Large Language Models for Patient Comments Multi-Label Classification

Fuente: arXiv
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Main Authors: Sakai, Hajar, Lam, Sarah S., Mikaeili, Mohammadsadegh, Bosire, Joshua, Jovin, Franziska
Format: Preprint
Published: 2024
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author Sakai, Hajar
Lam, Sarah S.
Mikaeili, Mohammadsadegh
Bosire, Joshua
Jovin, Franziska
author_facet Sakai, Hajar
Lam, Sarah S.
Mikaeili, Mohammadsadegh
Bosire, Joshua
Jovin, Franziska
contents Patient experience and care quality are crucial for a hospital's sustainability and reputation. The analysis of patient feedback offers valuable insight into patient satisfaction and outcomes. However, the unstructured nature of these comments poses challenges for traditional machine learning methods following a supervised learning paradigm. This is due to the unavailability of labeled data and the nuances these texts encompass. This research explores leveraging Large Language Models (LLMs) in conducting Multi-label Text Classification (MLTC) of inpatient comments shared after a stay in the hospital. GPT-4 Turbo was leveraged to conduct the classification. However, given the sensitive nature of patients' comments, a security layer is introduced before feeding the data to the LLM through a Protected Health Information (PHI) detection framework, which ensures patients' de-identification. Additionally, using the prompt engineering framework, zero-shot learning, in-context learning, and chain-of-thought prompting were experimented with. Results demonstrate that GPT-4 Turbo, whether following a zero-shot or few-shot setting, outperforms traditional methods and Pre-trained Language Models (PLMs) and achieves the highest overall performance with an F1-score of 76.12% and a weighted F1-score of 73.61% followed closely by the few-shot learning results. Subsequently, the results' association with other patient experience structured variables (e.g., rating) was conducted. The study enhances MLTC through the application of LLMs, offering healthcare practitioners an efficient method to gain deeper insights into patient feedback and deliver prompt, appropriate responses.
format Preprint
id arxiv_https___arxiv_org_abs_2410_23528
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle Large Language Models for Patient Comments Multi-Label Classification
Sakai, Hajar
Lam, Sarah S.
Mikaeili, Mohammadsadegh
Bosire, Joshua
Jovin, Franziska
Computation and Language
Patient experience and care quality are crucial for a hospital's sustainability and reputation. The analysis of patient feedback offers valuable insight into patient satisfaction and outcomes. However, the unstructured nature of these comments poses challenges for traditional machine learning methods following a supervised learning paradigm. This is due to the unavailability of labeled data and the nuances these texts encompass. This research explores leveraging Large Language Models (LLMs) in conducting Multi-label Text Classification (MLTC) of inpatient comments shared after a stay in the hospital. GPT-4 Turbo was leveraged to conduct the classification. However, given the sensitive nature of patients' comments, a security layer is introduced before feeding the data to the LLM through a Protected Health Information (PHI) detection framework, which ensures patients' de-identification. Additionally, using the prompt engineering framework, zero-shot learning, in-context learning, and chain-of-thought prompting were experimented with. Results demonstrate that GPT-4 Turbo, whether following a zero-shot or few-shot setting, outperforms traditional methods and Pre-trained Language Models (PLMs) and achieves the highest overall performance with an F1-score of 76.12% and a weighted F1-score of 73.61% followed closely by the few-shot learning results. Subsequently, the results' association with other patient experience structured variables (e.g., rating) was conducted. The study enhances MLTC through the application of LLMs, offering healthcare practitioners an efficient method to gain deeper insights into patient feedback and deliver prompt, appropriate responses.
title Large Language Models for Patient Comments Multi-Label Classification
topic Computation and Language
url https://arxiv.org/abs/2410.23528