healthcare chatbot developers

Abstract: Large Language Models (LLMs) are increasingly used for medical self-diagnosis. However, the way demographic cues shape outputs in these interactions remains poorly understood. This is particularly consequential for diagnoses like ADHD, where persistent gender disparities are not fully aligned with the clinical evidence. We adapt the Context Association Test (CAT) to evaluate whether GPT-4o responds to gendered ADHD associations in a zero-shot, self-diagnostic setting. We show that explicit cueing consistently amplifies certain ADHD subtype associations while implicit cueing produces near proxy-aligned distributions. These divergences suggest that explicit demographic cues may activate bias-mitigation mechanisms that over-correct rather than eliminate bias, whereas implicit cues appear to reflect the model's default behavior. Our results demonstrate that evaluating gendered bias in LLM-mediated self-diagnosis requires careful attention to the demographic associations a model encodes.

Abstract: Large language model (LLM) agents increasingly use persistent memory to personalize responses, and personal attributes in this memory pose a privacy risk if exposed. We ask how consulting memory during dialogue changes what users go on to say, and thus what the memory comes to reveal. In multi-session simulations, a simulated user with 24 personal attributes talks with a support agent that does or does not consult memory, and in both settings attributes are inferred from the full accumulated record. Across four support models, memory raises response quality but also empirical leakage, the share of attribute values correctly inferred from the record, by a margin that widens over sessions. The cause is a loop in ordinary, non-adversarial assistance. Memory-conditioned responses carry earlier values forward, often as presuppositions, and users affirm them or leave them uncorrected, so that cues and the agent's own guesses become recorded values. The loop reinforces itself, and removing the agent's mentions of an attribute lowers its later disclosure about twice as much as single-turn effects predict. Users cannot leave it on their own, since correcting a value discloses the attribute, declining to discuss it shifts later predictions toward sensitive values, and incorrect values left in place become entrenched. The loop is best weakened at the agent's response. Instructing the agent not to state or presuppose attributes brings leakage to about the no-memory level while keeping most of the quality gains, whereas filtering or anonymizing what users say or what is stored gives up much of them.

Abstract: Patient-facing triage requires an appropriate care recommendation and recognition of when information is insufficient. We evaluate whether Jev, a decision model that returns probabilities over predefined actions, supports both judgments. Using CARE-Bench, we compare Jev with four general-purpose language models and three input-independent baselines across 925 decision points from 439 public cases. On the public test subset, Jev ranks fourth of five models by macro-F1 (0.461) but has the lowest observed multiclass Brier score (0.610), an 18.7\% improvement over uniform prediction (case-bootstrap 95\% interval, 4.9--31.1\%). Noul has lower binary Brier than Choice (0.215 versus 0.276). A evaluation of 453 HealthBench conversations again gives Jev the lowest observed Brier score (0.299), but measures a distinct emergency-referral judgment. Jev combines lower probability error with missed clarification needs in the four-action task. Asking about information sufficiency separately increases recall but also produces frequent unnecessary clarification assignments.

Abstract: A medical claim's correctness often depends not on the claim alone, but on the clinical structure around it. A claim may require a lab reference range, a causal or conditional link, or patient-specific details to be judged correctly, and atom-level decomposition can fragment these dependencies, leaving the verifier with clinically incomplete claims. We reformulate medical fact-checking around snippet-level verification, where clause-grouped units preserve local clinical structure. We introduce MedSNIP-Bench, a human-annotated benchmark for snippet-level medical fact verification, and MedSNIP, an automatic snippet-generation pipeline. MedSNIP-Bench covers 276 consumer-health and clinical-vignette responses, segmented into 2,524 snippets with dual in-general and in-patient-context labels and six structural pattern codes. MedSNIP is evaluated against human snippet boundaries on MedSNIP-Bench and then used to generate snippet-level units for external corpora. Across MedSNIP-Bench, HealthFC, and MedHallu, snippet-level verification preserves or improves false-class F1, with gains concentrated where answers are long enough to fragment and where the verifier is strong enough to exploit the recovered structure. The largest merge-pattern gain is on causal-conditional clinical chains. It also reduces verifier calls by 24-73%, though the saving survives end-to-end only when decomposition is cheap, which an open-weight decomposer makes possible at no loss of chunking fidelity.

Abstract: We present EmoMed - a multimodal medical consultation agent that adapts its responses based on users' emotional states while maintaining clinical accuracy. The system processes text and medical images, detects affect indicators (anxiety, confusion, urgency) from user input, and adjusts response tone, structure, and detail level accordingly. To ensure factual reliability, the agent grounds clinical information through a dual retrieval mechanism: web-based fact-checking and an API-connected, continuously updated medical knowledge base. We evaluate our approach across seven state-of-the-art language models (GPT-4/5, Qwen3, Llama 4, Gemini 2.5, Grok4, Claude3) using comprehensive metrics including LLM-as-judge assessments, MedQA style accuracy tests, BERT Score, safety/helpfulness ratings, and multimodal medical benchmarks. The results demonstrate that emotionally adaptive responses consistently outperform neutral baseline across evaluation dimensions, without compromising clinical accuracy. A controlled user study validated these findings, with participants reporting improved perceived empathy and communication clarity, while maintaining trust in factual accuracy. Source code: https://github.com/NasonovIvan/EmoMed-Agent