Designing Explainable AI for Healthcare Reviews: Guidance on Adoption and Trust
Patients increasingly rely on online reviews when choosing healthcare providers, yet the sheer volume of these reviews can hinder effective decision-making. This paper summarises a mixed-methods study aimed at evaluating a proposed explainable AI system that analyses patient reviews and provides transparent explanations for its outputs. The survey (N=60) indicated broad optimism regarding usefulness (82% agreed it saves time; 78% that it highlights essentials), alongside strong demand for explainability (84% considered it important to understand why a review is classified; 82% said explanations would increase trust). Around 45% preferred combined text-and-visual explanations. Thematic analysis of open-ended survey responses revealed core requirements such as accuracy, clarity and simplicity, responsiveness, data credibility, and unbiased processing. In addition, interviews with AI experts provided deeper qualitative insights, highlighting technical considerations and potential challenges for different explanation methods. Drawing on TAM and trust in automation, the findings suggest that high perceived usefulness and transparent explanations promote adoption, whereas complexity and inaccuracy hinder it. This paper contributes actionable design guidance for layered, audience-aware explanations in healthcare review systems.
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