ChatGPT and Digital Transformation: A Narrative Review of Its Role in Health, Education, and the Economy
Dag Øivind Madsen, David Matthew Toston
Abstract
ChatGPT, a prominent large language model developed by OpenAI, has rapidly become embedded in digital infrastructures across various sectors. This narrative review examines its evolving role and societal implications in three key domains: healthcare, education, and the economy. Drawing on recent literature and examples, the review explores ChatGPT’s applications, limitations, and ethical challenges in each context. In healthcare, the model is used to support patient communication and mental health services, while raising concerns about misinformation and privacy. In education, it offers new forms of personalized learning and feedback, but also complicates assessment and equity. In the economy, ChatGPT augments business operations and knowledge work, yet introduces risks related to job displacement, data governance, and automation bias. The review synthesizes these developments to highlight how ChatGPT is driving digital transformation while generating new demands for oversight, regulation, and critical inquiry. It concludes by outlining priorities for future research and policy, emphasizing the need for interdisciplinary collaboration, transparency, and inclusive access as generative AI continues to evolve.