Building Trust in Artificial Intelligence: Findings from Healthcare Organization

Artificial intelligence (AI) is commonly applied to the diagnostic process, thus developing a treatment protocol, personalized medicine, and patient care. Second-order cognitive processes are utilized by physicians to control their reasoning while evaluating AI advice. Inadequate diagnostic decisions often result from deficiencies in the use of metacognitions both related to decision-makers\u27 reasoning (self-monitoring) and the AI-based system (system monitoring). Physicians will then fall for decisions based on beliefs as opposed to real data or seek out inappropriate superficial information. Inappropriate diagnostic decisions are, therefore, linked to a lack of trust in AI. This article aims to understand how trust in AI is built among hospital practitioners. A 20-month ethnographic study was conducted in a medical research center wherein hospital practitioners daily apply AI for their medical processes. This research work demonstrates that trust around AI is built through cognition and emotion. Factors like peer validation or social imagination play an important role in AI for creating trust

Challenges of systematic reviewing integrative health care.

This article is based on an extensive review of integrative medicine (IM) and integrative health care (IHC). Since there is no general agreement of what constitutes IM/IHC, several major problems were identified that make the review of work in this field problematic. In applying the systematic review methodology, we found that many of those captured articles that used the term integrative medicine were in actuality referring to adjunctive, complementary, or supplemental medicine. The objective of this study was to apply a sensitivity analysis to demonstrate how the results of a systematic review of IM and IHC will differ according to what inclusion criteria is used based on the definition of IM/IHC. By analyzing 4 different scenarios, the authors show that, due to unclear usage of these terms, results vary dramatically, exposing an inconsistent literature base for this field

Innovations in pay and grading in NHS trusts

This report examines innovations in pay and grading in 10 NHS trusts in England using data collected from March 2000 to January 2001, ie prior to the implementation of Agenda for Change. These 10 trusts, which varied in size, function, and location, were selected primarily to illustrate a variety of different approaches to pay and grading. The research utilised a qualitative methodology, with interviews of managers on a one to one basis, group interviews with lay union representatives, focus groups with staff and the inspection of documents. This study focused on four questions: • Did local pay resolve the problems associated with Whitley? • What were the consequences of local pay? • Were the trusts’ pay systems introduced in line with 'new pay' ideas and current trends in reward management? • What factors were critical to the success of developing and implementing local pay systems in NHS trusts

Technology Transfer Versus Transformation

Research defines technology transfer from the viewpoint of business processes and personnel skills (Rogers, Takegami & Yin, 2001). The focus is on action to adapt and embrace an existing technology to gain efficiency (Gilsing et al., 2011). We examine this phenomenon as innovation based on the ability to transfer existing needs, desires, behaviors, and expectations to new technology. We find technology is adopted when transfer opportunities become manifest and each transfer builds upon its predecessor to create transformation in the long term. This relationship between transfer and transformation gradually builds technology adoption across chasms of the S-curve technology innovation curve

Assessing the Validity of Statistical Inferences in Public Health Research: An Evidence-Based, ‘Best-Practices’ Approach

Like many fields, public health has embraced the process of evidence-based practice to inform practice decisions and to guide policy development. Evidence-based practice is typically dependent upon generalizations made on the bases of the existing body of knowledge – assimilations of the research literature on a particular topic. The potential utility of scientific evidence for guiding policy and practice decisions is grounded in the validity of the research investigations upon which such decisions are made. However, the validity of inferences made from the extant public health research literature requires more than ascertaining the validity of the statistical methods alone; for each study, the validity of the entire research process must be critically analyzed to the greatest extent possible so that appropriate conclusions can be drawn, and that recommendations for development of sound public health policy and practice can be offered. A critical analysis of the research process should include the following: An a priori commitment to the research question; endpoints that are both appropriate for and consistent with the research question; an experimental design that is appropriate (i.e., that answers the research question[s]); study procedures that are conducted in a quality manner, that eliminate bias and ensure that the data accurately reflect the condition(s) under study; evidence that the integrity of the Type-I error – or false-positive risk – has been preserved; use of appropriate statistical methods (e.g. assumptions checked, dropouts appropriately handled, correct variance term) for the data analyzed; and accurate interpretation of the results of statistical tests conducted in the study (e.g., the robustness of conclusions relative to missing data, multiple endpoints, multiple analyses, conditions of study, generalization of results, etc.). This paper provides a framework for both researcher and practitioner so that each may assess this critical aspect of public health research

Language Barriers in Health Care Settings: An Annotated Bibliography of Research Literature

Provides an overview of resources related to the prevalence, role, and effects of language barriers and access in health care

Best Practices in Intercultural Health

This paper presents some of the background research that contributed to the discussions within the Inter-American Development Bank's policy and strategy regarding indigenous health issues. The paper's conceptual approach and good practice research helped focus the discussion on the importance of intercultural health practices to promote indigenous peoples' access to allopathic health as well as to strengthen those traditional health practices based on indigenous peoples' own knowledge, culture, social networks, institutions and ways of life, that have shown their effectiveness. The paper presents five intercultural health experiences (in Suriname, Guatemala, Chile, Ecuador and Colombia) that are considered best practices in the field. Although poorly financed, these experiences highlight the significance to indigenous peoples of health models that bridge the gap between state-financed allopathic health services and their own indigenous health systems. This study however, does not represent a medical trial on the efficacy or efficiency of intercultural health models.Afro Descendents & Indigenous Peoples, Health Care, intercultural health, health care, indigenous peoples, health care services

Knowledge, understanding and the dynamics of medical innovation

This paper investigates the processes by which scientific knowledge is created and legitimized. It focuses on scientific developments in a branch of medicine and explores the pathways through which the growth of knowledge enables advances in medical science and in clinical practice. This work draws conceptually on evolutionary approaches to technological change. The empirical part presents a longitudinal analysis of a database of scientific publications in the field of ophthalmology over a period of 50 years. Such an exercise allows us to identify pathways of shared understanding on a disease area, and to map out distinctive trajectories followed by the ophthalmology research community. The paper also contributes to general understanding of the innovation process by supporting the notion that knowledge coordination is a distributed process that cuts across and connects complementary areas of expertise.

Research and Applications of the Processes of Performance Appraisal: A Bibliography of Recent Literature, 1981-1989

[Excerpt] There have been several recent reviews of different subtopics within the general performance appraisal literature. The reader of these reviews will find, however, that the accompanying citations may be of limited utility for one or more reasons. For example, the reference sections of these reviews are usually composed of citations which support a specific theory or practical approach to the evaluation of human performance. Consequently, the citation lists for these reviews are, as they must be, highly selective and do not include works that may have only a peripheral relationship to a given reviewer\u27s target concerns. Another problem is that the citations are out of date. That is, review articles frequently contain many citations that are fifteen or more years old. The generation of new studies and knowledge in this field occurs very rapidly. This creates a need for additional reference information solely devoted to identifying the wealth of new research, ideas, and writing that is changing the field