Advances in AI-Augmented Patient Triage and Referral Systems for Community-Based Public Health Initiatives

The integration of artificial intelligence (AI) into community-based public health initiatives is transforming traditional patient triage and referral systems, offering a scalable solution to healthcare access disparities. This paper explores advances in AI-augmented triage and referral technologies, focusing on their role in enhancing decision-making, optimizing resource allocation, and improving health outcomes in underserved communities. These systems leverage natural language processing (NLP), machine learning (ML), and predictive analytics to assess symptoms, prioritize care, and route patients to appropriate healthcare providers based on urgency, availability, and geographic proximity. A systematic examination of current implementations across sub-Saharan Africa, Southeast Asia, and rural North America highlights the growing adoption of AI-driven tools within telehealth platforms, mobile health (mHealth) apps, and community health worker (CHW) support systems. AI-enhanced triage tools have demonstrated improved accuracy in identifying high-risk cases, reducing unnecessary referrals, and decreasing patient wait times. Moreover, these systems can function in low-bandwidth environments and integrate multilingual support, enabling broader usability in diverse populations. Key innovations include chatbots powered by NLP for symptom assessment, ML algorithms trained on epidemiological and electronic health record data to prioritize cases, and referral engines that factor in social determinants of health. Despite these advancements, challenges such as data privacy, algorithmic bias, and the need for local adaptation persist. Community engagement, ethical oversight, and regulatory alignment are essential for building trust and ensuring equitable deployment. This review underscores the transformative potential of AI-augmented triage and referral systems in strengthening community health infrastructure. These technologies offer not only clinical efficiency but also empower CHWs and frontline providers with real-time, evidence-based decision support. To maximize impact, future research should focus on hybrid models that combine AI with human oversight, culturally contextualized system design, and longitudinal impact evaluation on patient health outcomes and system performance.