Hypertension, Type 2 Diabetes Mellitus
Conditions
Brief summary
This is a prospective, assessor-blinded, randomized controlled study designed to evaluate whether large language model (LLM)-assisted decision support can improve village doctors' abilities in the comprehensive management of patients with type 2 diabetes mellitus and hypertension. For each standardized clinical case, two village doctors will independently review the same patient information and develop management plans. An independent statistician will randomly assign one doctor to receive LLM-assisted decision support, while the other will complete the assessment without assistance. All management plans and questionnaire responses will be de-identified and evaluated by an independent expert panel blinded to group allocation. The study will compare the quality of clinical decision-making, risk assessment, treatment recommendations, and follow-up planning between the LLM-assisted and control groups.
Interventions
OTHERLLM
Village doctors receive large language model (LLM)-assisted decision support when assessing standardized patient cases and developing management plans.
Sponsors
Jiangsu Taizhou People's Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
Yes
Inclusion criteria
1. Certified village doctors or primary care physicians practicing in rural primary healthcare institutions; 2. At least 1 year of experience in the management of chronic diseases, including type 2 diabetes mellitus and hypertension; 3. Able to complete the case assessment tasks required by the study; 4. Willing to participate in the study and provide informed consent.
Exclusion criteria
None.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of case assessments in which the LLM-assisted management plan is preferred over the non-assisted management plan according to a blinded expert preference assessment form | Immediately after completion of case assessment | Blinded endocrinology experts will independently compare paired management plans using a standardized Expert Preference Assessment Form. For each case, experts will classify the paired plans as "LLM-assisted preferred," "No meaningful difference," or "Non-assisted preferred." The primary outcome is the percentage of non-tied case assessments in which the LLM-assisted management plan is preferred. |
Contacts
CONTACTZhang; Q Zhang
Outcome results
None listed