A comprehensive survey of AI agents in healthcare.

Journal: Journal of biomedical informatics
Published Date:

Abstract

OBJECTIVE: This survey aims to systematically map the rapidly evolving landscape of AI agents in healthcare. It addresses the critical need to adapt general-purpose agentic frameworks characterized by autonomy, planning, and tool use to the high-stakes, safety-critical constraints of medical decision-making and patient care. METHODS: We conducted a comprehensive review of over 200 recent studies, synthesizing literature from major academic databases. We developed a holistic taxonomy that traces the full lifecycle of healthcare agents, analyzing perception modalities, core technical architectures, and evaluation protocols specific to autonomous systems. RESULTS: The review presents a quantitative landscape analysis showing exponential growth in the field. We structure the domain into three pillars: (1) Perception of multi-modal clinical data (e.g., EHR, imaging, genomics); (2) Agent Capabilities, including tool use, reasoning, memory, and multi-agent collaboration; and (3) an Application Ecosystem organized by stakeholder roles (clinicians, patients, researchers, and administrators). Additionally, we categorize evaluation frameworks, and discuss the deployment readiness of current systems across technical, evidentiary, and governance dimensions. Finally, we identify challenges for advancing healthcare agents from controlled evaluation toward real-world clinical integration. A continuously updated repository of related papers is available at https://github.com/AgenticHealthAI/Awesome-AI-Agents-for-Healthcare. CONCLUSION: AI agents offer significant potential to enhance healthcare through autonomous reasoning and workflow integration. However, current research remains largely concentrated in benchmark and controlled evaluation settings, and the translation into clinical practice will require advances in reliability, privacy protection, governance, and operational integration.

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