The Human-AI Hybrid Delphi Model: A Structured Framework for Context-Rich, Expert Consensus in Complex Domains
Cathy Speed, Ahmed A. Metwally

TL;DR
The paper introduces a Human-AI Hybrid Delphi framework that combines AI, expert panels, and structured facilitation to improve expert consensus in complex, evidence-rich domains, demonstrating high agreement with human experts and efficient saturation.
Contribution
This study presents a novel hybrid framework integrating AI with expert panels for scalable, context-sensitive consensus development, addressing limitations of traditional methods.
Findings
AI replicated 95% of expert consensus conclusions
AI showed 95% directional agreement with human experts
Panels of six experts achieved >90% consensus coverage
Abstract
Expert consensus plays a critical role in domains where evidence is complex, conflicting, or insufficient for direct prescription. Traditional methods, such as Delphi studies, consensus conferences, and systematic guideline synthesis, offer structure but face limitations including high panel burden, interpretive oversimplification, and suppression of conditional nuance. These challenges are now exacerbated by information overload, fragmentation of the evidence base, and increasing reliance on publicly available sources that lack expert filtering. This study introduces and evaluates a Human-AI Hybrid Delphi (HAH-Delphi) framework designed to augment expert consensus development by integrating a generative AI model (Gemini 2.5 Pro), small panels of senior human experts, and structured facilitation. The HAH-Delphi was tested in three phases: retrospective replication, prospective…
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