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AI Healthcare Chatbots as Information Infrastructure: A Large-Scale Study of User-Reported Breakdowns

Source

arXiv

arxiv.org/abs/2606.27302v1

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Plain-Language Brief

Researchers analyzed over 15,000 user reviews from 59 AI healthcare chatbot apps to understand the performance of these systems in everyday use. They identified three main issues: access barriers and service unreliability, user experience and interaction quality, billing and customer support issues. Privacy and security concerns were associated with the most negative experiences.

What the Document Says

  • The study explores the performance and impact of AI healthcare chatbots on users.
  • The research analyzed user reviews from 59 AI healthcare chatbot apps, totaling over 15,000 reviews.
  • Three recurring breakdowns were identified: access barriers and service unreliability, user experience and interaction quality, and billing and customer support issues.
  • Privacy and security concerns were associated with the most negative experiences.
  • The findings suggest that failures in access, usability, and trust affect users.
  • The researchers frame AI healthcare chatbots as information infrastructures.

Key Concepts Mentioned

  • AI healthcare chatbots
  • user reviews
  • performance
  • impact
  • information infrastructure
  • breakdowns
  • access barriers
  • service unreliability
  • user experience
  • interaction quality
  • billing issues
  • customer support
  • privacy
  • security

Claims Made by the Document

  • AI healthcare chatbots are increasingly used to support health information seeking and self-management.

Evidence Used

  • The study examines over 15,000 user reviews from 59 AI healthcare chatbot apps.

Methods / Approach

UNKNOWN

Limitations Stated by the Authors

UNKNOWN

Limitations Noted by the Agent

Agent interpretation — not from the source.

UNKNOWN

Open Questions

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Notes for Future Q&A

May include interpretation. Labeled where it does.

UNKNOWN

Raw Abstract / Excerpt

AI healthcare chatbots are increasingly used to support health information seeking and self-management, yet their performance and impact on users remains to be studied. This study examines over 15,000 user reviews from 59 AI healthcare chatbot apps to explore how these systems function in everyday informational and emotional contexts. Topic modeling and interpretive analysis identify three recurring breakdowns: access barriers and service unreliability, user experience and interaction quality, and billing and customer support issues. Privacy and security concerns are associated with the most negative experiences. By framing AI healthcare chatbots as information infrastructures, our findings highlight how failures in access, usability, and trust affect users, offering actionable insights for designers, policymakers, and information professionals aiming to improve digital health systems.