用AI助手提升乡村医疗,帮基层医护做诊断和转诊。
IMAS: A Comprehensive Agentic Approach to Rural Healthcare Delivery
- 用大模型构建智能医疗代理,分五步处理诊疗建议。
- 在多个医学数据集上表现优于传统方法,提升诊断准确性。
- 适合资源匮乏地区医护人员使用,支持本地语言与文化差异。
自新冠疫情以来,全球农村地区因资深医生向城市迁移而面临医疗资源短缺问题。半培训的社区健康工作者(CHWs)和注册执业医师(RMPs)虽填补了部分空缺,但普遍缺乏正规训练。本文提出一种先进的智能医疗代理系统(IMAS),利用大语言模型(LLMs)与智能体架构,通过五个核心模块——翻译、医疗复杂度评估、专家网络集成、最终医疗建议生成与响应简化——实现上下文敏感、自适应且可靠的医疗辅助。系统可完成临床分诊、初步诊断,并识别需专科干预的病例。其设计兼顾文化差异与不同识字水平,能以当地语言输出清晰、可操作的医疗建议。在MedQA、PubMedQA和JAMA数据集上的评估表明,该整合方法显著提升了乡村医疗工作者的能力,使医疗服务对弱势群体更可及、更易理解。论文及相关代码已公开于https://github.com/uheal/imas。
原文摘要 · Abstract (English)
Since the onset of COVID-19, rural communities worldwide have faced significant challenges in accessing healthcare due to the migration of experienced medical professionals to urban centers. Semi-trained caregivers, such as Community Health Workers (CHWs) and Registered Medical Practitioners (RMPs), have stepped in to fill this gap, but often lack formal training. This paper proposes an advanced agentic medical assistant system designed to improve healthcare delivery in rural areas by utilizing Large Language Models (LLMs) and agentic approaches. The system is composed of five crucial components: translation, medical complexity assessment, expert network integration, final medical advice generation, and response simplification. Our innovative framework ensures context-sensitive, adaptive, and reliable medical assistance, capable of clinical triaging, diagnostics, and identifying cases requiring specialist intervention. The system is designed to handle cultural nuances and varying literacy levels, providing clear and actionable medical advice in local languages. Evaluation results using the MedQA, PubMedQA, and JAMA datasets demonstrate that this integrated approach significantly enhances the effectiveness of rural healthcare workers, making healthcare more accessible and understandable for underserved populations. All code and supplemental materials associated with the paper and IMAS are available at https://github.com/uheal/imas.
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