Evidence map›Paper›PMID 40309129›Full record

ArticleJournal of healthcare informatics research2025

Enhancing Patient-Physician Communication: Simulating African American Vernacular English in Medical Diagnostics with Large Language Models.

Yeawon Lee, Chia-Hsuan Chang, Christopher C Yang

Abstract read
In one paragraph

Article in Journal of healthcare informatics research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

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

3 authors.

Yeawon LeeDrexel University, Philadelphia, PA 19104 USA.ORCID 0009-0009-4209-2672
Chia-Hsuan ChangYale University, New Haven, CT 06510 USA.ORCID 0000-0001-9116-8244
Christopher C YangDrexel University, Philadelphia, PA 19104 USA.ORCID 0000-0001-5463-6926

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Effective communication is crucial in reducing health disparities. However, linguistic differences, such as African American Vernacular English (AAVE), can lead to communication gaps between patients and physicians, negatively affecting care and outcomes. This study examines whether large language models (LLMs), specifically GPT-4 and Llama 3.3, can replicate AAVE in simulated clinical dialogues to improve cultural sensitivity. We tested four prompt types-BaseP, DemoP, LingP, and CompP-using United States Medical Licensing Examination (USMLE) case simulations. Statistical analyses on the models' outputs showed a significant difference among prompt types for both GPT-4 ( Supplementary Information: The online version contains supplementary material available at 10.1007/s41666-025-00194-9.

Indexed as

Communication trainingHealth disparitiesLarge language modelPatient-physician communication gapPatient simulation

Identifiers

PMID40309129
PMCPMC12037967

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.