Arshana Welivita | Searcharxiv

arXiv2026

Mapping Patient-Perceived Physician Traits from Nationwide Online Reviews with LLMs

Understanding how patients perceive their physicians is essential to improving trust, communication, and satisfaction. Patients increasingly consult large language models (LLMs) to summarize physician reviews and shape provider choices, yet the national landscape of patient-perceived physician traits remains poorly characterized. We present an LLM-based pipeline that extracts ten patient-perceived physician trait scores from review text: five Big-Five-style and five patient-oriented dimensions. From one million U.S. physicians, we analyze 4.1 million reviews of 226,999 physicians. We validate the pipeline through multi-model comparison and human expert benchmarking. LLM and human-rater trait scores from reviews are consistent. Trait scores correlate strongly with review rating scores yet retain substantial independent variance. Two national-scale patterns emerge: male physicians receive higher trait scores across all traits, with the largest gap in clinical competence; specialty differences are driven by encounter context, with surgical specialties leading interpersonal qualities and psychiatry lowest. Cluster analysis identifies four physician archetypes, from "Uniform High" (33.8%, high across traits) to "Uniform Low" (22.6%, low across traits). This map of LLM-derived physician traits exposes how LLMs read the U.S. clinical workforce. Pending clinical validation, it opens future research on fairness, bias, and how LLM-mediated provider search shapes patient choice.

cs.CL↗

arXiv2024

Improving Equity in Health Modeling with GPT4-Turbo Generated Synthetic Data: A Comparative Study

Objective. Demographic groups are often represented at different rates in medical datasets. These differences can create bias in machine learning algorithms, with higher levels of performance for better-represented groups. One promising solution to this problem is to generate synthetic data to mitigate potential adverse effects of non-representative data sets. Methods. We build on recent advances in LLM-based synthetic data generation to create a pipeline where the synthetic data is generated separately for each demographic group. We conduct our study using MIMIC-IV and Framingham "Offspring and OMNI-1 Cohorts" datasets. We prompt GPT4-Turbo to create group-specific data, providing training examples and the dataset context. An exploratory analysis is conducted to ascertain the quality of the generated data. We then evaluate the utility of the synthetic data for augmentation of a training dataset in a downstream machine learning task, focusing specifically on model performance metrics across groups. Results. The performance of GPT4-Turbo augmentation is generally superior but not always. In the majority of experiments our method outperforms standard modeling baselines, however, prompting GPT-4-Turbo to produce data specific to a group provides little to no additional benefit over a prompt that does not specify the group. Conclusion. We developed a method for using LLMs out-of-the-box to synthesize group-specific data to address imbalances in demographic representation in medical datasets. As another "tool in the toolbox", this method can improve model fairness and thus health equity. More research is needed to understand the conditions under which LLM generated synthetic data is useful for non-representative medical data sets.

cs.LG↗