arXivDaily arXiv每日学术速递 周一至周五更新
arXiv周末暂无论文更新,休息一下吧,周末愉快~~
arXiv 2602.21165cs.CLcs.AI
收藏

PVminer: 一个专门领域工具用于在患者生成数据中检测患者声音

PVminer: A Domain-Specific Tool to Detect the Patient Voice in Patient Generated Data

Department Of Emergency Medicine , Yale School of Medicine , 464 Congress Ave , 06519 , CT , USA;Department of Biomedical Informatics \& Data Science , Yale School of Medicine , 100 College Street , 06510 , CT , USA;Department of Social;Behavioral Sciences , Yale School of Public Health , 60 College Street , 06520 , CT , USA;Division of Research , Texas State University , 601 University Dr. , 78666 , TX , USA

Samah Fodeh, Linhai Ma, Yan Wang, Srivani Talakokkul, Ganesh Puthiaraju, Afshan Khan, Ashley Hagaman, Sarah Lowe, Aimee Roundtree

AI总结:

PVminer是一种专门领域NLP工具,通过多标签多类预测任务整合BERT编码器和主题建模,实现对患者声音的高效检测与分类。

摘要:

患者生成的文本,如安全信息、调查和访谈,包含丰富的患者声音(PV)表达,反映了沟通行为和社会决定因素(SDoH)。传统定性编码框架劳动强度大,无法扩展到跨健康系统的大量患者自述信息。现有的机器学习(ML)和自然语言处理(NLP)方法提供了部分解决方案,但往往将以患者为中心的沟通(PCC)和SDoH视为单独任务,或依赖于不适用于面向患者语言的模型。我们介绍了PVminer,一个专门领域NLP框架,用于结构化患者声音在安全患者-提供者沟通中。PVminer将PV检测制定为一个多标签、多类预测任务,整合患者特定的BERT编码器(PV-BERT-base和PV-BERT-large)、无监督主题建模用于主题增强(PV-Topic-BERT)以及微调分类器用于代码、子代码和组合级标签。主题表示在微调和推理期间被纳入以丰富语义输入。PVminer在层次任务中实现了强劲的性能,并优于生物医学和临床预训练基线,实现了82.25%(代码)、80.14%(子代码)和高达77.87%(组合)的F1分数。进一步的消融研究显示,作者身份和基于主题的增强各自贡献了有意义的提升。预训练模型、源代码和文档将公开发布,注释数据集可在请求下用于研究用途。

英文摘要:

Patient-generated text such as secure messages, surveys, and interviews contains rich expressions of the patient voice (PV), reflecting communicative behaviors and social determinants of health (SDoH). Traditional qualitative coding frameworks are labor intensive and do not scale to large volumes of patient-authored messages across health systems. Existing machine learning (ML) and natural language processing (NLP) approaches provide partial solutions but often treat patient-centered communication (PCC) and SDoH as separate tasks or rely on models not well suited to patient-facing language. We introduce PVminer, a domain-adapted NLP framework for structuring patient voice in secure patient-provider communication. PVminer formulates PV detection as a multi-label, multi-class prediction task integrating patient-specific BERT encoders (PV-BERT-base and PV-BERT-large), unsupervised topic modeling for thematic augmentation (PV-Topic-BERT), and fine-tuned classifiers for Code, Subcode, and Combo-level labels. Topic representations are incorporated during fine-tuning and inference to enrich semantic inputs. PVminer achieves strong performance across hierarchical tasks and outperforms biomedical and clinical pre-trained baselines, achieving F1 scores of 82.25% (Code), 80.14% (Subcode), and up to 77.87% (Combo). An ablation study further shows that author identity and topic-based augmentation each contribute meaningful gains. Pre-trained models, source code, and documentation will be publicly released, with annotated datasets available upon request for research use.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

↑