Why Do Decision Makers (Not) Use AI? A Cross-Domain Analysis of Factors Impacting AI Adoption

Growing excitement around deploying AI across various domains calls for a careful assessment of how human decision-makers interact with AI-powered systems. In particular, it is essential to understand when decision-makers voluntarily choose to consult AI tools, which we term decision-maker adoption. We interviewed experts across four domains -- medicine, law, journalism, and the public sector -- to explore current AI use cases and perceptions of adoption. From these interviews, we identify key factors that shape decision-maker adoption of AI tools: the decision-maker's background, perceptions of the AI, consequences for the decision-maker, and perceived implications for other stakeholders. We translate these factors into an AI adoption sheet to analyze how decision-makers approach adoption choices through comparative, cross-domain case studies, highlighting how our factors help explain inter-domain differences in adoption. Our findings offer practical guidance for supporting the responsible and context-aware deployment of AI by better accounting for the decision-maker's perspective.