arXiv Computation and Language By Mingzhe Lu, Xiangru Chen, Jian Qin, Yunpeng Li, Xihan Gao

Accounting for Irregular State Transitions through Belief Estimation in Online Medical Consultation

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The paper introduces PRISM, a framework that separates belief estimation from action selection to handle irregular state transitions in online medical consultations. By maintaining a posterior belief over consultation states, PRISM improves clinical decision accuracy by 22.40 percentage points and response quality by 5.51 BERTScore_F1 points compared to leading LLMs and clinical agents. Ablation studies confirm that oracle state information further enhances response quality across baselines.

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