arXiv AI

MIRA: A Bilingual Benchmark for Medical Information Response Audit

MIRA is a bilingual benchmark that evaluates whether large language models (LLMs) provide consistent medical information across different user phrasings, languages, and health literacy levels. It contains 4,320 prompts derived from 60 medically reviewed low‑risk health questions and reveals that models tend to omit key information and offer fewer concrete next steps when responding to low health‑literacy signals, a phenomenon termed Differential Information Dilution (DID). A knowledge‑guided mitigation prompt can reduce this dilution for most models, notably improving Claude and Qwen.

arXiv AI
Jun 6

Evaluating the Utility of Personal Health Records in Personalized Health AI

arXiv:2605. 18937v2 Announce Type: replace Abstract: Patient-managed Personal Health Records (PHRs) promises to empower patients to better understand their health; but information in the record is complex, potentially hindering insights.

By Rory Sayres, Kejia Chen, Ayush Jain, Matthew Thompson, Jonathan Richina, Xiang Yin, Jimmy Hu, Fan Zhang, Bob Lou, Mike Sanchez, Ines Mezerreg, Meredith Schreier, Hamsa Subramaniam, I-Ching Lee, Yugang Jia, Daniel Mcduff, Yossi Matias, Avinatan Hassidim, Dale Webster, Yun Liu, Jackie Barr, Quang Duong
arXiv Computation and Language
Sep 24

Beyond Information Seeking: Severity-Aware Question Supervision for Proactive Medical Dialogue

The paper introduces Expected‑Severity‑Risk (ESR), a new objective for selecting questions in proactive medical dialogue that prioritizes reducing the expected severity of diagnostic errors rather than merely uncertainty. ESR uses population statistics to marginalize over possible answers and distills its rankings into a prefix‑only language policy, enabling deployment without teacher‑side risk computation. Experiments on DDxPlus show ESR cuts high‑severity diagnostic misses by 29.5% and boosts accuracy while adding only 0.14 extra questions per dialogue.

By Chenxuan Li, Xinrong Chen, Luyan Zhang, Peidong Jia, Runfan Zheng, Zhongyu Zhao, Xuecheng Shang, Peixing Wan
arXiv Machine Learning
Jul 17

Addressing Benchmarking Gaps in Large Language Models for Health and Medicine with Dynamic Red-Teaming

arXiv:2508. 00923v3 Announce Type: replace Abstract: Large language models (LLMs) are increasingly used to answer health-related questions and support healthcare workflows, yet evidence for their safety still relies heavily on static benchmarks that can rapidly become obsolete or be optimized against.

By Jiazhen Pan (Cherise), Bailiang Jian (Cherise), Paul Hager (Cherise), Yundi Zhang (Cherise), Che Liu (Cherise), Friederike Jungmann (Cherise), Hongwei Bran Li (Cherise), Julian Canisius (Cherise), Chenyu You (Cherise), Junde Wu (Cherise), Jiayuan Zhu (Cherise), Fenglin Liu (Cherise), Yuyuan Liu (Cherise), Niklas Bubeck (Cherise), Moritz Knolle (Cherise), Chen (Cherise), Chen (Cherise), Christian Wachinger, Zhenyu Gong, Cheng Ouyang, Georgios Kaissis, Benedikt Wiestler, Daniel Rueckert
arXiv Computation and Language
Sep 18

HerHealthEval: Evaluating Multilingual and Register-Sensitive Understanding of Women's Health Communication

HerHealthEval is a controlled evaluation framework that tests multilingual understanding of women's-health communication across English, French, and Modern Standard Arabic. It provides six communicative forms—canonical, clinical, layperson, indirect or hedged, emotionally concerned, and deliberately under-specified—each conveying the same clinical concern except the under-specified form omits details to assess clarification needs. The study evaluates multilingual instruction models and QLoRA-adapted variants on tasks such as concern classification, risk calibration, clarification behavior, parse compliance, and cross-form consistency, revealing that high aggregate accuracy can mask safety-relevant failures and that language-invariant risk labels improve performance.

By Hassan Saeed Hassan Albattra, Mazen Mohammed Bahgat, Rahatara Ferdousi, Hana Essam Sayed Ahmed Amrya, Mariam Mousa
arXiv Computation and Language
Sep 3

HarmReduction: Benchmarking LLMs in Harm Reduction Information Provision to Support People Who Use Drugs

The paper introduces HarmReduction, a benchmark for evaluating large language models (LLMs) on their ability to provide accurate and safe harm reduction information to people who use drugs (PWUD). The benchmark, HR-Basic, contains 2,160 question‑answer‑evidence pairs covering safety boundary checks, quantitative value provision, and polysubstance risk inference. Experiments show that even state‑of‑the‑art LLMs struggle with accuracy and can pose severe safety risks, underscoring the need for a dedicated evaluation framework.

By Kaixuan Wang, Chenxin Diao, Jason T. Jacques, Zhongliang Guo, Shuai Zhao