Evidence map›Paper›PMID 42194493›Full record

ReviewHealthcare (Basel, Switzerland)2026

A Review of Data Engineering in United States Healthcare Infrastructure.

Elizabeth A Trader, Sahar Hooshmand, Paniz Abedin, Jaeyoung Park, Varadraj Gurupur

Abstract readReview
In one paragraph

Review in Healthcare (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Elizabeth A TraderDepartment of Electrical and Computer Engineering, University of Central Florida, 4000 Central Florid Blvd, Orlando, FL 32816, USA.
Sahar HooshmandDepartment of Computer Science, California State University Dominguez Hills, 1000 E. Victoria Street, Carson, CA 90747, USA.ORCID 0009-0009-9685-2470
Paniz AbedinDepartment of Computer Science, Florida Polytechnic University, 4700 Research Way, Lakeland, FL 33805, USA.
Jaeyoung ParkCenter for Decision Support Systems and Informatics, University of Central Florida, 4000 Central Florid Blvd, Orlando, FL 32816, USA.ORCID 0000-0002-9586-5570
Varadraj GurupurSchool of Global Health Management and Informatics, University of Central Florida, 4000 Central Florid Blvd, Orlando, FL 32816, USA.ORCID 0000-0001-5723-7998

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

With the rapid advancements in artificial intelligence (AI) and machine learning (ML), the role of data engineering has become increasingly critical due to the growing demands for high-quality, large-scale, and well-structured datasets required to train reliable predictive models. Healthcare is one of the most data-intensive industries and has demonstrated strong potential for AI-driven automation in clinical decision support, diagnostics, and operational efficiency. However, healthcare data is often fragmented across multiple systems, inconsistently formatted, and constrained by privacy and regulatory requirements, creating significant barriers to scalable AI adoption. In this review, we examine recent research on healthcare data engineering and AI applications, focusing on how data pipelines, interoperability, and governance frameworks support or limit real-world deployment. This review examined 68 peer-reviewed studies published between 2018 and 2026 across multiple clinical domains, including oncology, cardiovascular disease, infectious disease, neurological disorders, medical imaging, and algorithmic frameworks for explainability and fairness. The reviewed literature shows that while AI models achieve promising performance across these domains, the lack of standardized data architectures and interoperable infrastructure remains a primary bottleneck. The purpose of this study is to highlight key challenges and emerging solutions in healthcare data engineering and outline the future directions needed to support safe, scalable, and trustworthy AI integration in the United States healthcare system. The intended core contributions of this article are to: (i) identify the need for reliable AI systems for healthcare, (ii) explore challenges associated with implementing AI systems in healthcare from a data engineer's perspective, and (iii) analyze key limitations of data engineering as it applies to the implementation of AI systems in healthcare. It must be noted that one of the key limitations of this narrative review is that the authors mostly used citations from MDPI journals.

Indexed as

artificial intelligencedata integrationelectronic health records (EHRs)healthcare data engineeringhealth informaticsmachine learning

Identifiers

PMID42194493
PMCPMC13206101

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.