HealthcareFuture of AIAI

Why Is Healthcare Still Slow to Adopt AI?

By Dr Antonio Espingardeiro, IEEE Member

Artificial intelligence is reshaping industries, from finance and manufacturing to logistics and education, unlocking new levels of efficiency, insight and automation. In healthcare, however, the pace of adoption remains cautious.  

Despite well-documented potential and growing investment, AI has not yet been fully embedded into clinical practice. This is not a failure of imagination, rather a reflection of healthcare’s unique complexity. 

Medical systems are risk-sensitive by design. They are structured to prioritise safety, consistency and compliance, often at the expense of rapid change. While this is entirely justifiable when patients’ lives are at stake, it can present real barriers to innovation.  

Introducing any new technology into deeply embedded clinical processes takes time – especially when the cost of error is so high. That said, progress is underway. From virtual consultations to surgical robotics and machine learning diagnostics, AI is already playing a growing role in shaping the future of care. 

A new front door to care 

One of the most visible shifts has been the rise of telecare. Virtual consultations, remote monitoring and app-based triage tools became essential during the pandemic and many of these systems have since remained a valued part of the healthcare experience. 

These tools offer a valuable entry point into care, particularly for patients in rural communities or those with limited mobility. They enable earlier interventions, support continuity of care and reduce unnecessary travel and appointment bottlenecks. 

Telecare is not a replacement for traditional care, but a complementary channel. It offers speed and convenience while freeing up in-person resources for those who need them most. In long-term or elderly care, digital tools can also help maintain patient engagement and reduce isolation by enabling better contact with clinicians and family members alike. 

However, equitable access remains a concern. Not all patients have the devices, connectivity or digital literacy needed to benefit fully from virtual care. Without addressing these gaps, there is a risk that telecare exacerbates health inequalities. To be truly transformative, AI-driven systems must be inclusive by design, supporting all patients, not just the digitally confident. 

Smarter systems, stronger support 

Beyond consultations, connected devices are helping patients and clinicians alike monitor health from home. Blood pressure cuffs, glucose monitors and smartwatches can now transmit real-time data back to healthcare teams, giving them a richer view of long-term health trends.  For patients managing chronic conditions, this level of monitoring can lead to more personalised, proactive treatment and reduce the number of emergency interventions. 

Mobile apps are also improving self-management by prompting medication reminders, symptom tracking and activity logging. These tools empower patients to participate more actively in their own care. For people with cognitive decline or memory issues, simple digital prompts can improve adherence and confidence between visits.  

The Internet of Things (IoT) is pushing this even further. Sensors worn on the body or installed in the home can now monitor movement, sleep patterns, temperature and respiration. When combined with AI, this data can be analysed continuously to detect deviations from normal behaviour or physiology.   

For example, a sudden reduction in activity or unusual sleep disruption might trigger an alert to a carer or clinician. This ability to flag subtle changes in real time could prevent more serious incidents, from falls to acute medical deterioration. 

However, to deliver this safely and effectively, data must be secured, standardised and interoperable. Healthcare environments rely on trust, and patients must feel confident that their data is being handled responsibly. It is not enough for systems to work well in isolation, as they also need to work together.  

From intelligent assistance to preventative care 

AI-powered chatbots increasingly support initial triage and symptom checking, directing users to the most appropriate next step – whether that’s self-care, a GP appointment or emergency services. These systems are designed to reduce unnecessary demand and help patients navigate a complex system more efficiently. 

Rather than replace clinical decision-making, these systems have been designed to support it. By learning from past cases, AI-powered tools can identify likely outcomes based on symptom patterns and patient history. When used responsibly and with appropriate human oversight, chatbots can extend clinical capacity and allow healthcare professionals to focus on the most complex or urgent cases. 

In more specialist areas, AI is already making its mark. Robotic surgery platforms now support procedures that require fine control and minimal invasiveness. These systems translate the surgeon’s hand movements into ultra-precise mechanical actions, improving consistency and reducing trauma.  

In diagnostics, machine learning models are being trained on vast datasets to identify patterns too subtle for the human eye. This has already improved early diagnosis in areas such as oncology, ophthalmology and cardiology. 

As these systems mature, they will not only enhance clinical decision-making but also reduce the time between testing and treatment. Automating aspects of data analysis could significantly reduce diagnostic delays, helping to address one of the key bottlenecks in modern healthcare.  

Turning potential into practice 

With all of this said, perhaps the most exciting promise of AI lies in its ability to support a shift from reactive to preventive care. With real-time insights and predictive modelling, clinicians can act before symptoms escalate, reducing hospital admissions and improving long-term outcomes. This also has the potential to reduce pressure on overburdened health systems and lower the cost of care over time. 

Realising this vision, though, will require investment well beyond technology. Infrastructure, training, digital inclusion and robust governance must all be in place. Clinicians need to trust the systems they use. Patients need clarity about how their data is being handled and we all need clear pathways for safe implementation. 

With the right safeguards, AI can indeed become a trusted healthcare sector ally, improving access, reducing inefficiencies and empowering clinicians to focus on what matters most – patient care. 

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