Patient Perspectives on AI-Drafted Electronic Portal Messages - Summary - MDSpire

Patient Perspectives on AI-Drafted Electronic Portal Messages

  • By

  • Kellie Owens

  • Athmeya Jayaram

  • Anand Chowdhury

  • Kathryn I. Pollak

  • Sam Klotman

  • Zachary Griffen

  • Miles Danielski

  • Ben Goldstein

  • Jennifer Maddocks

  • Matthew Roman

  • Eric G. Poon

  • Armando Bedoya

  • Joanna Cavalier

  • July 7, 2026

  • 0 min

Share

Objective:

To understand how patients make sense of AI-drafted online messaging technologies in patient portals and to identify implications for patient-centered implementation.

Approach:
  • Study Design: Conducted a qualitative study using in-depth, semistructured interviews with adult patients from a large academic health system.
  • Participant Recruitment: Used purposive sampling to recruit a diverse group of respondents, focusing on those with varying demographic characteristics and prior survey responses.
  • Data Collection: Interviews lasted approximately 45 to 60 minutes and included discussion of standardized vignette scenarios related to AI involvement in messaging.
  • Data Analysis: Employed an abductive analytic approach with a multidisciplinary team to develop and refine themes from the interview data.
Key Findings:
  • Patients generally preferred AI-drafted responses over clinician-written responses but rated satisfaction lower when AI involvement was disclosed.
  • Patient evaluations are influenced by both message content and beliefs about AI's role in clinical relationships.
  • Unresolved questions remain regarding acceptable AI use, efficiency versus relational expectations, and norms of disclosure.
Interpretation:

Limitations:
  • The study's findings may not be generalizable beyond the specific patient population sampled.
  • Potential bias in participant selection, as those with lower satisfaction were specifically targeted.
Conclusion:

Original Source(s)

Related Content