Automatic Evaluation of Healthcare LLMs Beyond Question-Answering

Fuente: arXiv
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Main Authors: Arias-Duart, Anna, Martin-Torres, Pablo Agustin, Hinjos, Daniel, Bernabeu-Perez, Pablo, Ganzabal, Lucia Urcelay, Mallo, Marta Gonzalez, Gururajan, Ashwin Kumar, Lopez-Cuena, Enrique, Alvarez-Napagao, Sergio, Garcia-Gasulla, Dario
Format: Preprint
Published: 2025
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author Arias-Duart, Anna
Martin-Torres, Pablo Agustin
Hinjos, Daniel
Bernabeu-Perez, Pablo
Ganzabal, Lucia Urcelay
Mallo, Marta Gonzalez
Gururajan, Ashwin Kumar
Lopez-Cuena, Enrique
Alvarez-Napagao, Sergio
Garcia-Gasulla, Dario
author_facet Arias-Duart, Anna
Martin-Torres, Pablo Agustin
Hinjos, Daniel
Bernabeu-Perez, Pablo
Ganzabal, Lucia Urcelay
Mallo, Marta Gonzalez
Gururajan, Ashwin Kumar
Lopez-Cuena, Enrique
Alvarez-Napagao, Sergio
Garcia-Gasulla, Dario
contents Current Large Language Models (LLMs) benchmarks are often based on open-ended or close-ended QA evaluations, avoiding the requirement of human labor. Close-ended measurements evaluate the factuality of responses but lack expressiveness. Open-ended capture the model's capacity to produce discourse responses but are harder to assess for correctness. These two approaches are commonly used, either independently or together, though their relationship remains poorly understood. This work is focused on the healthcare domain, where both factuality and discourse matter greatly. It introduces a comprehensive, multi-axis suite for healthcare LLM evaluation, exploring correlations between open and close benchmarks and metrics. Findings include blind spots and overlaps in current methodologies. As an updated sanity check, we release a new medical benchmark --CareQA-- with both open and closed variants. Finally, we propose a novel metric for open-ended evaluations -- Relaxed Perplexity -- to mitigate the identified limitations.
format Preprint
id arxiv_https___arxiv_org_abs_2502_06666
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Automatic Evaluation of Healthcare LLMs Beyond Question-Answering
Arias-Duart, Anna
Martin-Torres, Pablo Agustin
Hinjos, Daniel
Bernabeu-Perez, Pablo
Ganzabal, Lucia Urcelay
Mallo, Marta Gonzalez
Gururajan, Ashwin Kumar
Lopez-Cuena, Enrique
Alvarez-Napagao, Sergio
Garcia-Gasulla, Dario
Computation and Language
Artificial Intelligence
Current Large Language Models (LLMs) benchmarks are often based on open-ended or close-ended QA evaluations, avoiding the requirement of human labor. Close-ended measurements evaluate the factuality of responses but lack expressiveness. Open-ended capture the model's capacity to produce discourse responses but are harder to assess for correctness. These two approaches are commonly used, either independently or together, though their relationship remains poorly understood. This work is focused on the healthcare domain, where both factuality and discourse matter greatly. It introduces a comprehensive, multi-axis suite for healthcare LLM evaluation, exploring correlations between open and close benchmarks and metrics. Findings include blind spots and overlaps in current methodologies. As an updated sanity check, we release a new medical benchmark --CareQA-- with both open and closed variants. Finally, we propose a novel metric for open-ended evaluations -- Relaxed Perplexity -- to mitigate the identified limitations.
title Automatic Evaluation of Healthcare LLMs Beyond Question-Answering
topic Computation and Language
Artificial Intelligence
url https://arxiv.org/abs/2502.06666