Negotiating Human–AI Complementarity in Geriatric and Palliative Care: A Qualitative Study of Healthcare Practitioners’ Perspectives in Northeast China

Artificial intelligence (AI) is becoming increasingly significant in healthcare around the world, especially in China, where rapid population ageing coincides with rising expectations for quality of life and a shrinking care workforce. This study explores Chinese health practitioners’ perspectives on using AI assistants in integrated geriatric and palliative care. Drawing on Actor–Network Theory, care is viewed as a network of interconnected human and non-human actors, including practitioners, technologies, patients and policies. Based in Northeast China, a region with structurally marginalised healthcare infrastructure, this article analyses qualitative interviews with 14 practitioners. Our findings reveal three key themes: (1) tensions between AI’s rule-based logic and practitioners’ human-centred approach; (2) ethical discomfort with AI performing intimate or emotionally sensitive care, especially in end-of-life contexts; (3) structural inequalities, with weak policy and infrastructure limiting effective AI integration. The study highlights that AI offers clearer benefits for routine geriatric care, such as monitoring and basic symptom management, but its utility is far more limited in the complex, relational and ethically sensitive domain of palliative care. Proposing a model of human–AI complementarity, the article argues that technology should support rather than replace the emotional and relational aspects of care and identifies policy considerations for ethically grounded integration in resource-limited contexts.