Pith Number

pith:JGIKQ62E

pith:2026:JGIKQ62EZCYIPPPM2CWGQJFOVP

not attested not anchored not stored refs resolved

The partial adoption trap: Coordination failure, trust, and cultural lock-in in health AI adoption

Ari Ercole

Health AI adoption often stabilizes in a partial adoption trap rather than achieving full systemic transformation.

arxiv:2605.17388 v1 · 2026-05-17 · econ.TH

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2 Internet Archive

3 Author claim open · sign in to claim

4 Citations open

5 Replications open

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The bundle contains the canonical record plus signed events. A mirror can host it anywhere and recompute the same current state with the deterministic merge algorithm.

Claims

C1strongest claim

The system is shown to be generically bistable, with a stable partial adoption equilibrium coexisting alongside full genuine adoption. The basin of attraction of the partial adoption trap is enlarged by three compounding failure modes: a threshold coordination failure arising from the non-appropriable nature of systemic benefits; a trust failure arising from the organisation's inability to credibly commit to sharing productivity gains; and a cultural failure arising from negative coordination norms among doctors.

C2weakest assumption

Genuine adoption is required for systemic benefits to materialise above a population threshold, with doctors choosing among genuine adoption, partial adoption, and rejection under evolutionary dynamics that produce bistability.

C3one line summary

Evolutionary game theoretic model demonstrates generic bistability in health AI adoption with a stable partial adoption equilibrium enlarged by coordination failure, trust erosion, and negative cultural norms, producing a Value-Adoption Paradox.

References

16 extracted · 16 resolved · 0 Pith anchors

[1] Fit for the future: the 10-year health plan for England 2025

[2] Adopting ambient scribing products in health and care settings 2025

[3] Improving drug-therapy decisions through educational outreach 1983 · doi:10.1056/nejm198306163082406

[4] The grammar of society: the nature and dynamics of social norms 2006

[5] Workarounds in electronic health record systems and the revised sociotechnical electronic health record workaround analysis framework 2022 · doi:10.2196/33046

Formal links

2 machine-checked theorem links

Receipt and verification

First computed	2026-05-20T00:03:56.008883Z
Builder	pith-number-builder-2026-05-17-v1
Signature	Pith Ed25519 (`pith-v1-2026-05`) · public key
Schema	pith-number/v1.0

Canonical hash

4990a87b44c8b087bdecd0ac6824aeabcf0fca0b54e5917c1b3ff79fdf17b368

Aliases

arxiv: 2605.17388 · arxiv_version: 2605.17388v1 · doi: 10.48550/arxiv.2605.17388 · pith_short_12: JGIKQ62EZCYI · pith_short_16: JGIKQ62EZCYIPPPM · pith_short_8: JGIKQ62E

Agent API

Resolver JSON Graph JSON Events JSON Schema Signing key

Verify this Pith Number yourself

curl -sH 'Accept: application/ld+json' https://pith.science/pith/JGIKQ62EZCYIPPPM2CWGQJFOVP \
  | jq -c '.canonical_record' \
  | python3 -c "import sys,json,hashlib; b=json.dumps(json.loads(sys.stdin.read()), sort_keys=True, separators=(',',':'), ensure_ascii=False).encode(); print(hashlib.sha256(b).hexdigest())"
# expect: 4990a87b44c8b087bdecd0ac6824aeabcf0fca0b54e5917c1b3ff79fdf17b368

Canonical record JSON

{
  "metadata": {
    "abstract_canon_sha256": "2a25d9002864a0402a9c795287266b215e808d3407898f8649d6fcba0d25c694",
    "cross_cats_sorted": [],
    "license": "http://creativecommons.org/licenses/by/4.0/",
    "primary_cat": "econ.TH",
    "submitted_at": "2026-05-17T11:12:45Z",
    "title_canon_sha256": "41678e3636c515c5568c75d88782a631b97f657da9f2ac65950702bee9cacef1"
  },
  "schema_version": "1.0",
  "source": {
    "id": "2605.17388",
    "kind": "arxiv",
    "version": 1
  }
}