How AI-Based Systems Can Induce Reflections: The Case of AI-Augmented Diagnostic Work
研究了机器学习临床决策支持系统如何通过引发医生反思来提升诊断效果，发现医生与系统意见一致或冲突时会产生不同深度的反思，为AI增强人类专业能力提供了新视角。
This paper addresses a thus-far neglected dimension in human-artificial intelligence (AI) augmentation: machine-induced reflections. By establishing a grounded theoretical-informed model of machine-induced reflection, we contribute to the ongoing discussion in information systems (IS) regarding AI and research on reflection theories. In our multistage study, physicians used a machine learning-based (ML) clinical decision support system (CDSS) to see if and how this interaction can stimulate reflective practice in the context of an X-ray diagnosis task. By analyzing verbal protocols, performance metrics, and survey data, we developed an integrative theoretical foundation to explain how ML-based systems can help stimulate reflective practice. Individuals engage in more critical or shallower modes depending on whether they perceive a conflict or agreement with these CDSS systems, which in turn leads to different levels of reflection depth. By uncovering the process of machine-induced reflections, we offer IS research a different perspective on how such AI-based systems can help individuals become more reflective, and consequently more effective, professionals. This perspective stands in stark contrast to the traditional, efficiency-focused view of ML-based decision support systems and also enriches theories on human-AI augmentation.