{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T15:01:01Z","timestamp":1793372461605,"version":"4.5.0"},"reference-count":41,"publisher":"American Medical Association (AMA)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Netw Open"],"abstract":"\n Importance<\/jats:title>\n The successful implementation of artificial intelligence (AI) in health care depends on its acceptance by key stakeholders, particularly patients, who are the primary beneficiaries of AI-driven outcomes.<\/jats:p>\n <\/jats:sec>\n \n Objectives<\/jats:title>\n To survey hospital patients to investigate their trust, concerns, and preferences toward the use of AI in health care and diagnostics and to assess the sociodemographic factors associated with patient attitudes.<\/jats:p>\n <\/jats:sec>\n \n Design, Setting, and Participants<\/jats:title>\n This cross-sectional study developed and implemented an anonymous quantitative survey between February 1 and November 1, 2023, using a nonprobability sample at 74 hospitals in 43 countries. Participants included hospital patients 18 years of age or older who agreed with voluntary participation in the survey presented in 1 of 26 languages.<\/jats:p>\n <\/jats:sec>\n \n Exposure<\/jats:title>\n Information sheets and paper surveys handed out by hospital staff and posted in conspicuous hospital locations.<\/jats:p>\n <\/jats:sec>\n \n Main Outcomes and Measures<\/jats:title>\n The primary outcome was participant responses to a 26-item instrument containing a general data section (8 items) and 3 dimensions (trust in AI, AI and diagnosis, preferences and concerns toward AI) with 6 items each. Subgroup analyses used cumulative link mixed and binary mixed-effects models.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n In total, 13\u202f806 patients participated, including 8951 (64.8%) in the Global North and 4855 (35.2%) in the Global South. Their median (IQR) age was 48 (34-62) years, and 6973 (50.5%) were male. The survey results indicated a predominantly favorable general view of AI in health care, with 57.6% of respondents (7775 of 13\u202f502) expressing a positive attitude. However, attitudes exhibited notable variation based on demographic characteristics, health status, and technological literacy. Female respondents (3511 of 6318 [55.6%]) exhibited fewer positive attitudes toward AI use in medicine than male respondents (4057 of 6864 [59.1%]), and participants with poorer health status exhibited fewer positive attitudes toward AI use in medicine (eg, 58 of 199 [29.2%] with rather negative views) than patients with very good health (eg, 134 of 2538 [5.3%] with rather negative views). Conversely, higher levels of AI knowledge and frequent use of technology devices were associated with more positive attitudes. Notably, fewer than half of the participants expressed positive attitudes regarding all items pertaining to trust in AI. The lowest level of trust was observed for the accuracy of AI in providing information regarding treatment responses (5637 of 13\u202f480 respondents [41.8%] trusted AI). Patients preferred explainable AI (8816 of 12\u202f563 [70.2%]) and physician-led decision-making (9222 of 12\u202f652 [72.9%]), even if it meant slightly compromised accuracy.<\/jats:p>\n <\/jats:sec>\n \n Conclusions and Relevance<\/jats:title>\n In this cross-sectional study of patient attitudes toward AI use in health care across 6 continents, findings indicated that tailored AI implementation strategies should take patient demographics, health status, and preferences for explainable AI and physician oversight into account.<\/jats:p>\n <\/jats:sec>","DOI":"10.1001\/jamanetworkopen.2025.14452","type":"journal-article","created":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T11:00:40Z","timestamp":1749553240000},"page":"e2514452","source":"Crossref","is-referenced-by-count":126,"title":["Multinational Attitudes Toward AI in Health Care and Diagnostics Among Hospital Patients"],"prefix":"10.1001","volume":"8","author":[{"given":"Felix","family":"Busch","sequence":"first","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, School of Medicine and Health, Klinikum rechts der Isar, TUM University Hospital, Technical University of Munich, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lena","family":"Hoffmann","sequence":"additional","affiliation":[{"name":"Department of Radiology, Charit\u00e9\u2013Universit\u00e4tsmedizin Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt Universit\u00e4t zu Berlin, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lina","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Radiology, Charit\u00e9\u2013Universit\u00e4tsmedizin Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt Universit\u00e4t zu Berlin, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Long Jiang","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Radiology, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bin","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Radiology, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ignacio","family":"Garc\u00eda-Ju\u00e1rez","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, National Institute of Medical Sciences and Nutrition Salvador Zubir\u00e1n, Mexico City, Mexico"},{"name":"Unit of Liver Transplantation, National Institute of Medical Sciences and Nutrition Salvador Zubir\u00e1n, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liz N.","family":"Toapanta-Yanchapaxi","sequence":"additional","affiliation":[{"name":"Department of Neurology, National Institute of Medical Sciences and Nutrition Salvador Zubir\u00e1n, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalia","family":"Gorelik","sequence":"additional","affiliation":[{"name":"Department of Radiology, McGill University Health Center, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Val\u00e9rie","family":"Gorelik","sequence":"additional","affiliation":[{"name":"Dawson College, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaston