{"id":"https://openalex.org/W7204108311","doi":"https://doi.org/10.4103/ijciis.ijciis_43_26","title":"Adoption, perceived value, and barriers to generative artificial intelligence in emergency medicine: A cross-sectional survey of Latin American clinicians","display_name":"Adoption, perceived value, and barriers to generative artificial intelligence in emergency medicine: A cross-sectional survey of Latin American clinicians","publication_year":2026,"publication_date":"2026-07-01","ids":{"openalex":"https://openalex.org/W7204108311","doi":"https://doi.org/10.4103/ijciis.ijciis_43_26","pmid":"https://pubmed.ncbi.nlm.nih.gov/42699427","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13544656"},"language":"en","primary_location":{"id":"doi:10.4103/ijciis.ijciis_43_26","doi":"https://doi.org/10.4103/ijciis.ijciis_43_26","is_oa":true,"landing_page_url":"https://doi.org/10.4103/ijciis.ijciis_43_26","pdf_url":null,"source":{"id":"https://openalex.org/S2764375788","display_name":"International Journal of Critical Illness and Injury Science","issn_l":"2229-5151","issn":["2229-5151","2231-5004"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","ki-jl-1","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320448","host_organization_name":"Medknow","host_organization_lineage":["https://openalex.org/P4310320448","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Medknow","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Critical Illness and Injury Science","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.4103/ijciis.ijciis_43_26","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5047513540","display_name":"Amado Alejandro B\u00e1ez","orcid":"https://orcid.org/0000-0002-8399-9205","observed_orcids":["https://orcid.org/0000-0002-8399-9205"]},"institutions":[{"id":"https://openalex.org/I4210117065","display_name":"Universidad Nacional Pedro Henr\u00edquez Ure\u00f1a","ror":"https://ror.org/03ad1cn37","country_code":"DO","type":"education","lineage":["https://openalex.org/I4210117065"]}],"countries":["DO"],"is_corresponding":true,"raw_author_name":"Amado Alejandro Baez","raw_affiliation_strings":["Universidad Nacional Pedro Henr\u00edquez Ure\u00f1a, Santo Domingo, Dominican Republic"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Universidad Nacional Pedro Henr\u00edquez Ure\u00f1a, Santo Domingo, Dominican Republic","institution_ids":["https://openalex.org/I4210117065"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008161115","display_name":"Claudia Acra-Despradel","orcid":"https://orcid.org/0000-0002-6429-5675","observed_orcids":["https://orcid.org/0000-0002-6429-5675"]},"institutions":[{"id":"https://openalex.org/I4210117065","display_name":"Universidad Nacional Pedro Henr\u00edquez Ure\u00f1a","ror":"https://ror.org/03ad1cn37","country_code":"DO","type":"education","lineage":["https://openalex.org/I4210117065"]}],"countries":["DO"],"is_corresponding":false,"raw_author_name":"Claudia Acra","raw_affiliation_strings":["Universidad Nacional Pedro Henr\u00edquez Ure\u00f1a, Santo Domingo, Dominican Republic"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Universidad Nacional Pedro Henr\u00edquez Ure\u00f1a, Santo Domingo, Dominican Republic","institution_ids":["https://openalex.org/I4210117065"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5147943409","display_name":"Brailin Difo","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210117065","display_name":"Universidad Nacional Pedro Henr\u00edquez Ure\u00f1a","ror":"https://ror.org/03ad1cn37","country_code":"DO","type":"education","lineage":["https://openalex.org/I4210117065"]}],"countries":["DO"],"is_corresponding":false,"raw_author_name":"Brailin Difo","raw_affiliation_strings":["Universidad Nacional Pedro Henr\u00edquez Ure\u00f1a, Santo Domingo, Dominican Republic"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Universidad Nacional Pedro Henr\u00edquez Ure\u00f1a, Santo Domingo, Dominican Republic","institution_ids":["https://openalex.org/I4210117065"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5047513540"],"corresponding_institution_ids":["https://openalex.org/I4210117065"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"16","issue":"3","first_page":"92","last_page":"99"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13904","display_name":"Artificial Intelligence Applications","score":0.0,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/generative-ai","display_name":"generative AI","score":0.9819999933242798},{"id":"https://openalex.org/keywords/artificial-intelligence-adoption","display_name":"artificial intelligence adoption","score":0.7900000214576721},{"id":"https://openalex.org/keywords/emergency-medicine-clinicians","display_name":"emergency medicine clinicians","score":0.9789999723434448},{"id":"https://openalex.org/keywords/perceived-value","display_name":"perceived value","score":0.7250000238418579},{"id":"https://openalex.org/keywords/ai-adoption-barriers","display_name":"AI adoption