TY - JOUR
T1 - Modeling Clinician Preferences in AI-Assisted Drafting: A Human-in-the-Loop Adaptation Theory
AU - Siti Rahman
AU - Ahmad Zaki
AU - Nurul Huda
JF - Journal of Health Informatics and Digital Systems
JO - J. Health Inform. Digit. Syst.
SN - 3149-8973
Y1 - 2024
VL - 4
IS - 1
SP - 36
N2 - The integration of generative artificial intelligence into clinical documentation workflows promises substantial efficiency gains yet introduces persistent misalignment between AI-generated drafts and individual clinician judgment. This conceptual systems research article advances a novel human-in-the-loop adaptation theory that explicitly models clinician preferences as dynamic, context-sensitive inputs rather than static constraints. Drawing on peer-reviewed evidence, the manuscript synthesizes how preference elicitation, real-time adaptation, and closed-loop governance can transform AI-assisted drafting from a supplementary tool into a co-evolutionary clinical intelligence infrastructure.Central to the contribution is the introduction of the clinician preference orchestration and adaptation framework (CPOAF), a layered architectural model featuring four interdependent strata and a star-topology feedback mechanism that propagates preference drift signals radially from peripheral clinician nodes to a central orchestration engine. Three interpretive mathematical constructs—decision confidence, monitoring burden, and drift sensitivity—are formalized to guide theoretical deployment without empirical benchmarking.The framework addresses governance constraints, data-modality specificity, and deployment-environment heterogeneity while preserving clinician autonomy. By foregrounding preference modeling as the core adaptive mechanism, CPOAF offers a scalable infrastructural blueprint for next-generation AI-assisted drafting systems that remain clinically grounded, ethically defensible, and institutionally sustainable. Implications extend to health-system informatics, regulatory science, and human-centered AI design.
UR - https://cirpublications.com/z142477894
ER -