从上下文到护理:在临床语言模型中重新思考耻辱检测
Shefali Haldar1, Oliver Bear Don't Walk Iv2, Sadia Akter3
1Merck Research Laboratories, Merck & Co Inc, 33 Avenue Louis Pasteur, Boston, MA, 02115, United States.
JMIR medical informatics
|October 2, 2025
概括
在健康记录中识别污名化语言需要仔细考虑上下文. 研究人员必须明确表达自己的立场,并使用参与方法,以实现公正,包容性的医疗保健模式.
科学领域:
- 计算语言学计算语言学
- 医疗信息学医学信息学
- 健康社会学健康的社会学.
背景情况:
- 自然语言处理 (NLP) 有助于检测电子健康记录 (EHR) 中的污名化语言.
- 语境信息 (情境和时间) 对于准确的NLP模型性能至关重要.
- 之前的工作强调了在EHR分析中需要具有上下文意识的方法.
研究的目的:
- 强调NLP上下文的重要性,以识别EHR中的污名化语言.
- 倡导研究人员阐明他们的范式和立场.
- 探索社区在定义脱污名化语言方面的差异,并促进包容性医疗保健.
主要方法:
- 建立在现有研究的基础上,有效检测污名化语言.
- 讨论在注释和建模中情况和时间背景的必要性.
- 探索参与和以信任为中心的模型开发方法.
主要成果:
- NLP模型需要仔细考虑情境和时间背景,以准确检测污名化语言.
- 对研究人员范式和立场的明确阐述是必不可少的,特别是在与弱势群体合作时.
- 社区对消除语言污名化的偏好可能会有所不同,这会影响模型的开发.
结论:
- 整合上下文和研究人员的定位性对于开发对EHR的公正NLP工具至关重要.
- 参与和以信任为中心的方法可以通过减轻污名化语言的影响来促进包容性医疗保健.
- 提高意识和促进包容性实践是这些研究策略的关键成果.
相关概念视频
Stereotype Content Model
15.3K
The Stereotype Content Model (SCM) was first proposed by Susan Fiske and her colleagues (Fiske, Cuddy, Glick & Xu, 2002; see also Fiske, 2012 and Fiske, 2017). The SCM specifies that when someone encounters a new group, they will stereotype them based on two metrics: warmth—or that group’s perceived intent, and how likely they are to provide help or inflict harm—and competence—or their ability to carry out that objective. Depending on the warmth-competence...
15.3K
Classification of Illness
8.6K
The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
8.6K
Stereotype Threat and Self-fulfilling Prophecies
41.9K
When we hold a stereotype about a person, we have expectations that he or she will fulfill that stereotype. A self-fulfilling prophecy is an expectation held by a person that alters his or her behavior in a way that tends to make it true. When we hold stereotypes about a person, we tend to treat the person according to our expectations. This treatment can influence the person to act according to our stereotypic expectations, thus confirming our stereotypic beliefs. Research by Rosenthal and...
41.9K
Improving Translational Accuracy
14.1K
Base complementarity between the three base pairs of mRNA codon and the tRNA anticodon is not a failsafe mechanism. Inaccuracies can range from a single mismatch to no correct base pairing at all. The free energy difference between the correct and nearly correct base pairs can be as small as 3 kcal/ mol. With complementarity being the only proofreading step, the estimated error frequency would be one wrong amino acid in every 100 amino acids incorporated. However, error frequencies observed in...
14.1K
Improving Translational Accuracy
3.5K
3.5K
Modeling in Therapy
381
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
381


