SUS audit aided by natural language processing: A comparative evaluation of BERT models in the analysis of health news

Established in 1988, Brazil’s Unified Health System (SUS) faces significant challenges regarding funding, regional inequalities, and resource oversight, necessitating innovative management solutions. Current auditing processes remain inefficient, as manually detecting irregularities within vast volumes of documents is both time-consuming and costly. This study applies Named Entity Recognition (NER) and text classification techniques to analyze health news relevant to SUS audits. We compare the performance of BERT, BERT-CRF, and ModBERTBr models to identify the most effective approach for optimizing content selection, thereby aiding investigations and combating corruption. A controlled experimental design was employed, following a pipeline of tokenization, label alignment, supervised training, and statistical analysis. Models were evaluated using accuracy, recall, precision, F1-score, and Mean Training Time (MTT). In the NER task, BERT-CRF demonstrated superior performance, achieving the best results in recall (0.880), precision (0.855), and F1-score (0.860). Conversely, the standard BERT model achieved the best overall performance in text classification, significantly outperforming ModBERTBr across all metrics.

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Publication Details

Journal
Array
Published
2026-03-11
DOI
https://doi.org/10.1016/j.array.2026.100726
Primary Topic
Text and Document Classification Technologies
Type
article
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article

SUS audit aided by natural language processing: A comparative evaluation of BERT models in the analysis of health news

Lyane Ramalho Cortez, João Paulo Queiroz dos Santos, Antônio Higor Freire de Morais, Luca Pareja Credidio Freire Alves et al.
Array
Text and Document Classification Technologies
article

SUS audit aided by natural language processing: A comparative evaluation of BERT models in the analysis of health news

Lyane Ramalho Cortez, João Paulo Queiroz dos Santos, Antônio Higor Freire de Morais, Luca Pareja Credidio Freire Alves, Raphael Silva Fontes, Samuel Santana de Almeida, Aliete Cunha Oliveira, Gleyson José Pinheiro Caldeira Silva, Alysson Guimarães, Hugo Gonçalo Oliveira, Ricardo Alexsandro de Medeiros Valentim, Guilherme Medeiros Machado, Methanias Colaço
article en

Abstract

Established in 1988, Brazil’s Unified Health System (SUS) faces significant challenges regarding funding, regional inequalities, and resource oversight, necessitating innovative management solutions. Current auditing processes remain inefficient, as manually detecting irregularities within vast volumes of documents is both time-consuming and costly. This study applies Named Entity Recognition (NER) and text classification techniques to analyze health news relevant to SUS audits. We compare the performance of BERT, BERT-CRF, and ModBERTBr models to identify the most effective approach for optimizing content selection, thereby aiding investigations and combating corruption. A controlled experimental design was employed, following a pipeline of tokenization, label alignment, supervised training, and statistical analysis. Models were evaluated using accuracy, recall, precision, F1-score, and Mean Training Time (MTT). In the NER task, BERT-CRF demonstrated superior performance, achieving the best results in recall (0.880), precision (0.855), and F1-score (0.860). Conversely, the standard BERT model achieved the best overall performance in text classification, significantly outperforming ModBERTBr across all metrics.

ArrayVol. 30
Universidade Federal de Sergipe (BR), Instituto Federal do Rio Grande do Norte (BR), Universidade Federal do Rio Grande do Norte (BR), Hospital Universitário Onofre Lopes (BR), École Centrale d'Électronique (FR), Escola Superior de Enfermagem de Coimbra (PT), University of Coimbra (PT)
Peace, Justice and strong institutions
Openalex Percentile: Top 28%
Text and Document Classification Technologies
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