Defining AI's role in the care setting remains a key challenge for health systems

Patients and clinicians may share the same ultimate goal of better outcomes and more efficient care, but they are operating within different boundaries when it comes to how AI is used to get there.

Healthcare organizations are now faced with a fundamental challenge: defining where AI should operate within the clinical workflow, and where its influence on clinical judgment must be limited.

In fact, when asked about the barriers to AI adoption in their organization, doctors and nurses cited the cost of implementation, concerns around quality and reliability, and concerns about lack of trustworthy data, as the top three.

Barriers to AI adoption

Bar chart comparing clinician concerns about healthcare technology adoption, including cost of implementation, data quality and reliability, and trust in source data, with higher concern reported by doctors than nurses.
  • Graphic description

    This horizontal bar chart compares three factors impacting clinicians—total clinicians, doctors, and nurses—based on percentage responses. The factors shown are cost of implementation, concerns around quality and reliability, and concern about lack of trustworthy source data. For cost of implementation, nurses report 45%, while total clinicians and doctors show higher values above 45%. For concerns around quality and reliability, nurses report 41%, with total clinicians at approximately 47% and doctors slightly higher. For concern about lack of trustworthy source data, total clinicians report 43%, doctors 48%, and nurses 36%. Across all three factors, doctors consistently report the highest levels of concern, followed by total clinicians, with nurses reporting lower percentages overall. The chart highlights that cost, data reliability, and trust in source data are key concerns in healthcare technology adoption, with variation across clinician groups.

AI tools sponsored by advertising is triggering strong distrust from doctors, nurses and patients

Additionally, concerns about external influence highlight this tension. For instance, 72% of clinicians and 61% of patients are concerned that sponsored outputs could introduce bias into AI-generated responses, with doctors leading the way (77%) in expressing caution about embedded commercial influence. Patients are particularly wary of pharmaceutical sponsorship, with 70% indicating discomfort with how it might affect clinical decision-making.

Concerns about advertising influence on AI responses

Most everyone – whether a provider or a patient, are at least somewhat concerned that tools sponsored by advertising will produce biased answers.


AI only delivers on its promise if clinicians trust it

At the same time, these expectations exist alongside widespread use of general-purpose AI tools such as ChatGPT and Google Gemini, which operate outside the control of the health system and may themselves include advertising or sponsored content. This creates a fundamental disconnect: patients are comfortable exploring information in less regulated environments but are demanding significantly stricter guardrails when that information is used inside the clinical environment.

As a result, clinicians are increasingly tasked with interpreting and validating inputs generated from tools that do not follow the same standards of transparency or oversight required within the health system. This expands the role of the clinician beyond traditional responsibilities, adding a layer of evaluation and contextualization that requires both time and training.

When digital tools are no longer confined to what’s been deployed within the health system, it means organizations are not just implementing AI. They are responding to it, interpreting it, and, in some cases, correcting it in real-time.

Many organizations are not yet equipped to support this shift. Resource constraints and ongoing staffing challenges continue to impact AI implementation plans, with only around 60% of provider organizations expressing confidence in their ability to train and upskill staff and/or effectively leverage AI in patient care.

Taken together, these dynamics suggest that the success of AI in healthcare will depend on the ability of organizations to define and enforce clear boundaries around their use. Without alignment between how patients engage with AI independently and how clinicians are expected to use it within the system, even well-intentioned implementations risk introducing new friction rather than reducing it.

Evaluating AI for use in the care setting

Bar chart showing how clinicians, doctors, and nurses evaluate AI tools for clinical use, with trust in medical sources and workflow integration ranked as top priorities.
  • Graphic description

    This horizontal bar chart shows the percentage of total clinicians, doctors, and nurses who prioritize different factors when evaluating AI tools in healthcare, based on the percent ranking each factor as a top priority (ranked 1 or 2). Across all three groups, 51% report that the tool being built by a trusted medical resource rather than a general technology company is a top priority, and 49% report that seamless integration with existing workflows or software is important. Regulatory backing is selected by 49% of total clinicians, 58% of doctors, and 42% of nurses, indicating higher emphasis among doctors. The ability for the tool to cite its sources and explain how it arrived at a conclusion is selected by 35% of total clinicians, 24% of doctors, and 43% of nurses, showing variation across groups. The least-selected factor is whether the tool is recommended by a colleague, chosen by 16% of total clinicians, 18% of doctors, and 15% of nurses. Overall, the chart shows that trust in the tool’s source and compatibility with existing systems are the most commonly prioritized factors, while peer recommendation is less frequently considered important.

Explore The Future Ready Healthcare Survey Report

Take the pulse of where AI is working in the clinical setting and where there is opportunity to do more as we better understand the unique perceptions of doctors, nurses, and patients around agentic and generative AI.

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