Paper Summary
Paperzilla title
Chatbots in Healthcare: Still in Their Infancy but Promising!
This review examined the use of conversational agents (chatbots) in healthcare. The findings indicate that most chatbots are text-based, delivered through smartphone apps, and use machine learning. The most common chatbot applications are treatment monitoring, health service support, and patient education. Despite generally positive findings on their effectiveness and acceptability, there is a need for more robust evaluations, especially in LMICs, and a standardized evaluation framework.
Possible Conflicts of Interest
One author (TK) is affiliated with the Center for Digital Health Interventions, which is partly funded by a health insurer (CSS), and is also a cofounder of Pathmate Technologies, a company that creates digital clinical pathways.
Identified Weaknesses
Lack of robust evaluation and predominance of small case studies
Most studies included in the review were case studies, thus lacking generalizability. Furthermore, there was a lack of robust evaluation and limited reporting of adverse effects.
Search strategy may have missed some relevant studies
Conversational agents are a novel technology and the terminology used to describe them is still evolving. Some relevant studies using different terminology may have been missed, thus impacting comprehensiveness of the review.
Classification of themes may not be all inclusive
Although the identified themes are based on thorough analysis and team consensus, they may not be all-encompassing and may require further refinement as new conversational agent applications are developed.
Exclusion of studies with poorly reported data may have skewed the results of the review
The review excluded articles with poorly reported evaluation data; therefore, some conversational agent applications may have been missed.
Rating Explanation
This scoping review provides a valuable overview of the current state of conversational agents in healthcare. It highlights the potential benefits and identifies key areas for future research. The limitations mentioned do not detract significantly from the review's overall quality. The identified COI was acknowledged and likely did not significantly affect the results of the review, warranting a rating of 4.
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File Information
Original Title:
Conversational Agents in Health Care: Scoping Review and Conceptual Analysis
Uploaded:
July 14, 2025 at 11:23 AM
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