Evidence map›Paper›PMID 41107871›Full record

ArticleBMC medical ethics2025

Trust transfer from medical AI to doctors and hospitals: Integrating digital, AI, and scientific literacy in a cross-sectional framework.

Jie Yao, Zhibo Zhou, Huaqing Cui, Yujie Ouyang, Wenhao Han

Abstract read
In one paragraph

Article in BMC medical ethics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Review
  2. Ethical Considerations in Personal Health Large Language Models.Journal of medical Internet research · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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

5 authors.

Jie Yao *School of Psychology, Shandong Second Medical University, No. 7166 Baotong West Street, Weicheng District, Weifang City, Shandong Province, 261053, China.
Zhibo Zhou *School of Journalism and Communication, Jinan University, 510632, Guangzhou, China.
Huaqing CuiSchool of Psychology, Shandong Second Medical University, No. 7166 Baotong West Street, Weicheng District, Weifang City, Shandong Province, 261053, China.
Yujie OuyangSchool of Psychology, Shandong Second Medical University, No. 7166 Baotong West Street, Weicheng District, Weifang City, Shandong Province, 261053, China.
Wenhao HanSchool of Psychology, Shandong Second Medical University, No. 7166 Baotong West Street, Weicheng District, Weifang City, Shandong Province, 261053, China. hanwh0@163.com.

Funding

Shandong Provincial Natural Science Foundation ZR2024QC330Shandong Second Medical University Educational Teaching Reform and Research Project 2025ZNZX017
6 · The paper itself

Abstract

This study investigates how different forms of literacy shape trust in medical AI and its transfer in healthcare contexts. Based on a survey of 1,250 participants, three findings emerge. First, digital literacy and AI literacy exert opposite influences on medical AI trust: while digital literacy enhances trust, higher AI literacy unexpectedly reduces it. This paradox highlights a theoretical puzzle in technology acceptance, suggesting that deeper knowledge can generate informed skepticism rather than blind confidence. Second, trust in medical AI transfers hierarchically, flowing to hospitals only through physician trust as a critical intermediary, underscoring the role of interpersonal trust in institutional trust building. Third, scientific literacy moderates this process, with higher literacy dampening trust transfer, reflecting the impact of cognitive processing differences. These results extend theories of trust and technology acceptance by integrating multiple literacies and uncovering divergent cognitive pathways. Practically, they call for communication strategies and policy designs that calibrate trust-strengthening physicians' role as trust brokers, balancing education about AI's capacities and risks, and leveraging explainable AI tools to sustain appropriate confidence in medical AI.

Indexed as

Artificial IntelligenceComputer LiteracyHospitalsPhysiciansTrustAdultAttitude of Health PersonnelCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and QuestionnairesAI literacyDigital literacyHealthcareMedical artificial intelligenceScientific literacyTechnology trustTrust formation

Identifiers

PMID41107871
PMCPMC12535035

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.