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Record W4415402023 · doi:10.3390/informatics12040113

Tailoring Treatment in the Age of AI: A Systematic Review of Large Language Models in Personalized Healthcare

2025· review· en· W4415402023 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueInformatics · 2025
Typereview
Languageen
FieldMedicine
TopicArtificial Intelligence in Healthcare and Education
Canadian institutionsUniversity of Toronto
FundersCoordenação de Aperfeiçoamento de Pessoal de Nível Superior
KeywordsHealth careSoftware deploymentInclusion (mineral)Reliability (semiconductor)eHealthSystematic reviewMEDLINEDigital health

Abstract

fetched live from OpenAlex

Large Language Models (LLMs) are increasingly proposed to personalize healthcare delivery, yet their real-world readiness remains uncertain. We conducted a systematic literature review to assess how LLM-based systems are designed and used to enhance patient engagement and personalization, while identifying open challenges these tools pose. Four digital libraries (Scopus, IEEE Xplore, ACM, and Nature) were searched, yielding 3787 studies; 16 met the inclusion criteria. Most studies, published in 2024, span different types of motivations, architectures, limitations and privacy-preserving approaches. While LLMs show potential in automating patient data collection, recommendation/therapy generation, and continuous conversational support, their clinical reliability is limited. Most evaluations use synthetic or retrospective data, with only a few employing user studies or scalable simulation environments. This review highlights the tension between innovation and clinical applicability, emphasizing the need for robust evaluation protocols and human-in-the-loop systems to guide the safe and equitable deployment of LLMs in healthcare.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Systematic review · Consensus signal: Systematic review
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.051
Threshold uncertainty score0.500

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0030.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.220
GPT teacher head0.496
Teacher spread0.276 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it