Table 5 Data extracts for sub-theme: Tensions between incentives

Because private companies have different motives than doctors, and the protocols that hospitals have around diagnosis and treatment are designed not with the incentives that a private company has, but with incentives of like patients' health and like international standards and things like this. So, I think that these things are in conflict with each other. [Rn4 (BE)]

The medicine sect[or] is used to, that the community decides about the appropriateness of statistical methods and about, degrees of, statistical features, significance and reliability, and so on. And these are standards, discussed and negotiated in the community itself and this approach, I think, you have to also, to shift it or, pull it on the AI systems. That the medical community decides about the standards, what is reliable, what is robust, what is appropriate for this, economically feasible. It's also a question, and not, I think with the whole digitization, the people, feel like that it, that the systems came from heaven, and we have to accept all, and we have to trust, it, the providers and the developers, and I think it’s a falsery. I think the medical community has to decide about such crucial questions, it's about the trade of economic and medical benefits, and, it's, it's about the distribution of risk. And, this should not be left to the developers and the provider. [Rn11 (PE)]

With the Internet of medical things. And, then this is just another way for hospitals to make money, for companies to make money, for doctors to make money, and to just, you know, do things faster, to compromise. You have to convince me that this is the best thing in my interest as a patient. And, I don't think we're doing a very good job of that. [Rn24 (LE)]

You, everyone loves an AI standard, as you know. And then you end up like battle of the standards, and you have like 15,000 standards. And, so, I would be interested, like who gets to select and sign what standard and why? And tied to that is, because standards get defined, tends to be an organizational, regional or national, sometimes super-national level, but group, the values that get baked into those things are very interesting. So, for example, do you be looking to minimize error for everyone a small amount? Are you looking to maximize benefit for a small group narrowly? Who loses out when you do those things? Like the values that they take into some of those standards... [Rn39 (TE)]