arXiv subjects

Cosmin Dumitrache

Publications and source records attributed to Cosmin Dumitrache.

3 recordsLinked to original sources

arXiv2026

Improving Medical Communication using Rubric-Guided Counterfactual Recommendations

Text-based telemedicine increasingly relies on lightweight patient feedback, however, such feedback primarily reflects perceived communication quality rather than medical accuracy. We introduce an LM-guided counterfactual recommendation pipeline that discovers and refines interpretable communication features such as tone, personalization, actionability and completeness in addressing patient concerns, without interfering with the medical content. These features are used together with patient-doctor interaction metadata to estimate positive feedback. At inference time, the system searches over low-cost ordinal feature changes and recommends minimal communication changes predicted to increase the probability of positive feedback, while independent auditor models test whether these gains generalize beyond the selection model. Across interactions, recommendations yield a mean +6.41% gain in predicted positive feedback probability under independent auditors, and are non-negative for 93.31% of recommendations. These results suggest that small, interpretable communication changes can capture most predicted gains while preserving the doctor's control over medical reasoning and final wording.

cs.CL↗

arXiv2026

What Makes a Good Doctor Response? A Study on Text-Based Telemedicine

Text-based telemedicine has become an increasingly used mode of care, requiring clinicians to deliver medical advice clearly and effectively in writing. As platforms increasingly rely on patient ratings and feedback, clinicians face growing pressure to maintain satisfaction scores, even though these evaluations often reflect communication quality more than clinical accuracy. We analyse patient satisfaction signals in Romanian text-based telemedicine. Using a sample of anonymised text-based telemedicine consultations, we model feedback as a binary outcome, treating thumbs-up responses as positive and grouping negative or absent feedback into the other class. We extract from doctor responses interpretable, predominantly language-agnostic features (e.g., length, structural characteristics, readability proxies), along with Romanian LIWC psycholinguistic features and politeness/hedging markers where available. We train a classifier with a time-based split and perform SHAP-based analyses, which indicate that metadata dominates prediction, functioning as a strong prior, while characteristics of the response text provide a smaller but actionable signal. In subgroup correlation analyses, politeness and hedging are consistently associated with positive patient feedback, whereas lexical diversity shows a negative association.

cs.CL↗

arXiv2025

Dr.Copilot: A Multi-Agent Prompt Optimized Assistant for Improving Patient-Doctor Communication in Romanian

Text-based telemedicine has become increasingly common, yet the quality of medical advice in doctor-patient interactions is often judged more on how advice is communicated rather than its clinical accuracy. To address this, we introduce Dr. Copilot , a multi-agent large language model (LLM) system that supports Romanian-speaking doctors by evaluating and enhancing the presentation quality of their written responses. Rather than assessing medical correctness, Dr. Copilot provides feedback along 17 interpretable axes. The system comprises of three LLM agents with prompts automatically optimized via DSPy. Designed with low-resource Romanian data and deployed using open-weight models, it delivers real-time specific feedback to doctors within a telemedicine platform. Empirical evaluations and live deployment with 41 doctors show measurable improvements in user reviews and response quality, marking one of the first real-world deployments of LLMs in Romanian medical settings.

cs.CL↗