barriers","score":0.7900000214576721},{"id":"https://openalex.org/keywords/ai-governance","display_name":"AI governance","score":0.9089999794960022},{"id":"https://openalex.org/keywords/ai-training-needs","display_name":"AI training needs","score":0.8830000162124634},{"id":"https://openalex.org/keywords/chatgpt","display_name":"ChatGPT","score":0.8410000205039978},{"id":"https://openalex.org/keywords/algorithmic-bias","display_name":"algorithmic bias","score":0.8880000114440918},{"id":"https://openalex.org/keywords/legal-liability","display_name":"legal liability","score":0.753000020980835},{"id":"https://openalex.org/keywords/misinformation","display_name":"misinformation","score":0.7269999980926514},{"id":"https://openalex.org/keywords/clinical-judgment","display_name":"clinical judgment","score":0.7239999771118164},{"id":"https://openalex.org/keywords/latin-america","display_name":"Latin America","score":0.6200000047683716}],"concepts":[{"id":"https://openalex.org/C158886217","wikidata":"https://www.wikidata.org/wiki/Q16799549","display_name":"Latin Americans","level":2,"score":0.6708999872207642},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5565999746322632},{"id":"https://openalex.org/C39389867","wikidata":"https://www.wikidata.org/wiki/Q380767","display_name":"Corporate governance","level":2,"score":0.5052000284194946},{"id":"https://openalex.org/C56666940","wikidata":"https://www.wikidata.org/wiki/Q788790","display_name":"Documentation","level":2,"score":0.4966000020503998},{"id":"https://openalex.org/C39890363","wikidata":"https://www.wikidata.org/wiki/Q36108","display_name":"Generative grammar","level":2,"score":0.47940000891685486},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.46149998903274536},{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.45159998536109924},{"id":"https://openalex.org/C2777896688","wikidata":"https://www.wikidata.org/wiki/Q3773715","display_name":"Clinical governance","level":3,"score":0.4474000036716461},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.4178999960422516},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.4165000021457672},{"id":"https://openalex.org/C2777834853","wikidata":"https://www.wikidata.org/wiki/Q96776939","display_name":"Liability","level":2,"score":0.4077000021934509},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.36880001425743103},{"id":"https://openalex.org/C2779547435","wikidata":"https://www.wikidata.org/wiki/Q1121492","display_name":"Directive","level":2,"score":0.36559998989105225},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.36239999532699585},{"id":"https://openalex.org/C547195049","wikidata":"https://www.wikidata.org/wiki/Q1725664","display_name":"Terminology","level":2,"score":0.35659998655319214},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.29260000586509705},{"id":"https://openalex.org/C166052673","wikidata":"https://www.wikidata.org/wiki/Q83021","display_name":"Empirical evidence","level":2,"score":0.28459998965263367},{"id":"https://openalex.org/C167966045","wikidata":"https://www.wikidata.org/wiki/Q5532625","display_name":"Generative model","level":3,"score":0.2773999869823456},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.27230000495910645},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.27090001106262207},{"id":"https://openalex.org/C199286143","wikidata":"https://www.wikidata.org/wiki/Q1404417","display_name":"Legal liability","level":3,"score":0.257999986410141},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.257099986076355}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.4103/ijciis.ijciis_43_26","doi":"https://doi.org/10.4103/ijciis.ijciis_43_26","is_oa":true,"landing_page_url":"https://doi.org/10.4103/ijciis.ijciis_43_26","pdf_url":null,"source":{"id":"https://openalex.org/S2764375788","display_name":"International Journal of Critical Illness and Injury Science","issn_l":"2229-5151","issn":["2229-5151","2231-5004"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","ki-jl-1","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320448","host_organization_name":"Medknow","host_organization_lineage":["https://openalex.org/P4310320448","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Medknow","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Critical Illness and Injury Science","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13544656","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13544656/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13544656/pdf/IJCIIS-16-92.