sağlık bilimleri dergisi

Bitlis Eren Üniversitesi Sağlık Bilimleri Dergisi

2980-1362

Bitlis Eren Üniversitesi

Health Management

Sağlık Yönetimi

Hospital as a Platform: API-First Healthcare Ecosystems Where AI Agents Coordinate Multi-Institutional Care Pathways

Hastane Platform Olarak: Yapay Zeka Ajanlarının Çok Kurumlu Bakım Yollarını Koordine Ettiği API-Öncelikli Sağlık Ekosistemleri

https://orcid.org/0009-0006-9131-6407

Karcıoğlu

Ufuk Burak

ISTINYE UNIVERSITY

03 31 2026

11 32 44 03 03 2026 03 27 2026

The traditional hospital model is increasingly strained by fragmentation, workforce shortages, and rising chronic disease burdens. This narrative review and conceptual framework proposes redefining hospitals as modular nodes within API-first digital platforms. Drawing on platform economics (Uber/Airbnb analogies), HL7 FHIR interoperability standards, and emerging agentic AI capabilities, the article introduces the Hospital-as-a-Platform model. In this architecture, autonomous AI agents orchestrate dynamic, patient-centric care chains across multiple institutions, enabling seamless coordination, optimized resource utilization, and continuity beyond institutional boundaries. Managerial implications include revenue diversification through platform participation, while applications encompass revolutionized global health tourism via algorithmically matched cross-border pathways. By 2035, hospitals are envisioned as hybrid physical-digital platforms, where physical infrastructure supports high-acuity needs and AI-driven orchestration handles the majority of coordination. The framework offers a strategic blueprint for healthcare leaders to transition toward resilient, ecosystem-centric delivery systems.

Geleneksel hastane modeli, parçalanma, işgücü eksikliği ve artan kronik hastalık yükü nedeniyle giderek zorlanmaktadır. Bu anlatısal derleme ve kavramsal çerçeve, hastaneleri API-öncelikli dijital platformlar içinde modüler düğümler olarak yeniden tanımlamayı önermektedir. Platform ekonomisi (Uber/Airbnb benzetmeleri), HL7 FHIR birlikte çalışabilirlik standartları ve ortaya çıkan ajanik yapay zeka yeteneklerinden yararlanarak makale Hastane-Platform-Olarak modelini sunmaktadır. Bu mimaride, otonom yapay zeka ajanları, birden fazla kurum arasında dinamik, hasta odaklı bakım zincirlerini koordine ederek kesintisiz koordinasyon, optimize kaynak kullanımı ve kurumsal sınırların ötesinde süreklilik sağlar. Yöneticilik açısından platform katılımı yoluyla gelir çeşitlendirmesi gibi etkiler söz konusudur; uygulamalar ise algoritmik olarak eşleştirilen sınır ötesi yollarla dönüştürülmüş küresel sağlık turizmini kapsamaktadır. 2035 yılına gelindiğinde hastaneler, fiziksel altyapının yüksek akut ihtiyaçları desteklediği ve yapay zeka odaklı orkestrasyonun koordinasyonun büyük kısmını üstlendiği hibrit fiziksel-dijital platformlar olarak öngörülmektedir. Çerçeve, sağlık liderlerine dayanıklı, ekosistem odaklı teslimat sistemlerine geçiş için stratejik bir taslak sunmaktadır.

Hospital Artificial Intelligence Digital Health

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