A.","family":"Rodriguez-Granillo","sequence":"additional","affiliation":[{"name":"Center for Medical Education and Clinical Research-National Council for Scientific and Technical Research (CEMIC-CONICET), Autonomous City of Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Ferrarotti","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Imaging, Center for Medical Education and Clinical Research \u201cNorberto Quirno\u201d (CEMIC), Autonomous City of Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nguyen N.","family":"Cuong","sequence":"additional","affiliation":[{"name":"Radiology Center Hanoi, Medical University Hospital Hanoi, Hanoi, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chau A. P.","family":"Thi","sequence":"additional","affiliation":[{"name":"Hanoi Medical University, Hanoi, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murat","family":"Tuncel","sequence":"additional","affiliation":[{"name":"Department of Nuclear Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00fcrsan","family":"Kaya","sequence":"additional","affiliation":[{"name":"Department of Nuclear Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergio M.","family":"Solis-Barquero","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Therapeutic Imaging, Escuela de Tecnologias en Salud, Universidad de Costa Rica, San Jos\u00e9, Costa Rica"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria C.","family":"Mendez Avila","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Therapeutic Imaging, Escuela de Tecnologias en Salud, Universidad de Costa Rica, San Jos\u00e9, Costa Rica"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nevena G.","family":"Ivanova","sequence":"additional","affiliation":[{"name":"Department of Urology, Medical University of Plovdiv, Plovdiv, Bulgaria"},{"name":"St Karidad MHAT, Karidad Medical Health Center, Cardiology, Plovdiv, Bulgaria"},{"name":"Department of General Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felipe C.","family":"Kitamura","sequence":"additional","affiliation":[{"name":"Department of Radiology, Universidade Federal de S\u00e3o Paulo, S\u00e3o Paulo, Brazil"},{"name":"Diagn\u00f3sticos da Am\u00e9rica SA (DASA), S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karina Y. 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L.","family":"Aerts","sequence":"additional","affiliation":[{"name":"Artificial Intelligence in Medicine (AIM) Program, Mass General Brigham, Harvard Medical School, Boston, Massachusetts"},{"name":"Department of Radiation Oncology, Dana-Farber Cancer Institute and Brigham and Women\u2019s Hospital, Boston, Massachusetts"},{"name":"Radiology and Nuclear Medicine, CARIM & GROW, Maastricht University, Maastricht, the Netherlands"},{"name":"Department of Radiology, Dana-Farber Cancer Institute and Brigham and Women\u2019s Hospital, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa C.","family":"Adams","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, School of Medicine and Health, Klinikum rechts der Isar, TUM University Hospital, Technical University of Munich, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keno K.","family":"Bressem","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, School of Medicine and Health, Klinikum rechts der Isar, TUM University Hospital, Technical University of Munich, Munich, Germany"},{"name":"School of Medicine and Health, Institute for Cardiovascular Radiology and Nuclear Medicine, German Heart Center Munich, TUM University Hospital, Technical University of Munich, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"COMFORT consortium","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1lvaro Ace\u00f1a","family":"Navarro","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Hospital Universitario Fundaci\u00f3n Jim\u00e9nez D\u00edaz, Madrid, Spain"},{"name":"Department of Medicine, Universidad Aut\u00f3noma de Madrid, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catarina","family":"\u00c1guas","sequence":"additional","affiliation":[{"name":"Department of Radiology, Algarve University Hospital Center, Faro, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martina","family":"Aineseder","sequence":"additional","affiliation":[{"name":"Department of Radiology, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muaed","family":"Alomar","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, College of Pharmacy and Health Sciences, Ajman University, Ajman, United Arab Emirates"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rashid","family":"Al Sliman","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Health Sciences Brandenburg, Brandenburg Medical School Theodor Fontane, Brandenburg an der Havel, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gautam","family":"Anand","sequence":"additional","affiliation":[{"name":"Department of Oncosurgery, Max Institute of Cancer Care, Vaishali, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salita","family":"Angkurawaranon","sequence":"additional","affiliation":[{"name":"Department of Radiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuhei","family":"Aoki","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Chiba University, Graduate School of Medicine, Chiba, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Arkoh","sequence":"additional","affiliation":[{"name":"Department of Radiology, Wenchi Methodist Hospital, Wenchi, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gizem","family":"Ashraf","sequence":"additional","affiliation":[{"name":"Centre for Eye Research Australia, Royal Victorian Eye and Ear Hospital, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yesi","family":"Astri","sequence":"additional","affiliation":[{"name":"Department of Neurology, Faculty of Medicine, Universitas Muhammadiyah Palembang, Palembang, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sameer","family":"Bakhshi","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, Dr B.R.A. 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