Lancet Digital Health: Using ChatGPT to write patient clinic letters (2)

15 March, 2023

Very interesting to want to use inanimate things to replace the human 'touch' in every day life and activity. Often purely only on economic consideration, it appears.

The genie may have left the bottle already (to borrow a phrase), and ChatGPT and AI, and what ever is coming next from very clever people, but one wonders if the emotional, psychological and human feelings that are inherent in a good, caring clinic doctors letter written to human patients, whether in form of summaries of the case or as referral letters to a human colleague, can ever be replaced by these non human generated communications. Or is it that it does not matter, so long as the system reduces human participation to save some money?

Mind you, I have nothing against more and more technological innovation, many of which benefit human existence and quality of life, but it is worth thinking about the human side and the consequences of its loss, as well.

Joseph Ana.

Prof Joseph Ana

Lead Senior Fellow/ medicalconsultant.

Center for Clinical Governance Research &

Patient Safety (ACCGR&PS) @ HRI GLOBAL

P: +234 (0) 8063600642 


8 Amaku Street, State Housing, Calabar,Nigeria.

HIFA profile: Joseph Ana is the Lead Senior Fellow/Medical Consultant at the Centre for Clinical Governance Research and Patient Safety in Calabar, Nigeria, established by HRI Global (former HRIWA). He is a member of the World Health Organisation’s Technical Advisory Group on Integrated Care in primary, emergency, operative, and critical care (TAG-IC2). As the Cross River State Commissioner for Health, he led the introduction of the Homegrown Quality Tool, the 12-Pillar Clinical Governance Programme, in Nigeria (2004-2008). For sustainability, he established the Department of Clinical Governance, Servicom & e-health in the Cross River State Ministry of Health, Nigeria. His main interest is in whole health sector and system strengthening in Lower, Low and Middle Income Countries (LLMICs). He has written six books on the 12-Pillar Clinical Governance programme, suitable for LLMICs, including the TOOLS for Implementation. He served as Chairman of the Nigerian Medical Association’s Standing Committee on Clinical Governance (2012-2022), and he won the Nigeria Medical Association’s Award of Excellence on three consecutive occasions for the innovation. He served as Chairman, Quality & Performance, of the Technical Working Group for the implementation of the Nigeria Health Act 2014. He is member, National Tertiary Health Institutions Standards Committee of the Federal Ministry of Health. He is the pioneer Secretary General/Trustee-Director of the NMF (Nigerian Medical Forum) which took the BMJ to West Africa in 1995. Joseph is a member of the HIFA Steering Group and the HIFA working group on Community Health Workers. ( Email: info AT and jneana AT