ISSN2320-2882
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Paper Title

A Comprehensive Survey on Secure and Explainable Retrieval-Augmented Generation for Healthcare Intelligence Systems

Authors

Mr. M. Nagarasan , Mr. Bharath Kumar. J. V , Ms. Raghavi. R , Mr. Ramana. A , Mr. M. Vigneshwara

Keywords

Retrieval-Augmented Generation, Medical AI, Large Language Models, Healthcare NLP, Clinical Decision Support

Abstract

Artificial Intelligence (AI) has significantly advanced healthcare applications including clinical decision support, medical question answering, diagnostic assistance, and longitudinal patient record analysis. However, standalone Large Language Models (LLMs) frequently suffer from hallucination, factual inconsistency, limited domain grounding, and privacy concerns, making them unreliable for high-stakes medical deployment. Retrieval-Augmented Generation (RAG) has emerged as a robust paradigm that integrates external knowledge retrieval with generative modelling to improve factual accuracy and contextual relevance in healthcare systems. Recent research demonstrates the effectiveness of RAG in secure federated medical diagnosis, clinical decision workflows, privacy-aware telehealth systems, multimodal healthcare question answering, ontology-guided retrieval, hybrid sparse-dense optimization, and automated radiology and pathology report generation. Additionally, studies explore bias mitigation, temporal modelling for longitudinal patient data, cross-hospital transfer learning, explainable risk prediction frameworks, and factual consistency evaluation metrics. Despite these advancements, challenges persist in role-based access control, end-to-end encryption, auditability, regulatory compliance, and real-world hospital deployment.

How To Cite

Choose the style your journal or department asks for, then copy it. Every version below is generated from this paper's own record.

IJCRT — journal style
"A Comprehensive Survey on Secure and Explainable Retrieval-Augmented Generation for Healthcare Intelligence Systems", IJCRT - International Journal of Creative Research Thoughts (www.ijcrt.org), ISSN:2320-2882, Vol.14, Issue 3, page no.i10-i24, March 2026, Available :https://ijcrt.org/papers/IJCRT2603963.pdf
APA — 7th edition
Nagarasan, M., V, B. K. J., R, R., A, R., & Vigneshwara, M. (2026). A Comprehensive Survey on Secure and Explainable Retrieval-Augmented Generation for Healthcare Intelligence Systems. International Journal of Creative Research Thoughts, 14(3), i10-i24. https://ijcrt.org/viewpaperforall.php?paper=IJCRT2603963
MLA — 9th edition
Nagarasan, M., et al. "A Comprehensive Survey on Secure and Explainable Retrieval-Augmented Generation for Healthcare Intelligence Systems." International Journal of Creative Research Thoughts, vol. 14, no. 3, 2026, pp. i10-i24, https://ijcrt.org/viewpaperforall.php?paper=IJCRT2603963.
Chicago — 17th, bibliography
Nagarasan, M., et al. "A Comprehensive Survey on Secure and Explainable Retrieval-Augmented Generation for Healthcare Intelligence Systems." International Journal of Creative Research Thoughts 14, no. 3 (2026): i10-i24. https://ijcrt.org/viewpaperforall.php?paper=IJCRT2603963.
Harvard — author–date
Nagarasan, M. et al. (2026) 'A Comprehensive Survey on Secure and Explainable Retrieval-Augmented Generation for Healthcare Intelligence Systems', International Journal of Creative Research Thoughts, 14(3), pp. i10-i24. Available at: https://ijcrt.org/viewpaperforall.php?paper=IJCRT2603963
IEEE — numbered reference
M. Nagarasan, B. K. J. V, R. R, R. A and M. Vigneshwara, "A Comprehensive Survey on Secure and Explainable Retrieval-Augmented Generation for Healthcare Intelligence Systems," IJCRT, vol. 14, no. 3, pp. i10-i24, Mar. 2026.
Vancouver — biomedical
Nagarasan M, V BKJ, R R, A R, Vigneshwara M. A Comprehensive Survey on Secure and Explainable Retrieval-Augmented Generation for Healthcare Intelligence Systems. IJCRT. 2026 Mar;14(3):i10-i24.
AMA — 11th edition
Nagarasan M, V BKJ, R R, A R, Vigneshwara M. A Comprehensive Survey on Secure and Explainable Retrieval-Augmented Generation for Healthcare Intelligence Systems. IJCRT. 2026;14(3):i10-i24. Accessed at https://ijcrt.org/viewpaperforall.php?paper=IJCRT2603963
BibTeX — Zotero, Mendeley, LaTeX
@article{IJCRT2603963, author = {M. Nagarasan and Bharath Kumar. J. V and Raghavi. R and Ramana. A and M. Vigneshwara}, title = {A Comprehensive Survey on Secure and Explainable Retrieval-Augmented Generation for Healthcare Intelligence Systems}, journal = {International Journal of Creative Research Thoughts}, volume = {14}, number = {3}, pages = {i10-i24}, year = {2026}, month = {March}, issn = {2320-2882}, url = {https://ijcrt.org/viewpaperforall.php?paper=IJCRT2603963} }
RIS — EndNote, RefWorks
TY - JOUR AU - Nagarasan, M. AU - V, Bharath Kumar. J. AU - R, Raghavi. AU - A, Ramana. AU - Vigneshwara, M. TI - A Comprehensive Survey on Secure and Explainable Retrieval-Augmented Generation for Healthcare Intelligence Systems T2 - International Journal of Creative Research Thoughts JA - IJCRT VL - 14 IS - 3 PY - 2026 SN - 2320-2882 UR - https://ijcrt.org/viewpaperforall.php?paper=IJCRT2603963 SP - i10-i24 ER -

Issue

Volume 14 Issue 3, March-2026
Pages : i10-i24

Article Information

Pages
i10-i24
Published
March 2026
Registration ID
IJCRT_304158
Published Paper ID
IJCRT2603963
Research Area
Science and Technology
Author Type
Indian Author
Location
India
Licence
CC BY 4.0 · Open Access
ISSN & Impact Factor
2320-2882 · IF 9.17
Downloads
123

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International Journal of Creative Research Thoughts Published by IJCRT Publication
2320-2882 ISSN
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Licence

© 2026 — Authors hold the copyright of this article. This work is licensed under a Creative Commons Attribution 4.0 International License and The Open Definition. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.
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Declarations

Funding

No external funding was received for this study.

Conflict of Interest

The authors declare that they have no conflict of interest.

Acknowledgements

The authors would like to thank the reviewers and the editorial board of International Journal of Creative Research Thoughts for their careful reading and constructive comments, and all colleagues who supported the preparation of this manuscript.

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