可持续创新生态系统中人-AI医疗信任&#x02014;&#x02014;理论综述与跨学科框架构建

韩永; 欧阳武旻; 乔泽斌; 杜鹤民; 黄健龙

doi:10.19798/j.cnki.2096-6946.2026.01.001

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工业工程设计 ›› 2026, Vol. 8 ›› Issue (1) : 1-17. DOI: 10.19798/j.cnki.2096-6946.2026.01.001

设计理论

可持续创新生态系统中人-AI医疗信任——理论综述与跨学科框架构建

韩永^1,2, 欧阳武旻^1,2, 乔泽斌³, 杜鹤民^2*, 黄健龙⁴

作者信息 +

Human-AI Trust in Medical Contexts Within a Sustainable Innovation Ecosystem: A Theoretical Review and Interdisciplinary Framework

HAN Yong^1,2, OUYANG Wumin^1,2, QIAO Zebin³, DU Hemin^2*, HUANG Jianlong⁴

Author information +

文章历史 +

摘要

人工智能正在重塑医疗等高风险场景,人-AI协作信任成为技术采纳与价值创造的关键约束。为回应人-AI信任研究中的两类结构性断裂——可解释人工智能（XAI）与人因科学（HFE）研究脱节、过度聚焦个体层而忽视生态层级,构建一个对齐实际可信度-感知信任的综合分析框架。采用批判性叙述综述,将人机协作信任纳入到持续创新生态系统理论（SIE）的宏观视角下,将XAI与HFE等学科共同体视为可持续创新生态中的知识子生态,并聚焦个体层面的XAI-HFE对齐机制。提出了一个可持续创新生态系统视角下的人-AI医疗协作信任框架（SIE-Trust）,概括性提炼出影响人-AI信任的三大类关键因素（用户特征、AI系统、使用环境与社会情境）,并创新性地引入了“风险敏感的人-AI信任校准带”。在此基础上,提出面向可信AI的设计与治理建议,以支撑可信且可持续的医疗AI设计与部署。

Abstract

Artificial intelligence (AI) is reshaping high-risk scenarios such as healthcare, and trust in human-AI collaboration has become a key constraint on technology adoption and value creation. The work aims to address two major gaps in existing human-AI trust research: the disconnection between explainable AI (XAI) and human factors engineering (HFE), and the overemphasis on individual-level factors while overlooking ecological layers. The critical narrative review approach is adopted to situate human-AI collaborative trust within the macro-level perspective of the Sustainable Innovation Ecosystem (SIE) theory, treating XAI and HFE as knowledge sub-ecosystems and focusing particularly on individual-level alignment mechanisms between XAI and HFE. The SIE-Trust framework for understanding human-AI collaborative trust in healthcare is proposed, identifying three major categories of influencing factors: user characteristics, AI system attributes, and environmental and social contexts. Then, the novel concept of a "risk-sensitive trust calibration zone" is introduced. Based on these insights, the study offers design and governance recommendations to support trustworthy and sustainable medical AI systems.

导出引用

韩永, 欧阳武旻, 乔泽斌, 杜鹤民, 黄健龙. 可持续创新生态系统中人-AI医疗信任——理论综述与跨学科框架构建[J]. 工业工程设计. 2026, 8(1): 1-17 https://doi.org/10.19798/j.cnki.2096-6946.2026.01.001

HAN Yong, OUYANG Wumin, QIAO Zebin, DU Hemin, HUANG Jianlong. Human-AI Trust in Medical Contexts Within a Sustainable Innovation Ecosystem: A Theoretical Review and Interdisciplinary Framework[J]. Industrial & Engineering Design. 2026, 8(1): 1-17 https://doi.org/10.19798/j.cnki.2096-6946.2026.01.001

中图分类号： TB47 TB21 J524

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