Doctors as Supervisors: The Signal of Human Doctor Supervision Disclosure Reduces Privacy Concerns

Despite the rapid advancement of AI agents in healthcare, patients continue to exhibit substantial privacy concerns when adopting healthcare AI agent services. While prior research has examined internal AI-system strategies for alleviating privacy concerns, this research highlights the role of disclosing human doctor supervision information from an external governance perspective. Drawing on signaling theory, we examine how such disclosure acts as an informational cue that influences patients’ privacy concerns. Across three studies, we find that human doctor supervision disclosure reduces patients’ privacy concerns during interactions with AI healthcare agents. This effect is mediated by patients’ perceived personal relevance of the information requested by AI agents. Furthermore, the effect is moderated by disease severity: the effect is attenuated when perceived disease severity is high. Our findings contribute to the literature on human-AI collaboration, privacy concerns, and signaling theory in healthcare contexts, and offer practical guidance for alleviating patients’ privacy concerns.

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Publication Details

Journal
International Journal of Human-Computer Interaction
Published
2026-06-16
DOI
https://doi.org/10.1080/10447318.2026.2686774
Primary Topic
Artificial Intelligence in Healthcare and Education
Type
article
Field-Weighted Citation Impact
0.00

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article

Doctors as Supervisors: The Signal of Human Doctor Supervision Disclosure Reduces Privacy Concerns

Zelin Zhang, Shihao Zhou, Siting Zhao, Lu (Lucia) Meng et al.
International Journal of Human-Computer Interaction
Artificial Intelligence in Healthcare and Education
article

Doctors as Supervisors: The Signal of Human Doctor Supervision Disclosure Reduces Privacy Concerns

Zelin Zhang, Shihao Zhou, Siting Zhao, Lu (Lucia) Meng, Jinyang Hu
article en

Abstract

Despite the rapid advancement of AI agents in healthcare, patients continue to exhibit substantial privacy concerns when adopting healthcare AI agent services. While prior research has examined internal AI-system strategies for alleviating privacy concerns, this research highlights the role of disclosing human doctor supervision information from an external governance perspective. Drawing on signaling theory, we examine how such disclosure acts as an informational cue that influences patients’ privacy concerns. Across three studies, we find that human doctor supervision disclosure reduces patients’ privacy concerns during interactions with AI healthcare agents. This effect is mediated by patients’ perceived personal relevance of the information requested by AI agents. Furthermore, the effect is moderated by disease severity: the effect is attenuated when perceived disease severity is high. Our findings contribute to the literature on human-AI collaboration, privacy concerns, and signaling theory in healthcare contexts, and offer practical guidance for alleviating patients’ privacy concerns.

International Journal of Human-Computer Interaction
Wuhan University of Technology (CN), Renmin University of China (CN)
National Natural Science Foundation of China
Peace, Justice and strong institutions
Openalex Percentile: Top 9%
Artificial Intelligence in Healthcare and Education
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