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      Artificial Intelligence and Human Trust in Healthcare: Focus on Clinicians

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          Abstract

          Artificial intelligence (AI) can transform health care practices with its increasing ability to translate the uncertainty and complexity in data into actionable—though imperfect—clinical decisions or suggestions. In the evolving relationship between humans and AI, trust is the one mechanism that shapes clinicians’ use and adoption of AI. Trust is a psychological mechanism to deal with the uncertainty between what is known and unknown. Several research studies have highlighted the need for improving AI-based systems and enhancing their capabilities to help clinicians. However, assessing the magnitude and impact of human trust on AI technology demands substantial attention. Will a clinician trust an AI-based system? What are the factors that influence human trust in AI? Can trust in AI be optimized to improve decision-making processes? In this paper, we focus on clinicians as the primary users of AI systems in health care and present factors shaping trust between clinicians and AI. We highlight critical challenges related to trust that should be considered during the development of any AI system for clinical use.

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          Most cited references27

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          Humans and Automation: Use, Misuse, Disuse, Abuse

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            Overview of artificial intelligence in medicine

            Background: Artificial intelligence (AI) is the term used to describe the use of computers and technology to simulate intelligent behavior and critical thinking comparable to a human being. John McCarthy first described the term AI in 1956 as the science and engineering of making intelligent machines. Objective: This descriptive article gives a broad overview of AI in medicine, dealing with the terms and concepts as well as the current and future applications of AI. It aims to develop knowledge and familiarity of AI among primary care physicians. Materials and Methods: PubMed and Google searches were performed using the key words ‘artificial intelligence’. Further references were obtained by cross-referencing the key articles. Results: Recent advances in AI technology and its current applications in the field of medicine have been discussed in detail. Conclusions: AI promises to change the practice of medicine in hitherto unknown ways, but many of its practical applications are still in their infancy and need to be explored and developed better. Medical professionals also need to understand and acclimatize themselves with these advances for better healthcare delivery to the masses.
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              AI can be sexist and racist — it’s time to make it fair

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                Author and article information

                Contributors
                Journal
                J Med Internet Res
                J. Med. Internet Res
                JMIR
                Journal of Medical Internet Research
                JMIR Publications (Toronto, Canada )
                1439-4456
                1438-8871
                June 2020
                19 June 2020
                : 22
                : 6
                : e15154
                Affiliations
                [1 ] School of Systems and Enterprises Stevens Institute of Technology Hoboken, NJ United States
                Author notes
                Corresponding Author: Onur Asan oasan@ 123456stevens.edu
                Author information
                https://orcid.org/0000-0002-9239-3723
                https://orcid.org/0000-0002-8524-2265
                https://orcid.org/0000-0002-5342-0709
                Article
                v22i6e15154
                10.2196/15154
                7334754
                32558657
                3d8d7174-d682-4b52-b9bf-844297d60a90
                ©Onur Asan, Alparslan Emrah Bayrak, Avishek Choudhury. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 19.06.2020.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included.

                History
                : 24 June 2019
                : 24 February 2020
                : 12 May 2020
                : 3 June 2020
                Categories
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                Medicine
                human-ai collaboration,trust,technology adoption,fda policy,bias,health care
                Medicine
                human-ai collaboration, trust, technology adoption, fda policy, bias, health care

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