Agentic AI in Healthcare and Medicine: A Seven-Dimensional Taxonomy for Empirical Evaluation of LLM-Based Agents

计算机科学 知识管理 标杆管理 类型学 医疗保健 印为红字的 实证研究 能力(人力资源) 核心竞争力 数据科学 经验证据 启发式 分类学(生物学) 决策支持系统 适应(眼睛) 过程管理 认知 循证实践 健康信息学 仿形(计算机编程) 工具箱 临床决策支持系统 人工智能 芯(光纤) 编配 管理科学 循证医学 包裹体(矿物)
作者
Shubham Vatsal,Harsh Dubey,Aditi Singh
出处
期刊:IEEE Access [Institute of Electrical and Electronics Engineers]
卷期号:14: 4840-4863
标识
DOI:10.1109/access.2026.3651218
摘要

Large Language Model (LLM)-based agents that plan, use tools and act has begun to shape healthcare and medicine. Reported studies demonstrate competence on various tasks ranging from EHR analysis and differential diagnosis to treatment planning and research workflows. Yet the literature largely consists of overviews which are either broad surveys or narrow dives into a single capability (e.g., memory, planning, reasoning), leaving healthcare work without a common frame. We address this by reviewing 49 studies using a seven-dimensional taxonomy: Cognitive Capabilities, Knowledge Management, Interaction Patterns, Adaptation & Learning, Safety & Ethics, Framework Typology and Core Tasks & Subtasks with 29 operational sub-dimensions. Using explicit inclusion and exclusion criteria and a labeling rubric (Fully Implemented ✓, Partially Implemented Δ, Not Implemented ✗), we map each study to the taxonomy and report quantitative summaries of capability prevalence and co-occurrence patterns. Our empirical analysis surfaces clear asymmetries. For instance, the External Knowledge Integration sub-dimension under Knowledge Management is commonly realized (∼76% ✓) whereas Event-Triggered Activation sub-dimenison under Interaction Patterns is largely absent (∼92% ✗) and Drift Detection & Mitigation sub-dimension under Adaptation & Learning is rare (∼98% ✗). Architecturally, Multi-Agent Design sub-dimension under Framework Typology is the dominant pattern (∼82% ✓) while orchestration layers remain mostly partial. Across Core Tasks & Subtasks, information centric capabilities lead e.g., Medical Question Answering & Decision Support and Benchmarking & Simulation, while action and discovery oriented areas such as Treatment Planning & Prescription still show substantial gaps (∼59% ✗). Together, these findings provide an empirical baseline indicating that current agents excel at retrieval-grounded advising but require stronger adaptation and compliance platforms to move from early-stage systems to dependable systems.
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