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Transparency in AI Systems for Value Co-creation in Healthcare

Antonietta Megaro (University of Salerno, Italy)

Big Data and Decision-Making: Applications and Uses in the Public and Private Sector

ISBN: 978-1-80382-552-6, eISBN: 978-1-80382-551-9

Publication date: 30 January 2023


This conceptual chapter aims to understand the role of artificial intelligence (AI) in value co-creation phenomena in a healthcare service ecosystem, through a literature review and the definition of a conceptual framework. AI, as an operant resource, can stimulate a completely patient-centered, adaptive and resilient healthcare system, and governance models in healthcare based on data-driven decision-making (DDDM), ensuring faster choices, more timely diagnosis and more personalized treatment paths. However, the full implementation of AI in healthcare is inhibited by some frictions, mainly related to the risk that the AI black box may generate an inadequate automatic decision, also due to the quality of data used, often partial and unstructured given the reluctance to share them by patients concerned by privacy threats. The co-design (multi-part and multi-level) of a predictive decision model based on the functional transparency of the AI algorithm would allow for augmented decision as result of an effective human–machine interaction. Healthcare actors could thus make decisions using the information detected by the software (based on clear cause-and-effect correlations and modifiable variables in case of mistakes), integrated with their professional knowledge. This would also help to strengthen the patient’s perception of the decision’s reliability and accuracy and the safety of the tool (factors that can affect his/her trust). AI may be considered as a driver for value co-creation in healthcare, thanks to transparency. It would allow the promotion of collaborative behaviors involving actors by generating new institutions and new resource integration practices among them.



Megaro, A. (2023), "Transparency in AI Systems for Value Co-creation in Healthcare", Visvizi, A., Troisi, O. and Grimaldi, M. (Ed.) Big Data and Decision-Making: Applications and Uses in the Public and Private Sector (Emerald Studies in Politics and Technology), Emerald Publishing Limited, Leeds, pp. 93-105.



Emerald Publishing Limited

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