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Record W4410506594 · doi:10.12927/hcpap.2025.27568

Accelerating AI Adoption for Reducing Administrative Burden in Primary Care: Insights from Evaluating AI Scribes

2025· article· en· W4410506594 on OpenAlexaffvenueabout
Onil Bhattacharyya, Payal Agarwal, Emily Ha, Enid Montague

Bibliographic record

VenueA Nudge Too Far? A Nudge at All? On Paying People to Be Healthy · 2025
Typearticle
Languageen
FieldMedicine
TopicArtificial Intelligence in Healthcare and Education
Canadian institutionsTD Bank GroupWomen's College Hospital
Fundersnot available
KeywordsPrimary careComputer scienceKnowledge managementBusinessMedicineFamily medicine

Abstract

fetched live from OpenAlex

Artificial intelligence (AI) adoption has progressed unevenly across healthcare disciplines, even for low-risk applications aimed at easing administrative burdens. This commentary examines AI scribes as valuable tools to reduce administrative workload and improve provider well-being. A two-phase evaluation demonstrated significant reductions in documentation time and positive provider feedback, prompting provincial procurement. Highlighting the need for tailored, inclusive evaluations, we propose a structured approach to support broader AI adoption in primary care, focusing on fit-for-purpose assessments, robust simulations and diverse partnerships. This approach aims to foster equitable AI deployment across primary care settings in Canada, improving access and quality of care.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.078
metaresearch head score (Gemma)0.269
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.113
Threshold uncertainty score0.414

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0780.269
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0020.002
Science and technology studies0.0080.008
Scholarly communication0.0100.004
Open science0.0030.005
Research integrity0.0030.004
Insufficient payload (model declined to judge)0.0030.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.242
GPT teacher head0.475
Teacher spread0.233 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2025
Admission routes3
Has abstractyes

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