From Trust in Automation to Trust in AI in Healthcare: A 30-Year Longitudinal Review and an Interdisciplinary Framework

Abstract

Human-machine trust has shifted over the past three decades from trust in automation to trust in AI, while research paradigms, disciplines, and problem spaces have expanded. Centered on AI in healthcare, this narrative review offers a longitudinal synthesis that traces and compares phase-specific changes in theory and method, providing design guidance for human-AI systems at different stages of maturity. From a cross-disciplinary view, we introduce an Interdisciplinary Human-AI Trust Research (I-HATR) framework that aligns explainable AI (XAI) with human-computer interaction/human factors engineering (HCI/HFE). We distill three core categories of determinants of human-AI trust in healthcare, user characteristics, AI system attributes, and contextual factors, and summarize the main measurement families and their evolution from self-report to behavioral and psychophysiological approaches, with growing use of multimodal and dynamic evaluation. Finally, we outline key trends, opportunities, and practical challenges to support the development of human-centered, trustworthy AI in healthcare, emphasizing the need to bridge actual trustworthiness and perceived trust through shared metrics, uncertainty communication, and trust calibration.

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