While machine learning-based chatbots hold significant potential in healthcare services, a comprehensive synthesis regarding their roles, user demographics, benefits, and limitations remains unavailable, hindering in-depth understanding and future development. This study aims to conduct a bibliometric analysis to identify implementation trends and the research landscape of ML-based chatbot models in healthcare, simultaneously highlighting relevant existing gaps. Analysis of Scopus data using VOSviewer and “Publish or Perish” reveals “machine learning”, “chatbot” and “healthcare” as dominant keywords, indicating intensive research focus areas with stable publication growth. The United States emerges as a central hub for international research collaboration, particularly in AI for malnutrition; however, several outlier countries require further integration. Deep learning algorithms are identified as a crucial methodological trend for future directions. Chatbots possess the potential to revolutionize healthcare by enhancing accessibility and efficiency. Nevertheless, effective implementation necessitates careful consideration of ethical aspects, privacy, and data quality. The identified research gaps underscore the urgency for a holistic synthesis to guide responsible and effective chatbot innovation.
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