提出可预测患者情感需求的框架,助力AI医生提前共情。
Empathy Applicability Modeling for General Health Queries
- 基于临床、语境和语言线索,判断患者提问是否需要共情回应。
- 在真实患者提问数据集上,模型性能优于传统方法和零样本基线。
- 适合医疗AI开发、共情系统研究者,尤其关注异步问诊场景。
大型语言模型正越来越多地融入临床工作流程,但往往缺乏临床共情能力,而共情是有效医患沟通的关键。现有NLP框架多聚焦于对医生回应中的共情进行事后标注,难以支持对一般健康咨询中潜在共情需求的前瞻性建模。本文提出情感适用性框架(EAF),基于临床、上下文与语言线索,分类患者提问中情感反应与解读的适用性。我们发布了首个真实患者提问基准数据集,经人类标注员与GPT-4o双重标注,在人类一致样本中观察到显著的人类-模型对齐。通过在人工标注和仅由GPT标注的数据上训练分类器,验证了EAF的有效性:模型表现优异,超越启发式与零样本大模型基线。误差分析揭示持续挑战:隐含痛苦、临床严重性模糊及情境困难,强调需采用多标注者建模、临床医生参与校准及文化多样性标注。EAF为响应生成前识别共情需求提供框架,建立前瞻共情建模基准,并支持异步医疗场景下的共情交流。
原文摘要 · Abstract (English)
LLMs are increasingly being integrated into clinical workflows, yet they often lack clinical empathy, an essential aspect of effective doctor-patient communication. Existing NLP frameworks focus on reactively labeling empathy in doctors' responses but offer limited support for anticipatory modeling of empathy needs, especially in general health queries. We introduce the Empathy Applicability Framework (EAF), a theory-driven approach that classifies patient queries in terms of the applicability of emotional reactions and interpretations, based on clinical, contextual, and linguistic cues. We release a benchmark of real patient queries, dual-annotated by human annotators and GPT-4o. In the subset with human consensus, we also observe substantial human-GPT alignment. To validate EAF, we train classifiers on human-labeled and GPT-only annotations to predict empathy applicability, achieving strong performance and outperforming the heuristic and zero-shot LLM baselines. Error analysis highlights persistent challenges: implicit distress, clinical-severity ambiguity, and contextual hardship, underscoring the need for multi-annotator modeling, clinician-in-the-loop calibration, and culturally diverse annotation. EAF provides a framework for identifying empathy needs before response generation, establishes a benchmark for anticipatory empathy modeling, and enables supporting empathetic communication in asynchronous healthcare.
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