AI-Inclusivity in Healthcare: Motivating an Institutional Epistemic Trust Perspective

Cambridge Quarterly of Healthcare Ethics:1-15 (2024)
  Copy   BIBTEX


This paper motivates institutional epistemic trust as an important ethical consideration informing the responsible development and implementation of artificial intelligence (AI) technologies (or AI-inclusivity) in healthcare. Drawing on recent literature on epistemic trust and public trust in science, we start by examining the conditions under which we can have institutional epistemic trust in AI-inclusive healthcare systems and their members as providers of medical information and advice. In particular, we discuss that institutional epistemic trust in AI-inclusive healthcare depends, in part, on the reliability of AI-inclusive medical practices and programs, its knowledge and understanding among different stakeholders involved, its effect on epistemic and communicative duties and burdens on medical professionals and, finally, its interaction and alignment with the public’s ethical values and interests as well as background sociopolitical conditions against which AI-inclusive healthcare systems are embedded. To assess the applicability of these conditions, we explore a recent proposal for AI-inclusivity within the Dutch Newborn Screening Program. In doing so, we illustrate the importance, scope, and potential challenges of fostering and maintaining institutional epistemic trust in a context where generating, assessing, and providing reliable and timely screening results for genetic risk is of high priority. Finally, to motivate the general relevance of our discussion and case study, we end with suggestions for strategies, interventions, and measures for AI-inclusivity in healthcare more widely.



    Upload a copy of this work     Papers currently archived: 94,593

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Similar books and articles

The promise and perils of AI in medicine.Robert Sparrow & Joshua James Hatherley - 2019 - International Journal of Chinese and Comparative Philosophy of Medicine 17 (2):79-109.
Trust and ethics in AI.Hyesun Choung, Prabu David & Arun Ross - 2023 - AI and Society 38 (2):733-745.


Added to PP

6 (#1,504,708)

6 months
6 (#739,524)

Historical graph of downloads
How can I increase my downloads?

Author Profiles

Kritika Maheshwari
Delft University of Technology
Christoph Jedan
University of Groningen

Citations of this work

No citations found.

Add more citations

References found in this work

No references found.

Add more references