Evidence map›Paper›PMID 34426519›Full record

ArticleJournal of medical ethics2022

Before and beyond trust: reliance in medical AI.

Charalampia Xaroula Kerasidou, Angeliki Kerasidou, Monika Buscher, Stephen Wilkinson

Abstract read
In one paragraph

Article in Journal of medical ethics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Clinical AI is Not (Yet) Trustworthy-But It Could Be.Journal of medical Internet research · 2026
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Trust in Medical AI: The Case of mHealth Diabetes Apps.Journal of evaluation in clinical practice · 2025
    Article
  16. German surgeons' perspective on the application of artificial intelligence in clinical decision-making.International journal of computer assisted radiology and surgery · 2025
    Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Charalampia Xaroula KerasidouDepartment of Sociology, Lancaster University, Lancaster, UK xaroula.kerasidou@lancaster.ac.uk.ORCID 0000-0002-9794-8492
Angeliki KerasidouThe Ethox Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK.ORCID 0000-0001-9344-3297
Monika BuscherDepartment of Sociology, Lancaster University, Lancaster, UK.ORCID 0000-0002-5581-1033
Stephen WilkinsonDepartment of Politics, Philosophy, & Religion, Lancaster University, Lancaster, UK.ORCID 0000-0002-4445-9353

Funding

Wellcome TrustWellcome Trust 213622/Z/18/Z
6 · The paper itself

Abstract

Artificial intelligence (AI) is changing healthcare and the practice of medicine as data-driven science and machine-learning technologies, in particular, are contributing to a variety of medical and clinical tasks. Such advancements have also raised many questions, especially about public trust. As a response to these concerns there has been a concentrated effort from public bodies, policy-makers and technology companies leading the way in AI to address what is identified as a "public trust deficit". This paper argues that a focus on trust as the basis upon which a relationship between this new technology and the public is built is, at best, ineffective, at worst, inappropriate or even dangerous, as it diverts attention from what is actually needed to actively warrant trust. Instead of agonising about how to facilitate trust, a type of relationship which can leave those trusting vulnerable and exposed, we argue that efforts should be focused on the difficult and dynamic process of ensuring reliance underwritten by strong legal and regulatory frameworks. From there, trust could emerge but not merely as a means to an end. Instead, as something to work in practice towards; that is, the deserved result of an ongoing ethical relationship where there is the appropriate, enforceable and reliable regulatory infrastructure in place for problems, challenges and power asymmetries to be continuously accounted for and appropriately redressed.

Indexed as

Artificial IntelligenceMedicineDelivery of Health CareHumansTrustethicsinformation technology

Identifiers

PMID34426519
PMCPMC9626908

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.