Evidence map›Paper›PMID 39423004›Full record

ArticleJMIR formative research2024

Fine-Tuned Bidirectional Encoder Representations From Transformers Versus ChatGPT for Text-Based Outpatient Department Recommendation: Comparative Study.

Eunbeen Jo, Hakje Yoo, Jong-Ho Kim, Young-Min Kim, Sanghoun Song, Hyung Joon Joo

Abstract readComparative Study
In one paragraph

Article in JMIR formative research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Eunbeen Jo *Department of Medical Informatics, Korea University College of Medicine, Seoul, Republic of Korea.ORCID 0000-0002-2468-0114
Hakje Yoo *Department of Bio-Mechatronic Engineering, Sungkyunkwan University College of Biotechnology and Bioengineering, Gyeonggi, Republic of Korea.ORCID 0000-0003-4341-5540
Jong-Ho KimKorea University Research Institute for Medical Bigdata Science, Korea University, Seoul, Republic of Korea.ORCID 0000-0002-1309-0821
Young-Min KimSchool of Interdisciplinary Industrial Studies, Hanyang University, Seoul, Republic of Korea.ORCID 0000-0002-6914-901X
Sanghoun SongDepartment of Linguistics, Korea University, Seoul, Republic of Korea.ORCID 0000-0002-4234-232X
Hyung Joon JooDepartment of Medical Informatics, Korea University College of Medicine, Seoul, Republic of Korea.ORCID 0000-0003-1846-8464

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients often struggle with determining which outpatient specialist to consult based on their symptoms. Natural language processing models in health care offer the potential to assist patients in making these decisions before visiting a hospital.

objectiveThis study aimed to evaluate the performance of ChatGPT in recommending medical specialties for medical questions.

methodsWe used a dataset of 31,482 medical questions, each answered by doctors and labeled with the appropriate medical specialty from the health consultation board of NAVER (NAVER Corp), a major Korean portal. This dataset includes 27 distinct medical specialty labels. We compared the performance of the fine-tuned Korean Medical bidirectional encoder representations from transformers (KM-BERT) and ChatGPT models by analyzing their ability to accurately recommend medical specialties. We categorized responses from ChatGPT into those matching the 27 predefined specialties and those that did not. Both models were evaluated using performance metrics of accuracy, precision, recall, and F

resultsChatGPT demonstrated an answer avoidance rate of 6.2% but provided accurate medical specialty recommendations with explanations that elucidated the underlying pathophysiology of the patient's symptoms. It achieved an accuracy of 0.939, precision of 0.219, recall of 0.168, and an F

conclusionsAlthough ChatGPT did not surpass the fine-tuned KM-BERT model in recommending the correct medical specialties, it showcased notable advantages as a conversational artificial intelligence model. By providing detailed, contextually appropriate explanations, ChatGPT has the potential to significantly enhance patient comprehension of medical information, thereby improving the medical referral process.

Indexed as

Natural Language ProcessingHumansOutpatientsReferral and ConsultationRepublic of KoreaAIAI technologyapplicationartificial intelligenceBERTbidirectional encoder representations from transformerschatbotChatGPTconversational agentgenerative pretrained transformerhealth carehealth care applicationlarge language modelmedical specialty predictionnatural language processingquality of care

Identifiers

PMID39423004
PMCPMC11530716

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.