Algorithmic accountabilities and health systems: A review and sociomaterial approach
Bibliographic record
Abstract
The perceived importance and difficulty of accounting for algorithms in health systems continues to inform scholarship and practice across diverse fields. While accountability is often framed as a normative good, less clear is exactly what kind of normative work accountability is expected to do, and how it is expected to do it. Drawing on contributions from science and technology studies, and especially sociomaterial perspectives on governance, in this article I review how algorithmic accountability has been conceptualized in the academic and grey literature. I introduce five normative logics characterizing discussions of algorithmic accountability: (1) accountability as verification, (2) accountability as participation, (3) accountability as social licence, (4) accountability as fiduciary duty, and (5) accountability as compliance. I critically engage with the styles of valuation these are predicated upon, including how each configures the algorithm as an object of reference, and discuss the implications of this approach for understanding how health-related worlds are created and sustained, and how they might be otherwise.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.005 | 0.014 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.009 | 0.012 |
| Science and technology studies | 0.001 | 0.004 |
| Scholarly communication | 0.003 | 0.005 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.003 | 0.003 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".