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A Scalable Framework for Evaluating Health Language Models
by
A Ali Heydari
, Hammerquist, Nova
, Prieto, Javier L
, Faranesh, Anthony Z
, Metwally, Ahmed A
, Malhotra, Mark
, Winslow, Brent
, Speed, Cathy
, Patel, Shwetak
, McDuff, Daniel
, Graef, Benjamin
, Liu, Xin
, Mallinar, Neil
in
Automation
/ Biomarkers
/ Boolean
/ Human factors
/ Large language models
/ Questions
2025
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A Scalable Framework for Evaluating Health Language Models
by
A Ali Heydari
, Hammerquist, Nova
, Prieto, Javier L
, Faranesh, Anthony Z
, Metwally, Ahmed A
, Malhotra, Mark
, Winslow, Brent
, Speed, Cathy
, Patel, Shwetak
, McDuff, Daniel
, Graef, Benjamin
, Liu, Xin
, Mallinar, Neil
in
Automation
/ Biomarkers
/ Boolean
/ Human factors
/ Large language models
/ Questions
2025
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Do you wish to request the book?
A Scalable Framework for Evaluating Health Language Models
by
A Ali Heydari
, Hammerquist, Nova
, Prieto, Javier L
, Faranesh, Anthony Z
, Metwally, Ahmed A
, Malhotra, Mark
, Winslow, Brent
, Speed, Cathy
, Patel, Shwetak
, McDuff, Daniel
, Graef, Benjamin
, Liu, Xin
, Mallinar, Neil
in
Automation
/ Biomarkers
/ Boolean
/ Human factors
/ Large language models
/ Questions
2025
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A Scalable Framework for Evaluating Health Language Models
Paper
A Scalable Framework for Evaluating Health Language Models
2025
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Overview
Large language models (LLMs) have emerged as powerful tools for analyzing complex datasets. Recent studies demonstrate their potential to generate useful, personalized responses when provided with patient-specific health information that encompasses lifestyle, biomarkers, and context. As LLM-driven health applications are increasingly adopted, rigorous and efficient one-sided evaluation methodologies are crucial to ensure response quality across multiple dimensions, including accuracy, personalization and safety. Current evaluation practices for open-ended text responses heavily rely on human experts. This approach introduces human factors and is often cost-prohibitive, labor-intensive, and hinders scalability, especially in complex domains like healthcare where response assessment necessitates domain expertise and considers multifaceted patient data. In this work, we introduce Adaptive Precise Boolean rubrics: an evaluation framework that streamlines human and automated evaluation of open-ended questions by identifying gaps in model responses using a minimal set of targeted rubrics questions. Our approach is based on recent work in more general evaluation settings that contrasts a smaller set of complex evaluation targets with a larger set of more precise, granular targets answerable with simple boolean responses. We validate this approach in metabolic health, a domain encompassing diabetes, cardiovascular disease, and obesity. Our results demonstrate that Adaptive Precise Boolean rubrics yield higher inter-rater agreement among expert and non-expert human evaluators, and in automated assessments, compared to traditional Likert scales, while requiring approximately half the evaluation time of Likert-based methods. This enhanced efficiency, particularly in automated evaluation and non-expert contributions, paves the way for more extensive and cost-effective evaluation of LLMs in health.
Publisher
Cornell University Library, arXiv.org
Subject
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