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September 18, 2025Journal of the American Medical Informatics Association6 citations

Bridging language gaps in healthcare: a systematic review of the practical implementation of neural machine translation technologies in clinical settings

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İKİbrahim Serhat KarakuşISInna StrechenAGAnkita Gupta

Key Points

  • NMT tools have the potential to improve communication in healthcare, but accuracy varies significantly by language.
  • From 2867 studies identified, only 10 met the criteria, underscoring the limited research in this area.
  • The review underscores that although NMT can improve accessibility, critical errors still hinder clinical adoption.
  • Future research must prioritize ways to enhance evaluation methods and practical integration into clinical workflows.

Abstract

Abstract Objectives Effective communication is crucial in healthcare, and for patients with a non-English language preference (NELP), professional interpreters are recognized as the gold standard in supporting bidirectional communication. However, interpreters are not always readily available, prompting the exploration of other options for translation and interpretation. The recent developments in artificial intelligence-based neural network translation tools, namely neural machine translation (NMT) may enable robust interpretation and translation. Materials and Methods We conducted a systematic review (SR) to evaluate the literature on NMT for this purpose. We did a comprehensive search of several databases with guidance from a professional librarian. The search was limited to the year 2000 onwards and English language. Title and abstract screening and full-text review were independently conducted by two reviewers with conflicts resolved by a third reviewer Results 2867 studies were identified with 10 studies included in the final analysis. Among these, six evaluated interpretation in real or simulated clinical settings and four examined translation of discharge materials. Google Translate and ChatGPT were assessed in several studies. Accuracy differed by language, with low-resource languages performing worse. Discussion NMT technologies in healthcare have several advantages including broad language accessibility and potential cost savings for institutions. Despite improved accuracy of these novel tools, due to possible critical errors NMT tools are not yet ready for widespread clinical use. Conclusion Future studies should focus on optimizing evaluation methods as well as how best to integrate these technologies into real-time clinical settings.

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Cite This Study

Karakuş et al. (2025) studied this question.

synapsesocial.com/papers/68d463f131b076d99fa639c7https://doi.org/10.1093/jamia/ocaf150
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