University of Virginia School of Medicine, Charlottesville, VA, USA.
Inquiry. 2024 Jan-Dec;61:469580241290095. doi: 10.1177/00469580241290095.
Natural Language Processing (NLP) is a subset of Artificial Intelligence, specifically focused on understanding and generating human language. NLP technologies are becoming more prevalent in healthcare and hold potential solutions to current problems. Some examples of existing and future uses include: public sentiment analysis in relation to health policies, electronic health record (EHR) screening, use of speech to text technology for extracting EHR data from point of care, patient communications, accelerated identification of eligible clinical trial candidates through automated searches and access of health data to assist in informed treatment decisions. This narrative review aims to summarize the current uses of NLP in healthcare, highlight successful implementation of computational linguistics-based approaches, and identify gaps, limitations, and emerging trends within the subfield of NLP in public health. The online databases Google Scholar and PubMed were scanned for papers published between 2018 and 2023. Keywords "Natural Language Processing, Health Policy, Large Language Models" were utilized in the initial search. Then, papers were limited to those written in English. Each of the 27 selected papers was subject to careful analysis, and their relevance in relation to NLP and healthcare respectively is utilized in this review. NLP and deep learning technologies scan large datasets, extracting valuable insights in various realms. This is especially significant in healthcare where huge amounts of data exist in the form of unstructured text. Automating labor intensive and tedious tasks with language processing algorithms, using text analytics systems and machine learning to analyze social media data and extracting insights from unstructured data allows for better public sentiment analysis, enhancement of risk prediction models, improved patient communication, and informed treatment decisions. In the recent past, some studies have applied NLP tools to social media posts to evaluate public sentiment regarding COVID-19 vaccine use. Social media data also has the capacity to be harnessed to develop pandemic prediction models based on reported symptoms. Furthermore, NLP has the potential to enhance healthcare delivery across the globe. Advanced language processing techniques such as Speech Recognition (SR) and Natural Language Understanding (NLU) tools can help overcome linguistic barriers and facilitate efficient communication between patients and healthcare providers.
自然语言处理 (NLP) 是人工智能的一个分支,专门侧重于理解和生成人类语言。NLP 技术在医疗保健领域越来越普及,为当前的问题提供了潜在的解决方案。现有的和未来的一些应用包括:与健康政策相关的公众情绪分析、电子健康记录 (EHR) 筛查、使用语音转文本技术从护理点提取 EHR 数据、患者沟通、通过自动搜索和访问健康数据来加速识别合格的临床试验候选人,以协助做出明智的治疗决策。本叙述性综述旨在总结 NLP 在医疗保健中的当前应用,强调基于计算语言学方法的成功实施,并确定 NLP 在公共卫生领域中的差距、限制和新兴趋势。在线数据库 Google Scholar 和 PubMed 被扫描以查找 2018 年至 2023 年期间发表的论文。在最初的搜索中使用了“自然语言处理、健康政策、大型语言模型”等关键字。然后,将论文限制为英文撰写的论文。从 27 篇选定的论文中,每篇都经过了仔细的分析,并在本综述中利用了它们与 NLP 和医疗保健的相关性。NLP 和深度学习技术扫描大型数据集,提取各种领域的有价值的见解。在医疗保健领域,这一点尤其重要,因为存在大量的非结构化文本形式的数据。使用语言处理算法自动化劳动密集型和乏味的任务,使用文本分析系统和机器学习分析社交媒体数据并从非结构化数据中提取见解,从而实现更好的公众情绪分析、增强风险预测模型、改善患者沟通和知情治疗决策。在最近,一些研究应用 NLP 工具来评估社交媒体帖子中有关 COVID-19 疫苗使用的公众情绪。社交媒体数据也有潜力基于报告的症状来开发大流行预测模型。此外,NLP 有潜力改善全球的医疗保健服务。高级语言处理技术,如语音识别 (SR) 和自然语言理解 (NLU) 工具,可以帮助克服语言障碍,促进患者和医疗保健提供者之间的高效沟通。