arXiv:2607.13940cs.AI2026-07

让健康助手能随时间学习用户变化,持续改进服务。

A Self-Evolving Agent for Longitudinal Personal Health Management

论文配图:A Self-Evolving Agent for Longitudinal Personal Health Management
图 1 · 摘自论文原文
  • 构建可自我更新的健康代理,分离公共知识与私人长期记忆。
  • 纵向任务准确率从0.2%提升至45.7%,上下文暴露降低71.7%。
  • 适合需要长期个性化健康管理的应用场景。

个人健康管理贯穿多次互动,但现有健康AI系统多将每次请求孤立处理。我们开发了HealthClaw——一个开源的智能体架构,能根据用户习惯、偏好、测量数据和风险变化动态更新支持能力。该架构将通用安全规则与医学知识与包含个人资料、可复用流程及事件记录的私有长期记忆相分离。每次交互后,通过归纳机制决定哪些内容应更新资料、修改流程、保留为事件或排除。我们在一个合成的全年基准和九个200例生物医学任务上评估了HealthClaw。在900个纵向支持探测中,答案准确率从仅0.2%(当前查询提示)提升至45.7%(HealthClaw),而提示侧上下文暴露比完整历史提示低71.7%。在100个隐私探测中,HealthClaw生成的答案更具隐私保护性且更少出现不安全披露。在生物医学任务中,主要指标平均绝对提升27.0个百分点,七项提升在多重假设检验校正后仍显著。这些离线基准验证了受控自演化记忆在长期个人健康代理中的可行性,但临床有效性仍需前瞻性验证。HealthClaw已在GitHub公开:https://github.com/HC-Guo/HealthClaw。

原文摘要 · Abstract (English)

Personal health management unfolds over repeated encounters, yet most health AI systems treat each request in isolation. We developed HealthClaw, an open-source agent architecture that updates support as a person's routines, preferences, measurements and risks change. It separates shared safety rules and medical knowledge from private longitudinal memory containing profile facts, reusable procedures and episodic traces. After each episode, induction determines what should update the profile, revise a procedure, remain episodic or be excluded. We evaluated HealthClaw with a synthetic year-long benchmark and nine 200-case biomedical tasks. Across 900 longitudinal support probes, answer accuracy increased from 0.2% with current-query prompting to 45.7% with HealthClaw, while prompt-side context exposure was 71.7% lower than with full-history prompting. In 100 privacy probes, HealthClaw produced higher privacy-aware answer quality and fewer unsafe disclosures than both baselines. Across the biomedical tasks, the mean absolute gain in the task-specific primary metric was 27.0 percentage points, and seven gains remained significant after false-discovery-rate correction. These offline benchmarks support governed, self-evolving memory for longitudinal personal health agents, although clinical effectiveness requires prospective evaluation. HealthClaw is publicly available at https://github.com/HC-Guo/HealthClaw.

健康AI长期记忆隐私保护智能体

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