P4s Are Either Unhelpful or Unnecessary. Proposing a Better AI‐Powered Solution to Predict Patients' Preferences

Beatrice Marchegiani · 2026

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Description

Beatrice Marchegiani presents a 2026 essay arguing that a proposed AI tool for guessing patients' wishes is either pointless or powerless. The tool fine tunes a large language model on a person's digital footprint, chats, posts, and files, to predict what treatment they would choose. It is meant to guide stand in decision makers for patients who cannot speak and left no directive.

Her dilemma runs as follows. When the footprint truly holds evidence of the person's wishes, reading that evidence directly beats any model's remix of it. When it holds none, the model's guesses float free and can mislead the people relying on them. She proposes a better AI powered design in place of the predictor.

Catalog record

CREATORBeatrice Marchegiani
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE65 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13570755

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