the participating doctor completes all enrolled consultations
Patient Trust in the Physician
Tidsramme: Immediately after the consultation
Patient's level of trust in the physician after the visit, measured on a 5-point Likert scale (1 = very low to 5 = very high); higher scores indicate greater trust.
Immediately after the consultation
Patient Satisfaction With the Visit
Tidsramme: Immediately after the consultation
Patient's satisfaction with the visit, measured on a 5-point Likert scale (1 = very low to 5 = very high); higher scores indicate greater satisfaction.
Immediately after the consultation
Patient-Perceived Physician Attentiveness
Tidsramme: Immediately after the consultation
Patient-perceived attentiveness of the physician during the visit, assessed by a multi-item measure and reported as a composite score on a 1-5 scale; higher scores indicate greater perceived attentiveness.
Immediately after the consultation
Patient Satisfaction With the AI Pre-Consultation (Arm 2 and Arm 3 )
Tidsramme: Immediately after the consultation
Patient's satisfaction with the AI-based pre-consultation interaction, measured on a 5-point Likert scale (1 = very low to 5 = very high); higher scores indicate greater satisfaction. Assessed only in Arm 2 and Arm 3.
Immediately after the consultation
Patient's Intention to Use AI Pre-Consultation in the Future (Arm 2 and Arm 3)
Tidsramme: Immediately after the consultation
Patient's intention to use AI-based pre-consultation again in the future, measured on a 5-point Likert scale (1 = strongly unwilling to 5 = strongly willing); higher scores indicate stronger intention. Assessed only in Arm 2 and Arm 3.
Immediately after the consultation

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Tsinghua University

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

12. juni 2026

Primær færdiggørelse (Anslået)

4. september 2026

Studieafslutning (Anslået)

4. september 2026

Datoer for studieregistrering

Først indsendt

29. maj 2026

Først indsendt, der opfyldte QC-kriterier

7. juni 2026

Først opslået (Faktiske)

11. juni 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

11. juni 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

7. juni 2026

Sidst verificeret

1. juni 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • THU-01-2026-0055

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Kliniske forsøg med Large Language Model Based Tool

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Sponsorer og samarbejdspartnere

Medicinske tilstande

Narkotikainterventioner

CROs by country

CROs in South Korea

Betingelser

Sjældne sygdomme

Narkotikainterventioner

Kosttilskud

Sponsor / samarbejdspartnere

Placeringer

Abonner