The True Meaning of Personalized Medicine

Coiera, Enrico

doi:10.1055/s-0038-1639423

Cited by 1 publication

(1 citation statement)

References 21 publications

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“…One important limitation in the health care personalization literature is equating it to genomics-supported efforts in medicine [27]. Genomic markers are only one dimension of personalization that helps to recognize the uniqueness of individuals and make their medicine personalized [27,28]. There are other factors that affect this personalization of health care, such as people’s lifestyle choices, their socioeconomic context and living environment, and other health care services that can be personalized like health education and therapies [29].…”

Section: Introductionmentioning

confidence: 99%

The Personalization of Conversational Agents in Health Care: Systematic Review

Kocaballı¹,

Berkovsky²,

Quiroz³

et al. 2019

J Med Internet Res

198

146

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BackgroundThe personalization of conversational agents with natural language user interfaces is seeing increasing use in health care applications, shaping the content, structure, or purpose of the dialogue between humans and conversational agents.ObjectiveThe goal of this systematic review was to understand the ways in which personalization has been used with conversational agents in health care and characterize the methods of its implementation.MethodsWe searched on PubMed, Embase, CINAHL, PsycInfo, and ACM Digital Library using a predefined search strategy. The studies were included if they: (1) were primary research studies that focused on consumers, caregivers, or health care professionals; (2) involved a conversational agent with an unconstrained natural language interface; (3) tested the system with human subjects; and (4) implemented personalization features.ResultsThe search found 1958 publications. After abstract and full-text screening, 13 studies were included in the review. Common examples of personalized content included feedback, daily health reports, alerts, warnings, and recommendations. The personalization features were implemented without a theoretical framework of customization and with limited evaluation of its impact. While conversational agents with personalization features were reported to improve user satisfaction, user engagement and dialogue quality, the role of personalization in improving health outcomes was not assessed directly.ConclusionsMost of the studies in our review implemented the personalization features without theoretical or evidence-based support for them and did not leverage the recent developments in other domains of personalization. Future research could incorporate personalization as a distinct design factor with a more careful consideration of its impact on health outcomes and its implications on patient safety, privacy, and decision-making.

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