Dermatologist or AI? Patient Preferences in Skin Assessment - Scorecard - MDSpire
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Dermatologists Versus AI: Public Trust and Preferences for Facial Skin Assessment

  • By

  • Grace Z. Armstrong

  • Chenan A. Huang

  • Anna K. Martino

  • Steven R. Feldman

  • November 10, 2026

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Clinical Scorecard: Dermatologists Versus AI: Public Trust and Preferences for Facial Skin Assessment

At a Glance

CategoryDetail
ConditionPublic perceptions of AI and dermatologist-led facial skin assessment and skincare planning
Key MechanismsCross-sectional survey comparing confidence, trust, comfort, self-consciousness, and privacy and data-security concerns
Target Population147 English-fluent adults aged 18 years or older recruited through Amazon Mechanical Turk
Care SettingSurvey-based assessment of public attitudes toward AI and dermatologist use in skincare evaluation and management

Key Highlights

  • Participants reported greater confidence in dermatologists than AI for facial-feature evaluation (mean 4.37 vs. 3.82; P < 0.001).
  • Trust in dermatologists for developing a skincare management plan was higher than trust in AI (mean 4.46 vs. 3.87; P < 0.001).
  • Comfort with skin evaluation was comparable between dermatologists and AI (mean 4.19 vs. 4.01; P = 0.124).
  • AI security concerns were reported by 69% of participants; 66% expressed trust in AI safeguards.
  • Among the 129 participants who had previously used AI skincare or cosmetic tools, confidence and trust were higher for dermatologists; self-consciousness was lower during dermatologist evaluations than AI evaluations.

Guideline-Based Recommendations

Diagnosis

    Management

      Monitoring & Follow-up

        Risks

          Patient & Prescribing Data

          147 adults recruited through Amazon Mechanical Turk; mean age 39 ± 10 years, 59% men and 41% women.

          No treatment was administered. The survey assessed preferences and perceptions of AI versus dermatologists for facial skin evaluation and skincare planning.

          Clinical Best Practices

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