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Human-AI Medical Decision-Making Under Uncertainty

2025· article· en· W4416005085 on OpenAlexaff
Panos Constantinides, Mohammad Hosein Rezazade Mehrizi, Luciana D’Adderio, Natalia Levina, Anna Essén, Kasper Trolle Elmholdt, Bryan Spencer

Bibliographic record

VenueAcademy of Management Proceedings · 2025
Typearticle
Languageen
FieldMedicine
TopicArtificial Intelligence in Healthcare and Education
Canadian institutionsUniversity of Alberta
Fundersnot available
KeywordsContext (archaeology)Medical decision makingHealth professionalsHealth carePhenomenonHealth technologyDecision support systemHealthcare system

Abstract

fetched live from OpenAlex

AI-based decision support systems are becoming increasingly common in healthcare, promising improved accuracy and efficiency in diagnosis, treatment, and prediction. At the same time, due to the high-stakes and highly regulated context of medical decisions, uncertainty is neither an exception, nor a mere individual decision characteristic. Rather, uncertainty is a continuously constructed and enacted phenomenon by both focal medical professionals and the array of actors and technologies involved in healthcare tasks. The purpose of this panel symposium is to engage a group of panelists in a formal, moderated, interactive discussion on how uncertainty is dealt with by (a) medical doctors and healthcare professionals, (b) AI systems, and (c) human-AI ensembles. We would like to stimulate discussions around the changing nature of medical decision-making revolving around the new types of uncertainty emerging in the interactions between human and AI technologies. We would also like to examine the consequences of such interactions for the way medical decision making is enacted and organized.

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 imitation

Not 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.

metaresearch head score (Codex)0.047
metaresearch head score (Gemma)0.052
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Simulation or modeling · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.047
Threshold uncertainty score0.249

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0470.052
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.001
Science and technology studies0.0060.017
Scholarly communication0.0150.008
Open science0.0020.008
Research integrity0.0060.008
Insufficient payload (model declined to judge)0.0040.001

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.

Opus teacher head0.084
GPT teacher head0.470
Teacher spread0.387 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designSimulation or modeling
Domainnot available
GenreEmpirical

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".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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