Artificial intelligence language technologies in multilingual healthcare: Grand challenges ahead

Fuente: arXiv
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Autor principal: Briva-Iglesias, Vicent
Formato: Preprint
Publicado: 2026
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author Briva-Iglesias, Vicent
author_facet Briva-Iglesias, Vicent
contents AI language technologies (AILTs), increasingly enabled by large language models (LLMs), are becoming embedded in multilingual healthcare workflows for translation, rewriting, documentation, interpreting, and messaging in language-discordant settings. Yet fluent output is not the same as clinically safe or equitable communication: performance varies across languages, accents, tasks, and workflows, and efficiency gains can hide errors, reduce traceability, and shift responsibility across clinicians, translators, interpreters, and health systems. This narrative review synthesises recent peer-reviewed evidence across written communication, spoken communication, and emerging agentic workflows. Using the Human-Centered AI Language Technology (HCAILT) lens, it examines capabilities, evaluation practices, implementation patterns, and recurrent errors through reliability, safety culture, and trustworthiness. We identify key convergences and contradictions in the literature and propose seven grand challenges for the next phase of research and deployment. Progress, we argue, requires not only better models but also accountable sociotechnical design, calibrated human oversight, and stronger collaboration across MT/NLP, translation studies, HCI, clinical practice, implementation science, and policy.
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publishDate 2026
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spellingShingle Artificial intelligence language technologies in multilingual healthcare: Grand challenges ahead
Briva-Iglesias, Vicent
Computation and Language
Computers and Society
Human-Computer Interaction
AI language technologies (AILTs), increasingly enabled by large language models (LLMs), are becoming embedded in multilingual healthcare workflows for translation, rewriting, documentation, interpreting, and messaging in language-discordant settings. Yet fluent output is not the same as clinically safe or equitable communication: performance varies across languages, accents, tasks, and workflows, and efficiency gains can hide errors, reduce traceability, and shift responsibility across clinicians, translators, interpreters, and health systems. This narrative review synthesises recent peer-reviewed evidence across written communication, spoken communication, and emerging agentic workflows. Using the Human-Centered AI Language Technology (HCAILT) lens, it examines capabilities, evaluation practices, implementation patterns, and recurrent errors through reliability, safety culture, and trustworthiness. We identify key convergences and contradictions in the literature and propose seven grand challenges for the next phase of research and deployment. Progress, we argue, requires not only better models but also accountable sociotechnical design, calibrated human oversight, and stronger collaboration across MT/NLP, translation studies, HCI, clinical practice, implementation science, and policy.
title Artificial intelligence language technologies in multilingual healthcare: Grand challenges ahead
topic Computation and Language
Computers and Society
Human-Computer Interaction
url https://arxiv.org/abs/2605.01441