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Abstract With a global shortage of primary healthcare physicians—particularly in resource-limited settings—large language models (LLMs) have the potential to support and enhance patients’ health awareness. Here we developed P cocreation; testing and refinement; and implementation and evolution. The codesigned chatbot was integrated with e-learning modules and tested in a randomized controlled trial. The trial included 2,113 participants (1,052 women and 1,061 men) from urban and rural areas across 11 Chinese provinces who were randomly assigned to receive a consultation either with preparatory e-learning via the P P < 0.001). Codesign offers a scalable solution for deploying LLMs in resource-limited settings. Chinese Clinical Trial Registry identifier: ChiCTR2500098101 .
Li et al. (Mon,) studied this question.