用对话AI帮患者识别症状并推荐科室,让看病更简单。
C-PATH: Conversational Patient Assistance and Triage in Healthcare System
- 基于LLaMA3架构,通过多阶段微调提升医学对话能力。
- 在真实对话数据上表现优异,推荐准确率显著高于基线模型。
- 适合医疗健康类AI应用开发人员和数字医疗研究者参考。
就医过程复杂,常令患者难以及时获得恰当诊疗。本文提出C-PATH(Conversational Patient Assistance and Triage in Healthcare),一种基于大语言模型(LLMs)的对话式AI系统,通过自然、多轮对话帮助患者识别症状并推荐合适的医疗科室。C-PATH在LLaMA3架构基础上,经过医学知识、对话数据与临床摘要的多阶段微调。核心贡献包括一个基于GPT的数据增强框架,将DDXPlus中的结构化临床知识转化为通俗易懂的对话形式,实现与患者沟通习惯对齐;同时设计了可扩展的对话历史管理策略,保障长程对话连贯性。评估显示,使用GPTScore在清晰度、信息量和推荐准确性等维度表现良好。定量测试表明,C-PATH在经GPT重写的对话数据集上性能优于领域专用基线模型,显著提升诊断建议质量。C-PATH为构建以用户为中心、可及性强且精准的数字健康辅助与分诊工具提供了新范式。
原文摘要 · Abstract (English)
Navigating healthcare systems can be complex and overwhelming, creating barriers for patients seeking timely and appropriate medical attention. In this paper, we introduce C-PATH (Conversational Patient Assistance and Triage in Healthcare), a novel conversational AI system powered by large language models (LLMs) designed to assist patients in recognizing symptoms and recommending appropriate medical departments through natural, multi-turn dialogues. C-PATH is fine-tuned on medical knowledge, dialogue data, and clinical summaries using a multi-stage pipeline built on the LLaMA3 architecture. A core contribution of this work is a GPT-based data augmentation framework that transforms structured clinical knowledge from DDXPlus into lay-person-friendly conversations, allowing alignment with patient communication norms. We also implement a scalable conversation history management strategy to ensure long-range coherence. Evaluation with GPTScore demonstrates strong performance across dimensions such as clarity, informativeness, and recommendation accuracy. Quantitative benchmarks show that C-PATH achieves superior performance in GPT-rewritten conversational datasets, significantly outperforming domain-specific baselines. C-PATH represents a step forward in the development of user-centric, accessible, and accurate AI tools for digital health assistance and triage.
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