This study explores public preferences for algorithmic and human decision-makers (DMs) in high-stakes contexts, how these preferences are shaped by performance metrics, and whether public evaluations of performance differ depending on the type of DM. Leveraging a conjoint experimental design, approximately respondents chose between pairs of DM profiles in two high-stakes scenarios: pretrial release decisions and bank loan approvals. The profiles varied by type (human vs. algorithm) and three metrics-defendant crime rate/loan default rate, false positive rate (FPR) among white defendants/applicants, and FPR among minority defendants/applicants-as well as an implicit fairness metric defined by the absolute difference between the two FPRs. The results show that efficiency was the most important performance metric in the respondents' evaluation of DMs, while fairness was the least prioritized. This finding is robust across both scenarios, key subgroups of respondents (e.g. by race and political party), and across the DM type under evaluation. Additionally, even when controlling for performance, we find an average preference for human DMs over algorithmic ones, though this preference varied significantly across respondents. Overall, these findings show that while respondents differ in their preferences over DM type, they are generally consistent in the performance metrics they desire.
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http://dx.doi.org/10.1093/pnasnexus/pgae520 | DOI Listing |
Eur Radiol Exp
January 2025
Computational Clinical Imaging Group (CCIG), Champalimaud Research, Champalimaud Foundation, Lisbon, Portugal.
Good practices in artificial intelligence (AI) model validation are key for achieving trustworthy AI. Within the cancer imaging domain, attracting the attention of clinical and technical AI enthusiasts, this work discusses current gaps in AI validation strategies, examining existing practices that are common or variable across technical groups (TGs) and clinical groups (CGs). The work is based on a set of structured questions encompassing several AI validation topics, addressed to professionals working in AI for medical imaging.
View Article and Find Full Text PDFMatern Child Health J
January 2025
Children's Intensive Care Research Program, Child Health Research Centre, The University of Queensland, Brisbane, QLD, Australia.
Introduction: Variable selection is a common technique to identify the most predictive variables from a pool of candidate predictors. Low prevalence predictors (LPPs) are frequently found in clinical data, yet few studies have explored their impact on model performance during variable selection. This study compared the Random Forest (RF) algorithm and stepwise regression (SWR) for variable selection using data from a paediatric sepsis screening tool, where 18 out of 32 predictors had a prevalence < 10%.
View Article and Find Full Text PDFCurr Cardiol Rep
January 2025
Section of Cardiovascular Medicine, Yale School of Medicine, New Haven, CT, USA.
Purpose Of Review: Significant inequities persist in hypertension detection and control, with minoritized populations disproportionately experiencing organ damage and premature death due to uncontrolled hypertension. Remote blood pressure monitoring combined with telehealth visits (RBPM) is proving to be an effective strategy for controlling hypertension. Yet there are challenges related to technology adoption, patient engagement and social determinants of health (SDoH), contributing to disparities in patient outcomes.
View Article and Find Full Text PDFJ Neurol
January 2025
Department of Neurology and Neurosciences, Donostia University Hospital, Biogipuzkoa Health Research Institute, Donostia-San Sebastián, Spain.
Background: Alpha-actinin-2, a protein with high expression in cardiac and skeletal muscle, is located in the Z-disc and plays a key role in sarcomere stability. Mutations in ACTN2 have been associated with both hypertrophic and dilated cardiomyopathy and, more recently, with skeletal myopathy.
Methods: Genetic, clinical, and muscle imaging data were collected from 37 patients with an autosomal dominant ACTN2 myopathy belonging to 11 families from Spain and Belgium.
J Neurol
January 2025
Centre for Vestibular Neurology (CVeN), Department of Brain Sciences, Charing Cross Hospital, Imperial College London, London, W6 8RF, UK.
Background: Vestibular dysfunction causing imbalance affects c. 80% of acute hospitalized traumatic brain injury (TBI) cases. Poor balance recovery is linked to worse return-to-work rates and reduced longevity.
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