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paperarXivTrust 82 · PrimaryPublished 3d agoLive · 9h ago

Whose doctor does the AI recommend? An algorithm audit of reputation and demographic signals in large language model-assisted physician choice

Patients increasingly ask large language model (LLM) assistants which doctor to see, making these systems AI infomediaries: algorithms that intermediate one person's choice among other people and thereby decide, silently and at scale, which physicians become visible. We report a prespecified randomized algorithm audit of what causally moves those recommendations. Seven models (six open-weight; gpt-4o-mini) each chose among five synthetic family-medicine physician cards whose attributes were independently randomized across 3,024 choice sets, three patient personas, nine prompt paraphrases and n

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