Influence of AI-CDSS Explainability on Primary Care Physicians' Willingness to Use:An Analysis of Mediating Effects Based on Trust
- VernacularTitle:AI-CDSS可解释性对基层医生使用意愿的影响
- Author:
Huizhen OUYANG
1
;
Qian FU
1
;
Wen LI
1
Author Information
1. 华中科技大学同济医学院医药卫生管理学院 湖北 武汉 430030
- Publication Type:Journal Article
- Keywords:
AI-CDSS;
primary care physicians;
explainability;
trust;
willingness to use
- From:
Chinese Hospital Management
2025;45(8):51-56
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore primary care physicians' attitudes toward the use of AI-CDSS,and to examine the relationships and underlying mechanisms among AI system explainability,physicians' trust in AI-CDSS,and their willingness to use it.It aims to provide a reference for promoting AI-CDSS in primary healthcare institutions and better leveraging AI technology to empower primary healthcare services.Methods Primary care physicians in Tongling City,Anhui Province,were surveyed using standardized scales to collect data on AI system explainability,trust in AI-CDSS,and willingness to use it.Descriptive statistics,correlation analysis,and mediation effect testing were conducted using SPSS 26.0 software.Results AI system explainability,trust,and willingness to use were all positively correlated(r=0.788,0.865,P＜0.01),and AI system explainability was also positively correlated with trust(r=0.776,P＜0.01).Trust in the AI system partially mediated the relationship between system explainability and willingness to use,with a mediation effect value of 0.568(95％CI=0.373～0.669).Conclusion When promoting AI-CDSS,primary healthcare institutions should prioritize the adoption of AI systems with high explainability to enhance physicians' trust,thereby increasing their willingness to use such systems and ultimately promoting the effective application of AI technology in primary healthcare services.
