ArticleFrontiers in psychology2026
Algorithmic performance appraisal intensity in hospitals: implications for professional autonomy and innovative work behavior.
Article in Frontiers in psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Hospitals increasingly use algorithmic systems to monitor, compare, score, and appraise employees. Although such systems may improve consistency and efficiency, intensive use may constrain medical professionals' autonomy and their innovative behavior. This study examined the relationships among algorithmic performance appraisal intensity, perceived professional autonomy, and innovative work behavior, and tested whether algorithmic transparency moderates these relationships. Methods: Three studies were conducted. Study 1 was a between-subjects vignette experiment ( Results: In Study 1, high appraisal intensity reduced perceived professional autonomy (t(237.92) = 6.66, Discussion: Across the three studies, intensive algorithmic appraisal showed inconsistent but generally autonomy-constraining relationships, whereas professional autonomy consistently supported innovative work behavior. Transparency was positively associated with autonomy but did not reliably buffer the negative effects of appraisal intensity. Hospitals should retain contextual human judgment and treat transparency as a supportive design feature rather than assume that it offsets intensive algorithmic control.
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