[Artificial intelligence and healthcare: why is it difficult to move from the research phase to clinical practice?]

Abstract

Artificial intelligence (AI) is widely regarded as one of the most promising innovations in healthcare, yet its adoption in routine clinical practice remains limited. Only a small proportion of AI applications developed in research settings are successfully integrated into healthcare delivery. Major barriers include poor interoperability with existing health information systems, complex regulatory requirements, limited scientific evidence, and the lack of clear clinical guidelines. Many AI tools have been evaluated through methodologically weak studies, often retrospective and lacking external validation, contributing to skepticism among healthcare professionals. Additional challenges involve healthcare professionals' education and training, algorithm transparency, and the ability of healthcare organizations to effectively incorporate these technologies into clinical workflows. To promote the safe and effective adoption of AI, stronger clinical evidence, structured training programs, and organizational models capable of supporting its implementation are required. Addressing these issues is essential to ensure that AI can deliver meaningful benefits for patients, healthcare professionals, and healthcare systems.