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Int J Crit Illn Inj Sci","raw_type":"Text"},{"id":"pmid:42699427","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42699427","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International journal of critical illness and injury science","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.4103/ijciis.ijciis_43_26","doi":"https://doi.org/10.4103/ijciis.ijciis_43_26","is_oa":true,"landing_page_url":"https://doi.org/10.4103/ijciis.ijciis_43_26","pdf_url":null,"source":{"id":"https://openalex.org/S2764375788","display_name":"International Journal of Critical Illness and Injury Science","issn_l":"2229-5151","issn":["2229-5151","2231-5004"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","ki-jl-1","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320448","host_organization_name":"Medknow","host_organization_lineage":["https://openalex.org/P4310320448","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Medknow","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Critical Illness and Injury Science","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9763000011444092}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7204108311.pdf","grobid_xml":"https://content.openalex.org/works/W7204108311.grobid-xml"},"referenced_works_count":13,"referenced_works":["https://openalex.org/W2789970635","https://openalex.org/W2899876413","https://openalex.org/W2905136983","https://openalex.org/W2908201961","https://openalex.org/W2934399013","https://openalex.org/W3088017652","https://openalex.org/W3136552952","https://openalex.org/W3174786846","https://openalex.org/W4319301505","https://openalex.org/W4402559330","https://openalex.org/W4412555185","https://openalex.org/W4416815588","https://openalex.org/W7117297486"],"related_works":["https://openalex.org/W7222900306","https://openalex.org/W7138992613","https://openalex.org/W7155536561","https://openalex.org/W4410812708","https://openalex.org/W7164154392","https://openalex.org/W7131843086","https://openalex.org/W7117297486","https://openalex.org/W7223206124","https://openalex.org/W7202256140","https://openalex.org/W7205015223"],"abstract_inverted_index":{"Background:":[0],"Generative":[1],"artificial":[2],"intelligence":[3],"(AI)":[4],"tools":[5],"are":[6,219],"increasingly":[7],"used":[8,67],"by":[9],"healthcare":[10,87],"professionals,":[11],"yet":[12],"empirical":[13],"data":[14],"on":[15],"adoption":[16],"among":[17],"Latin":[18,39,215],"American":[19,216],"emergency":[20,35,217],"medicine":[21,36],"clinicians":[22,218],"remain":[23],"limited.":[24],"Methods:":[25],"A":[26,71],"voluntary,":[27],"anonymous,":[28],"cross-sectional":[29],"online":[30],"survey":[31],"was":[32,102,110,189],"administered":[33],"to":[34,104],"professionals":[37],"across":[38,123,227],"America":[40],"(April-October":[41],"2025).":[42],"The":[43],"Spanish-language":[44],"instrument,":[45],"pilot-tested":[46],"before":[47],"deployment,":[48],"assessed":[49],"AI":[50,101,187,205,223],"familiarity,":[51,134],"use":[52,109],"patterns,":[53],"perceived":[54,160,225],"value,":[55],"risks,":[56],"governance,":[57],"and":[58,63,90,107,133,145,152,163,182,207,246],"training":[59,206],"needs.":[60],"Descriptive":[61],"statistics":[62],"Chi-square":[64],"tests":[65],"were":[66,79,121],"for":[68,243],"analysis.":[69],"Results:":[70],"total":[72],"of":[73,95,131,136,174],"123":[74],"respondents":[75],"from":[76],"16":[77],"countries":[78],"analyzed.":[80],"Most":[81],"practiced":[82],"in":[83,167,203],"public":[84],"or":[85,138,236],"mixed":[86],"settings":[88],"(71.3%)":[89],"had":[91],"over":[92],"10":[93],"years":[94],"experience":[96],"(61.3%).":[97],"Familiarity":[98],"with":[99,113,125,192,224],"generative":[100,222],"moderate":[103],"high":[105,159],"(76.9%),":[106],"professional":[108],"common":[111],"(78.3%),":[112],"ChatGPT":[114],"the":[115],"dominant":[116],"platform":[117,139],"(81.0%).":[118],"Adoption":[119],"patterns":[120],"homogeneous":[122],"countries,":[124],"no":[126],"significant":[127],"associations":[128],"between":[129],"country":[130],"origin":[132],"frequency":[135],"use,":[137],"preference.":[140],"Primary":[141],"applications":[142],"included":[143,171],"research":[144],"literature":[146],"review":[147],"(66.1%),":[148],"medical":[149],"education":[150,247],"(59.1%),":[151],"clinical":[153,175,212],"documentation":[154],"(40.9%).":[155],"Nearly":[156],"half":[157],"reported":[158],"utility":[161],"(49.6%),":[162],"51.7%":[164],"noted":[165],"improvements":[166],"productivity.":[168],"Major":[169],"concerns":[170],"misinformation,":[172],"erosion":[173],"judgment":[176],"(56.2%":[177],"each),":[178],"algorithmic":[179],"bias":[180],"(53.7%),":[181],"legal":[183],"liability":[184],"(46.3%).":[185],"Institutional":[186],"governance":[188,234],"nearly":[190],"absent,":[191],"only":[193],"7.4%":[194],"reporting":[195],"existing":[196],"policies.":[197],"Despite":[198],"this,":[199],"88.4%":[200],"expressed":[201],"interest":[202],"formal":[204],"65.6%":[208],"supported":[209],"integration":[210],"into":[211],"guidelines.":[213],"Conclusions:":[214],"rapidly":[220],"adopting":[221],"benefits":[226],"multiple":[228],"domains,":[229],"but":[230],"almost":[231],"entirely":[232],"without":[233],"frameworks":[235],"structured":[237],"training,":[238],"highlighting":[239],"an":[240],"urgent":[241],"need":[242],"regional":[244],"policy":[245],"infrastructure.":[248]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-08-25T00:00:00"}
