Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Apr 2, 2024
Date Accepted: Nov 26, 2024
From Theory to Practice: A Viewpoint on Economic Indicators for Trust in Digital Health
ABSTRACT
User trust is pivotal for the adoption of digital health innovation (DHI). In response, numerous trust-building guidelines have recently emerged targeting DHIs such as artificial intelligence. The common aim of these guidelines is to build trustworthy DHI. While these guidelines provide some indication of what trustworthiness is, the guidelines typically only define trust and trustworthiness in broad terms—they rarely guide the reader towards economic considerations when implementing trust-building mechanisms and neglect the economic evaluation of their effectiveness. The missing focus on economics undermines the potential usefulness of such guidelines. We propose the development of actionable trust-performance-indicators to gather evidence on the cost-effectiveness of trust-building principles as a crucial step for successful implementation. Moreover, we offer guidance on navigating the conceptual complexity surrounding trust and on how to sharpen the trust discourse. Successful implementation of economic considerations are critical to successfully build user trust in DHI.
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