Unmasking and quantifying racial bias of large language models in medical report generation

We find that these models tend to project higher costs and longer hospitalizations for white populations and exhibit optimistic views in challenging medical scenarios with much higher survival rates. These biases, which mirror real-world healthcare disparities, are evident in the generation of patient backgrounds, the association of specific diseases with certain racial and ethnic groups, and disparities in treatment recommendations, etc. CONCLUSIONS: Our findings underscore the critical need for future research to address and mitigate biases in language models, especially in critical healthcare applications, to ensure fair and accurate outcomes for all patients.

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Publication Details

Journal
Communications Medicine
Published
2024-09-10
DOI
https://doi.org/10.1038/s43856-024-00601-z
Citations
70
Primary Topic
Machine Learning in Healthcare
Type
article
Field-Weighted Citation Impact
24.32

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article

Unmasking and quantifying racial bias of large language models in medical report generation

Furong Huang, Zhiyong Lu, Xiaoyu Liu, Qiao Jin et al.
70 citations
Communications Medicine
Machine Learning in Healthcare
24.32
article

Unmasking and quantifying racial bias of large language models in medical report generation

Furong Huang, Zhiyong Lu, Xiaoyu Liu, Qiao Jin, Yifan Yang
article en
70 citations

Abstract

We find that these models tend to project higher costs and longer hospitalizations for white populations and exhibit optimistic views in challenging medical scenarios with much higher survival rates. These biases, which mirror real-world healthcare disparities, are evident in the generation of patient backgrounds, the association of specific diseases with certain racial and ethnic groups, and disparities in treatment recommendations, etc. CONCLUSIONS: Our findings underscore the critical need for future research to address and mitigate biases in language models, especially in critical healthcare applications, to ensure fair and accurate outcomes for all patients.

Communications MedicineVol. 4(1)
National Center for Biotechnology Information (US), University of Maryland, College Park (US)
National Institutes of Health, U.S. National Library of Medicine
Good health and well-being
Openalex Percentile: Top 0%
Machine Learning in Healthcare
24.32
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