Evidence map›Paper›PMID 40483451›Full record

Trial reportBMC medical ethics2025

Proactive vs. passive algorithmic ethics practices in healthcare: the moderating role of healthcare engagement type in patients' responses.

Sheng Shu, Qinglin Luo, Zhiqing Chen

Abstract readRandomized Controlled Trial
In one paragraph

Trial report 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 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

3 authors.

Sheng ShuSchool of Management, Chongqing University of Technology, Chongqing, China. nateshu2023@cqut.edu.cn.
Qinglin LuoSchool of Economics and Management, Changsha University of Science and Technology, Changsha, China. xllion@yeah.net.
Zhiqing ChenSchool of Management, Chongqing University of Technology, Chongqing, China.

Funding

Science and Technology Research Program of Chongqing Municipal Education Commission KJQN202301141Scientific Research Foundation of Chongqing University of Technology None
6 · The paper itself

Abstract

backgroundArtificial intelligence (AI) is transforming healthcare, but concerns about algorithmic biases and ethical challenges hinder patient acceptance. This study examined the effects of proactive versus passive algorithmic ethics practices on patient responses across different healthcare engagement types (privacy-focused vs. utility-focused).

methodsWe conducted a 2 × 2 online experiment with 513 participants in China. The experiment manipulated the healthcare provider's algorithmic ethics approach (proactive vs. passive) and the healthcare engagement type (privacy-focused vs. utility-focused). Participants were randomly assigned to view a scenario describing a hospital's AI diagnostic system, then completed measures of attitudes, trust, and intentions to use the AI-enabled service.

resultsProactive algorithmic ethics practices significantly increased positive attitudes, trust, and usage intentions compared to passive practices. The positive impact of proactive practices was stronger for privacy-focused healthcare (e.g., mental health services) compared to utility-focused services emphasizing care optimization.

conclusionsThis study underscores the critical role of proactive, context-specific algorithmic ethics practices in cultivating patient trust and engagement with AI-enabled healthcare. To optimize outcomes, healthcare providers must strategically adapt their ethical governance approaches to align with the unique privacy-utility considerations that are most salient to patients across different healthcare contexts and AI use cases. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

AlgorithmsArtificial IntelligenceDelivery of Health CareAdultChinaFemaleHumansMaleMiddle AgedPrivacyTrustYoung AdultAI in healthcareAlgorithmic ethicsHealthcare engagement typePatient responsePrivacy-utility tradeoff

Identifiers

PMID40483451
PMCPMC12145618

What Socratic 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 Socratic graph.