解锁黑箱:通过可解释人工智能增强高风险医疗场景中的人机协作

Unlocking the black box: Enhancing human-AI collaboration in high-stakes healthcare scenarios through explainable AI

Technological Forecasting and Social Change · 2025
被引 26 · 同刊同年前 5%
ABS 3

中文导读

研究了AI系统不透明性如何削弱临床医生信任,通过28次访谈发现可解释AI能增强医生对AI的信任、促进学习并修正初始判断。

Abstract

Despite the advanced predictive capabilities of artificial intelligence (AI) systems, their inherent opacity often leaves users confused about the rationale behind their outputs. We investigate the challenge of AI opacity, which undermines user trust and the effectiveness of clinical judgment in healthcare. We demonstrate how human experts make judgment in high-stakes scenarios where their judgment diverges from AI predictions, emphasizing the need for explainability to enhance clinical judgment and trust in AI systems. We used a scenario-based methodology, conducting 28 semi-structured interviews and observations with clinicians from Norway and Egypt. Our analysis revealed that, during the process of forming judgments, human experts engage in AI interrogation practices when faced with opaque AI systems. Obtaining explainability from AI systems leads to increased interrogation practices aimed at gaining a deeper understanding of AI predictions. With the introduction of explainable AI (XAI), experts demonstrate greater trust in the AI system, show a readiness to learn from AI, and may reconsider or update their initial judgments when they contradict AI predictions.

医疗健康人工智能人机协作可解释性