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Do clinicians want AI help for multimorbidity decisions?

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Twenty HCPs saw AI as potentially safer for MLTC decisions but required trust, time-saving integration, transparent rationale, and preserved human final say.

Source

Perspectives of Health Care Professionals on the Use of AI to Support Clinical Decision-Making in the Management of Multiple Long-Term Conditions: Interview Study

Cooper J, Haroon S, Crowe F, et al. · Journal of medical Internet research · 2025

doi.org/10.2196/71980Read the full paper ↗7 citationscc by

What they did

Interviewed 20 HCPs (GPs, geriatricians, nurses, pharmacists) about MLTC management and used a patient case study to probe how an AI tool might change decisions, organizing themes with Buck’s determinants of attitudes toward AI.

What they found

MLTC work meant balancing competing factors/social context, managing polypharmacy, and working beyond single-condition guidelines. HCPs expected AI to improve safety/quality but worried about harming the therapeutic relationship. Adoption prerequisites: public/patient trust, time savings/system integration, and visible rationale with experienced clinician final decision.

The limits

What it doesn't show

Interview attitudes do not measure real-world AI performance, safety, or adoption after deployment.

Key terms

MLTC
Multiple long-term conditions (multimorbidity).
Polypharmacy
Use of many medicines with interaction/burden risks.
AI decision support
Tools proposing clinical recommendations from data.
Therapeutic relationship
Trusting clinician–patient alliance central to complex care.
Explainability
Making the rationale behind an AI recommendation apparent.

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Interview sample size:

Common questions

How many HCPs?

20 interviewees.

Three MLTC themes?

Competing factors/social context, polypharmacy, beyond single-disease guidelines.

Main AI hope?

Safer, higher-quality decisions.

Main AI fear?

Damaging the clinician–patient relationship.