Title | A framework for human evaluation of large language models in healthcare derived from literature review. |
Publication Type | Journal Article |
Year of Publication | 2024 |
Authors | Tam TYu Chow, Sivarajkumar S, Kapoor S, Stolyar AV, Polanska K, McCarthy KR, Osterhoudt H, Wu X, Visweswaran S, Fu S, Mathur P, Cacciamani GE, Sun C, Peng Y, Wang Y |
Journal | NPJ Digit Med |
Volume | 7 |
Issue | 1 |
Pagination | 258 |
Date Published | 2024 Sep 28 |
ISSN | 2398-6352 |
Abstract | With generative artificial intelligence (GenAI), particularly large language models (LLMs), continuing to make inroads in healthcare, assessing LLMs with human evaluations is essential to assuring safety and effectiveness. This study reviews existing literature on human evaluation methodologies for LLMs in healthcare across various medical specialties and addresses factors such as evaluation dimensions, sample types and sizes, selection, and recruitment of evaluators, frameworks and metrics, evaluation process, and statistical analysis type. Our literature review of 142 studies shows gaps in reliability, generalizability, and applicability of current human evaluation practices. To overcome such significant obstacles to healthcare LLM developments and deployments, we propose QUEST, a comprehensive and practical framework for human evaluation of LLMs covering three phases of workflow: Planning, Implementation and Adjudication, and Scoring and Review. QUEST is designed with five proposed evaluation principles: Quality of Information, Understanding and Reasoning, Expression Style and Persona, Safety and Harm, and Trust and Confidence. |
DOI | 10.1038/s41746-024-01258-7 |
Alternate Journal | NPJ Digit Med |
PubMed ID | 39333376 |
PubMed Central ID | PMC11437138 |
Grant List | UL1TR001857 / / U.S. Department of Health & Human Services | National Institutes of Health (NIH) / R01 LM014306 / LM / NLM NIH HHS / United States R01LM014306 / / U.S. Department of Health & Human Services | National Institutes of Health (NIH) / R01 LM014573 / LM / NLM NIH HHS / United States U24TR004111 / / U.S. Department of Health & Human Services | National Institutes of Health (NIH) / |