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  4. Objective Approaches in a Subjective Medical World

Objective Approaches in a Subjective Medical World

File(s)
Hao_cornellgrad_0058F_14995.pdf (14.55 MB)
Permanent Link(s)
https://doi.org/10.7298/2hbg-cj92
https://hdl.handle.net/1813/126597
Collections
Cornell Theses and Dissertations
Author
Hao, Yuexing
Abstract

Large Language Models (LLM) emerge to became a powerful approach in the medical field. From summarizing clinical notes to making personalized predictions in clinical outcomes, LLM shows its strong capabilities in assisting human-centered clinical journey. Meanwhile, LLM integrations in clinics reveal vulnerabilities, including the potential for harmful and biased responses, hallucinations, unexplainable content generation, and a lack of comprehensive measurements to validate the accuracy and reliability of the generated content. My dissertation focuses on designing and measuring how these LLM approaches can address multiple facets of challenges in human-centered healthcare delivery: what are the current landscape in LLM integrations in the medical decision-making? How to integrate and deploy LLM for patient-centered shared decision-making process? How to align these LLM prediction process with the medical domain experts? In this thesis, we explore these questions from a varieties of perspectives. First we conduct a systematic review and meta-analysis to understand the existing trends and measurements of large language model integrations in cancer decision-making. Then, for the integration and interaction chapters, we explore how cancer patients and LLMs can collaborate in the shared decision-making process, and how to design LLMs to enhance patient education. Lastly, during implementation, we develop a benchmark to measure how LLM relevance estimates differ from clinical domain experts. We conclude in with open directions for future research.

Description
396 pages
Date Issued
2026-05
Keywords
Aging
•
AI for Healthcare
•
Artificial Intelligence
•
Clinical Decision Science
•
Human Computer Interaction
Committee Chair
Kalantari, Saleh
Committee Member
Vashistha, Aditya
Loeckenhoff, Corinna
Margolin, Drew
Taylor, Angelique
Degree Discipline
Design and Environmental Analysis
Degree Name
Ph. D., Design and Environmental Analysis
Degree Level
Doctor of Philosophy
Rights
Attribution 4.0 International
Rights URI
https://creativecommons.org/licenses/by/4.0/
Type
dissertation or thesis

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