Position: Multi-Agent Algorithmic Care Systems Demand Contestability for Trustworthy AI

Multi-agent systems (MAS) are increasingly used in healthcare to support complex decision-making through collaboration among specialized agents. Because these systems act as collective decision-makers, they raise challenges for trust, accountability, and human oversight. Existing approaches to trustworthy AI largely rely on explainability, but explainability alone is insufficient in multi-agent settings, as it does not enable care partners to challenge or correct system outputs. To address this limitation, Contestable AI (CAI) characterizes systems that support effective human challenge throughout the decision-making lifecycle by providing transparency, structured opportunities for intervention, and mechanisms for review, correction, or override. This position paper argues that contestability is a necessary design requirement for trustworthy multi-agent algorithmic care systems. We identify key limitations in current MAS and Explainable AI (XAI) research and present a human-in-the-loop framework that integrates structured argumentation and role-based contestation to preserve human agency, clinical responsibility, and trust in high-stakes care contexts.

An Online, Adaptive and Unsupervised Regression Framework with Drift Detection for Label Scarcity Contexts

In scenarios where obtaining real-time labels proves challenging, conventional approaches may result in sub-optimal performance. This paper presents an optimal strategy for streaming contexts with limited labeled data, introducing an adaptive technique for unsupervised regression. The proposed method leverages a sparse set of initial labels and introduces an innovative drift detection mechanism to enable dynamic model adaptations in response to evolving patterns in the data. To enhance adaptability, we integrate the ADWIN (ADaptive WINdowing) algorithm with error generalization based on Root Mean Square Error (RMSE). ADWIN facilitates real-time drift detection, while RMSE provides a robust measure of model prediction accuracy. This combination enables our multivariate method to effectively navigate the challenges of streaming data, continuously adapting to changing patterns while maintaining a high level of predictive precision. Finally, we evaluate the performance of our multivariate method across various public datasets, comparing it to non-adapting baselines. Through comprehensive assessments, we demonstrate the superior efficacy of our adaptive regression technique for tasks where obtaining labels in real-time is a significant challenge. The results underscore the method's capacity to outperform traditional approaches and highlight its potential in scenarios characterized by label scarcity and evolving data patterns.