Public perceptions of AI-driven decision-making in healthcare: A structural equation modeling approach

Artificial intelligence (AI) is increasingly integrated into healthcare to support diagnostics, decision-making, and administrative processes. However, the successful implementation of AI depends not only on technical performance but also on public perceptions of its helpfulness, riskiness, and fairness. This study examines public perceptions of automated decision-making (ADM) in healthcare. Data were drawn from the first wave of an ongoing longitudinal survey panel. The final sample consisted of 3,915 respondents and was analyzed with structural equation modeling. Perceptions of ADM in healthcare as helpful, risky, and fair were treated as the dependent variables. AI literacy, familiarity with different forms of AI, confidence in clinicians' ability to distinguish AI- from human-generated content, use of conversational agents for health information, and use of traditional digital health information sources were included as exogenous. Greater familiarity with different forms of AI, higher confidence in the clinician's ability to recognize AI-generated content, and use of conversational agents for health information were associated with greater perceived helpfulness. Use of conversational agents was associated with lower perceived risk, whereas greater familiarity with AI and greater reliance on traditional health information sources were associated with higher perceived risk. Perceptions of ADM as fair were most strongly predicted by confidence in the clinician's ability, with additional small positive associations with AI familiarity, AI literacy, and use of conversational agents. Public perceptions of ADM in healthcare are shaped by technological familiarity, use of conversational agents, and confidence in human oversight. Overall, ADM's perceived helpfulness and fairness are driven more by trust in healthcare professionals than by trust in the technology itself.

How Anthropomorphic Language Impacts Public Perceptions of AI

Public discourse about artificial intelligence (AI) often uses anthropomorphic language: language that attributes human capabilities and characteristics to the system. This practice has been criticized for setting misleading expectations, inflating claims, and fueling hype around AI, which may distort public understanding of AI and impact policy priorities. We study the effects of anthropomorphic framing by comparing changes in participants' perceptions (N=815) when reading passages with and without anthropomorphic language, designed to reflect realistic public-facing AI discourse. We further examine whether these effects differ across two types of AI technologies -- large language models and recommendation systems -- and measure changes in perceptions of AI across several dimensions that are prominent in current public discourse. In a separate condition using a text that explicitly discusses the dangers of AI, we show that individuals' views of AI can shift in response to reading a text; yet in the main conditions of the experiment, where we compare anthropomorphic and non-anthropomorphic descriptions, we find that whether the text uses anthropomorphic language does not substantially affect participants' perceptions of AI. Our results indicate that any immediate effects on public opinions of AI are modest, although they leave open the possibility that anthropomorphic language could have an effect in naturalistic settings, or over gradual, continued exposure.

Whose Voice Counts? Mapping Stakeholder Perspectives on AI Through Public Submissions to the U.S. Government

As artificial intelligence (AI) systems become more common in our daily lives, it is important to understand how different stakeholders comprehend and envisage the role that these technologies play in shaping social, political, and economic realities. In this paper, we investigate public perceptions of AI based on a corpus of letters submitted during the public consultation for the Trump Administration's US AI Action Plan. To this aim, we release a corpus cleaning pipeline and perform topic modelling and frequency analysis to explore predominant topics discussed by different subgroups (e.g., academia, individuals, private sector) and those appearing in the AI Action Plan. Our results show that individuals voice strong concerns related to the impact of AI on life, while other stakeholders are more concerned with AI development. Our comparison of topics suggests that the AI Action Plan reflects predominantly the concerns of the private sector on security, policies, and development, with individuals' concerns less represented.