Li Jiaxuan, Yang Yunchu, Chen Rong, Zheng Dashun, Pang Patrick Cheong-Iao, Lam Chi Kin, Wong Dennis, Wang Yapeng
Faculty of Applied Sciences, Macao Polytechnic University, Macao, China.
Department of Rehabilitation Medicine, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
PLoS One. 2025 Mar 18;20(3):e0313442. doi: 10.1371/journal.pone.0313442. eCollection 2025.
Valuable findings can be obtained through data mining in patients' online reviews. Also identifying healthcare needs from the patient's perspective can more accurately improve the quality of care and the experience of the visit. Thereby avoiding unnecessary waste of health care resources. The large language model (LLM) can be a promising tool due to research that demonstrates its outstanding performance and potential in directions such as data mining, healthcare management, and more.
We aim to propose a methodology to address this problem, specifically, the recent breakthrough of LLM can be leveraged for effectively understanding healthcare needs from patient experience reviews.
We used 504,198 reviews collected from a large online medical platform, haodf.com. We used the reviews to create Aspect Based Sentiment Analysis (ABSA) templates, which categorized patient reviews into three categories, reflecting the areas of concern of patients. With the introduction of thought chains, we embedded ABSA templates into the prompts for ChatGPT, which was then used to identify patient needs.
Our method has a weighted total precision of 0.944, which was outstanding compared to the direct narrative tasks in ChatGPT-4o, which have a weighted total precision of 0.890. Weighted total recall and F1 scores also reached 0.884 and 0.912 respectively, surpassing the 0.802 and 0.843 scores for "direct narratives in ChatGPT." Finally, the accuracy of the three sampling methods was 91.8%, 91.7%, and 91.2%, with an average accuracy of over 91.5%.
Combining ChatGPT with ABSA templates can achieve satisfactory results in analyzing patient reviews. As our work applies to other LLMs, we shed light on understanding the demands of patients and health consumers with novel models, which can contribute to the agenda of enhancing patient experience and better healthcare resource allocations effectively.
通过对患者在线评论进行数据挖掘可以获得有价值的发现。从患者的角度识别医疗保健需求可以更准确地提高护理质量和就诊体验。从而避免医疗保健资源的不必要浪费。由于研究表明大语言模型(LLM)在数据挖掘、医疗保健管理等方向具有出色的性能和潜力,因此它可能是一个很有前途的工具。
我们旨在提出一种方法来解决这个问题,具体而言,LLM的最新突破可用于从患者体验评论中有效理解医疗保健需求。
我们使用了从大型在线医疗平台好大夫在线(haodf.com)收集的504198条评论。我们使用这些评论创建了基于方面的情感分析(ABSA)模板,该模板将患者评论分为三类,反映了患者关注的领域。通过引入思维链,我们将ABSA模板嵌入到ChatGPT的提示中,然后用于识别患者需求。
我们的方法加权总精度为0.944,与ChatGPT-4o中的直接叙述任务相比表现出色,后者的加权总精度为0.890。加权总召回率和F1分数也分别达到0.884和0.912,超过了“ChatGPT中的直接叙述”的0.802和0.843分数。最后,三种抽样方法的准确率分别为91.8%、91.7%和91.2%,平均准确率超过91.5%。
将ChatGPT与ABSA模板相结合可以在分析患者评论方面取得令人满意的结果。由于我们的工作适用于其他LLM,我们为用新颖模型理解患者和健康消费者的需求提供了思路,这有助于推进提升患者体验和有效优化医疗保健资源分配的议程。