A Future of Self-Directed Patient Internet Research: Large Language Model-Based Tools Versus Standard Search Engines.

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Tác giả: Elizabeth Enichen, Dhruva Gupta, Nathan Hall, Erica Koranteng, Adam B Landman, William Marks, Andrew Mu, Arya Rao, Sanjay Saini, Michael J Senter-Zapata, Marc D Succi, Benjamin A White, David C Whitehead

Ngôn ngữ: eng

Ký hiệu phân loại:

Thông tin xuất bản: United States : Annals of biomedical engineering , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 741385

 PURPOSE: As generalist large language models (LLMs) become more commonplace, patients will inevitably increasingly turn to these tools instead of traditional search engines. Here, we evaluate publicly available LLM-based chatbots as tools for patient education through physician review of responses provided by Google, Bard, GPT-3.5 and GPT-4 to commonly searched queries about prevalent chronic health conditions in the United States. METHODS: Five distinct commonly Google-searched queries were selected for (i) hypertension, (ii) hyperlipidemia, (iii) diabetes, (iv) anxiety, and (v) mood disorders and prompted into each model of interest. Responses were assessed by board-certified physicians for accuracy, comprehensiveness, and overall quality on a five-point Likert scale. The Flesch-Kincaid Grade Levels were calculated to assess readability. RESULTS: GPT-3.5 (4.40 ± 0.48, 4.29 ± 0.43) and GPT-4 (4.35 ± 0.30, 4.24 ± 0.28) received higher ratings in comprehensiveness and quality than Bard (3.79 ± 0.36, 3.87 ± 0.32) and Google (1.87 ± 0.42, 2.11 ± 0.47), all p <
  0.05. However, Bard (9.45 ± 1.35) and Google responses (9.92 ± 5.31) had a lower average Flesch-Kincaid Grade Level compared to GPT-3.5 (14.69 ± 1.57) and GPT-4 (12.88 ± 2.02), indicating greater readability. CONCLUSION: This study suggests that publicly available LLM-based tools may provide patients with more accurate responses to queries on chronic health conditions than answers provided by Google search. These results provide support for the use of these tools in place of traditional search engines for health-related queries.
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