Combating the Bucket Effect:Multi-Knowledge Alignment for Medication Recommendation

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Hauptverfasser: Li, Xiang, Ma, Haixu, Wu, Guanyong, Mu, Shi, Li, Chen, Liang, Shunpan
Format: Preprint
Veröffentlicht: 2025
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author Li, Xiang
Ma, Haixu
Wu, Guanyong
Mu, Shi
Li, Chen
Liang, Shunpan
author_facet Li, Xiang
Ma, Haixu
Wu, Guanyong
Mu, Shi
Li, Chen
Liang, Shunpan
contents Medication recommendation is crucial in healthcare, offering effective treatments based on patient's electronic health records (EHR). Previous studies show that integrating more medication-related knowledge improves medication representation accuracy. However, not all medications encompass multiple types of knowledge data simultaneously. For instance, some medications provide only textual descriptions without structured data. This imbalance in data availability limits the performance of existing models, a challenge we term the "bucket effect" in medication recommendation. Our data analysis uncovers the severity of the "bucket effect" in medication recommendation. To fill this gap, we introduce a cross-modal medication encoder capable of seamlessly aligning data from different modalities and propose a medication recommendation framework to integrate Multiple types of Knowledge, named MKMed. Specifically, we first pre-train a cross-modal encoder with contrastive learning on five knowledge modalities, aligning them into a unified space. Then, we combine the multi-knowledge medication representations with patient records for recommendations. Extensive experiments on the MIMIC-III and MIMIC-IV datasets demonstrate that MKMed mitigates the "bucket effect" in data, and significantly outperforms state-of-the-art baselines in recommendation accuracy and safety.
format Preprint
id arxiv_https___arxiv_org_abs_2504_18096
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Combating the Bucket Effect:Multi-Knowledge Alignment for Medication Recommendation
Li, Xiang
Ma, Haixu
Wu, Guanyong
Mu, Shi
Li, Chen
Liang, Shunpan
Artificial Intelligence
Machine Learning
Medication recommendation is crucial in healthcare, offering effective treatments based on patient's electronic health records (EHR). Previous studies show that integrating more medication-related knowledge improves medication representation accuracy. However, not all medications encompass multiple types of knowledge data simultaneously. For instance, some medications provide only textual descriptions without structured data. This imbalance in data availability limits the performance of existing models, a challenge we term the "bucket effect" in medication recommendation. Our data analysis uncovers the severity of the "bucket effect" in medication recommendation. To fill this gap, we introduce a cross-modal medication encoder capable of seamlessly aligning data from different modalities and propose a medication recommendation framework to integrate Multiple types of Knowledge, named MKMed. Specifically, we first pre-train a cross-modal encoder with contrastive learning on five knowledge modalities, aligning them into a unified space. Then, we combine the multi-knowledge medication representations with patient records for recommendations. Extensive experiments on the MIMIC-III and MIMIC-IV datasets demonstrate that MKMed mitigates the "bucket effect" in data, and significantly outperforms state-of-the-art baselines in recommendation accuracy and safety.
title Combating the Bucket Effect:Multi-Knowledge Alignment for Medication Recommendation
topic Artificial Intelligence
Machine Learning
url https://arxiv.org/abs/2504.18096