Position: Multi-Agent Algorithmic Care Systems Demand Contestability for Trustworthy AI

Fuente: arXiv
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Autores principales: Nguyen, Truong Thanh Hung, Fournier, Hélène, Jackson, Piper, Itoh, Makoto, Freeman, Shannon, Richard, Rene, Cao, Hung
Formato: Preprint
Publicado: 2026
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author Nguyen, Truong Thanh Hung
Fournier, Hélène
Jackson, Piper
Itoh, Makoto
Freeman, Shannon
Richard, Rene
Cao, Hung
author_facet Nguyen, Truong Thanh Hung
Fournier, Hélène
Jackson, Piper
Itoh, Makoto
Freeman, Shannon
Richard, Rene
Cao, Hung
contents Multi-agent systems (MAS) are increasingly used in healthcare to support complex decision-making through collaboration among specialized agents. Because these systems act as collective decision-makers, they raise challenges for trust, accountability, and human oversight. Existing approaches to trustworthy AI largely rely on explainability, but explainability alone is insufficient in multi-agent settings, as it does not enable care partners to challenge or correct system outputs. To address this limitation, Contestable AI (CAI) characterizes systems that support effective human challenge throughout the decision-making lifecycle by providing transparency, structured opportunities for intervention, and mechanisms for review, correction, or override. This position paper argues that contestability is a necessary design requirement for trustworthy multi-agent algorithmic care systems. We identify key limitations in current MAS and Explainable AI (XAI) research and present a human-in-the-loop framework that integrates structured argumentation and role-based contestation to preserve human agency, clinical responsibility, and trust in high-stakes care contexts.
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publishDate 2026
record_format arxiv
spellingShingle Position: Multi-Agent Algorithmic Care Systems Demand Contestability for Trustworthy AI
Nguyen, Truong Thanh Hung
Fournier, Hélène
Jackson, Piper
Itoh, Makoto
Freeman, Shannon
Richard, Rene
Cao, Hung
Artificial Intelligence
Multiagent Systems
Multi-agent systems (MAS) are increasingly used in healthcare to support complex decision-making through collaboration among specialized agents. Because these systems act as collective decision-makers, they raise challenges for trust, accountability, and human oversight. Existing approaches to trustworthy AI largely rely on explainability, but explainability alone is insufficient in multi-agent settings, as it does not enable care partners to challenge or correct system outputs. To address this limitation, Contestable AI (CAI) characterizes systems that support effective human challenge throughout the decision-making lifecycle by providing transparency, structured opportunities for intervention, and mechanisms for review, correction, or override. This position paper argues that contestability is a necessary design requirement for trustworthy multi-agent algorithmic care systems. We identify key limitations in current MAS and Explainable AI (XAI) research and present a human-in-the-loop framework that integrates structured argumentation and role-based contestation to preserve human agency, clinical responsibility, and trust in high-stakes care contexts.
title Position: Multi-Agent Algorithmic Care Systems Demand Contestability for Trustworthy AI
topic Artificial Intelligence
Multiagent Systems
url https://arxiv.org/abs/2603.20595