arXiv:2506.13692cs.CLcs.AI2025-06被引 1

让医疗对话模型既专业又暖心,平衡知识与情感支持。

Balancing Knowledge Delivery and Emotional Comfort in Healthcare Conversational Systems

  • 用大模型重构真实医患对话,加入患者负面情绪并生成安抚回应。
  • 微调后模型在保持医学准确性的同时,显著提升情感安慰能力。
  • 适合医疗AI研发者、对话系统优化人员参考使用。

随着大语言模型的发展,许多对话系统已能为患者提供合理且信息丰富的医疗回应。然而,当患者就诊时,可能因病情严重或紧急而产生负面情绪。若模型能在回答医学问题的同时,根据患者情绪提供适当的安慰与共情,将显著提升诊疗过程的安心感。为此,本文研究了医疗对话中知识传递与情感支持之间的平衡。我们利用大语言模型重写真实交互式医疗对话数据集,生成带有负面情绪的患者提问及旨在安抚情绪的医学回应。该修改后的数据用于对最新大语言模型进行多种微调,使其能够准确生成兼具情感慰藉与建设性建议的回复。实验结果表明,相比原始大模型,本方法显著提升了模型生成情感化回应的能力,同时保持了原有的知识准确性。

原文摘要 · Abstract (English)

With the advancement of large language models, many dialogue systems are now capable of providing reasonable and informative responses to patients' medical conditions. However, when patients consult their doctor, they may experience negative emotions due to the severity and urgency of their situation. If the model can provide appropriate comfort and empathy based on the patient's negative emotions while answering medical questions, it will likely offer a more reassuring experience during the medical consultation process. To address this issue, our paper explores the balance between knowledge sharing and emotional support in the healthcare dialogue process. We utilize a large language model to rewrite a real-world interactive medical dialogue dataset, generating patient queries with negative emotions and corresponding medical responses aimed at soothing the patient's emotions while addressing their concerns. The modified data serves to refine the latest large language models with various fine-tuning methods, enabling them to accurately provide sentences with both emotional reassurance and constructive suggestions in response to patients' questions. Compared to the original LLM model, our experimental results demonstrate that our methodology significantly enhances the model's ability to generate emotional responses while maintaining its original capability to provide accurate knowledge-based answers.

医疗对话情感支持大模型微调

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