T. D. Roy

Auditing the Human LLM Autonomy Gap in Clinical Ethics: Development and Application of the Autonomy Index Across 50 Clinical Ethics Vignettes

Background. Respect for autonomy is central to biomedical ethics but is rarely assessed with a structured, reproducible measure. This gap matters as patients, families, and clinicians increasingly use general-purpose language models for health-related questions. We developed the Autonomy Index (AIx) to characterize aut...