Evaluating the impact of assertiveness versus suggestiveness in AI communication on diagnostic accuracy and trust development in clinical breast cancer workflows

In breast cancer diagnosis workflows, the way AI shares its results can change how accurate diagnoses are and how much healthcare workers trust AI. Two main styles exist: assertive (clear and direct) and suggestive (more gentle and open to interpretation). These styles affect clinicians differently based on their experience levels.

  • Assertive AI Communication: AI gives clear and confident advice. It sounds more definite when giving diagnostic information.
  • Suggestive AI Communication: AI offers advice in a softer way, inviting clinicians to make their own judgments.

A study with 52 clinicians of different experience levels (interns, juniors, middle-level, and seniors) looked at how these communication types affect diagnosis. The results can help medical leaders in the U.S. improve how AI tools are used in clinics.

Impact on Diagnostic Accuracy and Time

The study showed that when AI adjusts how it talks based on the clinician’s experience, accuracy and speed both improve:

  • For Interns and Junior Clinicians: Using assertive AI helped less experienced clinicians make fewer mistakes. Errors dropped by 39.2%. They also worked 1.38 times faster without losing accuracy.
  • For Middle and Senior Clinicians: Experienced clinicians got better results with suggestive AI. This style helped reduce errors by 5.5% and shorten diagnosis time by 1.37 times.

This means AI communication should fit the user’s knowledge, not be the same for everyone. Matching AI style to experience helps provide good guidance and lets clinicians keep control.

Trust Development Through Personalized AI Communication

Trust between clinicians and AI is very important when using new technology. The study found that clinicians liked assertive AI because it was clear and seemed knowledgeable:

  • Detailed Explanations: Clinicians preferred AI that gave full explanations, not just numbers. This helped them understand and trust AI advice more.
  • Lower Mental Effort: Clear and personalized AI communication reduced how much mental work was needed, especially for less experienced clinicians. Assertive AI helped them feel more confident.
  • Smoother Workflow: Adaptive AI helped reduce time spent figuring out AI outputs and made diagnosis less uncertain.

Healthcare managers in the U.S. can use these findings to choose AI systems that change how they communicate depending on who is using them. This can help the systems be accepted and used well.

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Implications for Clinical Breast Cancer Workflows in U.S. Medical Practices

Breast cancer diagnosis requires careful look at complex images. This can be hard, especially for those still learning. In busy U.S. clinics, accuracy and speed in diagnosis mean better care and less delay.

  • Improved Efficiency: Cutting diagnosis time by about 1.37 to 1.38 times helps clinics work better. Faster diagnoses mean patients get news sooner and treatments start quicker.
  • Fewer Errors: Large drops in mistakes by interns and juniors (39.2%) and smaller drops by seniors (5.5%) lead to better patient outcomes and fewer legal problems.
  • Clinician Satisfaction: Clinicians tend to trust AI more when it gives clear advice and respects their experience, which supports better use of AI.

Using AI with communication styles that fit the user helps clinics improve quality and control costs, which is important for healthcare leaders managing resources.

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Adaptive AI Communication and Workflow Automation in Breast Cancer Diagnosis

Using AI is not only about getting the right diagnosis but also making the workflow easier. Automating office and communication tasks must work well with AI’s diagnostic role for the best results.

  • Lower Mental Workload: Clinicians handle many patient cases and paperwork. AI that changes how it talks based on user experience lessens mental strain. This helps avoid burnout and mistakes.
  • Better Staff-Patient Communication: AI-powered answering services and automated scheduling help manage patient calls and appointments. This lets medical staff focus more on diagnosis and treatment.
  • Integration with Systems: AI tools must work smoothly with Electronic Health Records (EHR) and imaging systems (PACS) to provide real-time updates and clear reports that fit what each clinician needs.
  • Smoother Workflow: Adaptive AI communication cuts diagnosis time without lowering accuracy. Automating office tasks also helps clinics handle more patients and improves patient experience.

For IT and hospital managers in the U.S., choosing AI that helps both clinical decisions and automates administrative work can add value. This is crucial as clinics face more patients and higher costs.

