Agentic AI in Healthcare & Medicine: A Seven-Dimensional Taxonomy for Empirical Evaluation of LLM-based Agents
AI 摘要
论文构建七维度分类体系,评估LLM医疗Agent能力,发现发展不均衡。
主要贡献
- 构建了用于评估LLM医疗Agent的七维度分类体系。
- 对49篇相关研究进行了实证分析。
- 揭示了LLM医疗Agent在不同能力维度上的发展不均衡性。
方法论
回顾49篇论文,使用七维度分类体系进行标注(完全实现、部分实现、未实现),量化分析能力普遍性和共现模式。
原文摘要
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, 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% Fully Implemented) whereas Event-Triggered Activation sub-dimenison under Interaction Patterns is largely absent (~92% Not Implemented) and Drift Detection & Mitigation sub-dimension under Adaptation & Learning is rare (~98% Not Implemented). Architecturally, Multi-Agent Design sub-dimension under Framework Typology is the dominant pattern (~82% Fully Implemented) 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% Not Implemented).