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Supporting Research and Leading Experts in Personalized AI Communication

Researchers led by Francisco Maria Calisto studied how AI communication styles affect clinical results. Their study published in the International Journal of Human-Computer Studies provides clear data. It supports assertive AI for less experienced clinicians and suggestive AI for more experienced ones.

Relevance for Medical Practice Administrators, Owners, and IT Managers

Medical leaders in the U.S. face challenges like staff shortages and the need to improve quality while using new technology well. Knowing about AI communication styles can help them make good decisions such as:

  • Buying and Using AI: Choosing AI that adapts communication to clinician level can make it easier to accept and use.
  • Training Staff: Teaching staff how AI communication varies helps them use AI advice better and keeps patients safe.
  • Changing Workflows: Adding AI-driven automation in clinical and office tasks can reduce delays, especially in busy breast imaging centers.
  • Patient Experience: Better efficiency and accuracy help patients by cutting wait times and boosting trust in diagnoses.

IT leaders should combine AI communication that fits clinicians with automation solutions like phone systems to improve both medical and office workflows.

Final Remarks on AI Communication in Breast Cancer Clinical Workflows in the U.S.

Research shows that AI communication style affects how accurate diagnoses are and how much clinicians trust AI. Assertive AI helps less experienced clinicians reduce errors and work faster. Suggestive AI respects the judgment of experienced clinicians better. Adaptive communication lowers mental work and improves workflow efficiency.

By focusing on clear, personalized, and context-rich AI communication, U.S. healthcare can offer more reliable breast cancer diagnosis. This also helps reduce the pressure on clinicians and office staff. Such AI systems improve trust in technology and support safer, faster, and more effective breast cancer care.

Medical leaders, doctors, and IT teams should choose AI solutions that use these communication ideas and combine well with office automation to get the best patient results and clinic performance.

Frequently Asked Questions

What is the focus of the research on personalized AI communication in breast cancer diagnosis?

The research focuses on how personalized AI communication styles affect diagnostic performance, workload, and trust among clinicians during breast imaging diagnosis, emphasizing the adaptation of communication based on clinicians’ expertise levels.

How does personalized AI communication impact diagnostic time for clinicians of different expertise levels?

Personalized AI communication reduces diagnostic time by a factor of 1.38 for interns and juniors, and by a factor of 1.37 for middle and senior clinicians, demonstrating significant efficiency improvements without compromising accuracy.

What effect does a more authoritative AI agent have on less experienced clinicians?

Interns and juniors reduce their diagnostic errors by 39.2% when interacting with a more authoritative AI agent, indicating that assertive communication enhances their decision-making and confidence.

How do middle and senior clinicians respond to different AI communication styles?

Middle and senior clinicians achieved a 5.5% reduction in diagnostic errors when interacting with a more suggestive AI agent, showing preference for nuanced, less authoritative communication that respects their expertise.

Why do clinicians prefer assertiveness-based AI agents?

Clinicians value assertiveness-based AI agents for their clarity and competence, appreciating detailed and contextual explanations over simple numerical outputs, which helps build trust and supports better clinical decisions.

What are the considerations for designing AI communication in high-stakes clinical settings?

AI systems should provide adaptable communication to match clinicians’ expertise, balance assertiveness and suggestiveness, reduce cognitive load, maintain accuracy, and build trust to effectively integrate into clinical workflows.

How does personalized AI communication influence cognitive workload?

Personalized AI communication reduces cognitive load by tailoring explanations to the clinician’s experience level, making information processing more efficient and less mentally taxing during diagnosis.

What contributions does this research offer to the Human–Computer Interaction community?

This research advances understanding of AI-mediated clinical support by demonstrating the benefits of adaptable AI communication styles in improving trust, reducing workload, and enhancing diagnostic performance in healthcare.

What methodology was used to evaluate the impact of personalized AI communication?

The study engaged 52 clinicians across multiple expertise levels (interns, juniors, middles, seniors) who diagnosed breast imaging cases using conventional and assertiveness-based AI communication, measuring diagnostic time, errors, and preferences.

Are the research data and code available for further study?

Yes, the data and code are publicly available on GitHub at https://github.com/MIMBCD-UI/sa-uta11-results, facilitating transparency and enabling further research in this domain.