Medical Dialogue Generation via Dual Flow Modeling
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Abstract (arXiv)
Medical dialogue systems (MDS) aim to provide patients with medical services, such as diagnosis and prescription. Since most patients cannot precisely describe their symptoms, dialogue understanding is challenging for MDS. Previous studies mainly addressed this by extracting the mentioned medical entities as critical dialogue history information. In this work, we argue that it is also essential to capture the transitions of the medical entities and the doctor's dialogue acts in each turn, as they help the understanding of how the dialogue flows and enhance the prediction of the entities and dialogue acts to be adopted in the following turn. Correspondingly, we propose a Dual Flow enhanced Medical (DFMed) dialogue generation framework. It extracts the medical entities and dialogue acts used in the dialogue history and models their transitions with an entity-centric graph flow and a sequential act flow, respectively. We employ two sequential models to encode them and devise an interweaving component to enhance their interactions. Experiments on two datasets demonstrate that our method exceeds baselines in both automatic and manual evaluations.
Key facts. Cited by 10 papers in the map (data through 14 Oct 2026). Builds on 15 of its 44 references that are in the map. First posted on arXiv 29 May 2023.
Builds on
15 of 44 references.
References · 15
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- 2017Graph Attention Networkscited by 8,923
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- 2021SimCSE: Simple Contrastive Learning of Sentence Embeddingscited by 2,173
- 2015Building End-To-End Dialogue Systems Using Generative Hierarchical Neural Network Modelscited by 207
- 2020MedDialog: Two Large-scale Medical Dialogue Datasetscited by 161
- 2019End-to-End Knowledge-Routed Relational Dialogue System for Automatic Diagnosiscited by 70
- 2021Semi-Supervised Variational Reasoning for Medical Dialogue Generationcited by 30
- 2020Graph-Evolving Meta-Learning for Low-Resource Medical Dialogue Generationcited by 24
- 2021ReMeDi: Resources for Multi-domain, Multi-service, Medical Dialoguescited by 20
- 2021Diaformer: Automatic Diagnosis via Symptoms Sequence Generationcited by 19
3 more
- 2022DialMed: A Dataset for Dialogue-based Medication Recommendationcited by 12
- 2022"My nose is running.""Are you also coughing?": Building A Medical Diagnosis Agent with Interpretable Inquiry Logicscited by 9
- 2022FlowEval: A Consensus-Based Dialogue Evaluation Framework Using Segment Act Flowscited by 4
Built on by
Citing papers per year: 2024: 3; 2025: 5; 2026: 2.
10 papers.
- 2024MedKP: Medical Dialogue with Knowledge Enhancement and Clinical Pathway Encodingcited by 5
- 2025TRUST: An LLM-Based Dialogue System for Trauma Understanding and Structured Assessmentscited by 3
- 2024Medical Dialogue Generation via Intuitive-then-Analytical Differential Diagnosiscited by 2
- 2024ZALM3: Zero-Shot Enhancement of Vision-Language Alignment via In-Context Information in Multi-Turn Multimodal Medical Dialoguecited by 2
- 2025Enhancing Medical Dialogue Generation through Knowledge Refinement and Dynamic Prompt Adjustmentcited by 1
- 2026From Triage to Discharge: A Survey of NLP Tasks, Methods, and Open Challenges in the Emergency Departmentcited by 1
- 2025Towards conversational assistants for health applications: using ChatGPT to generate conversations about heart failurecited by 0
- 2025GAP: Graph-Assisted Prompts for Dialogue-based Medication Recommendationcited by 0
- 2025Fine-Tuning DialoGPT on Common Diseases in Rural Nepal for Medical Conversationscited by 0
- 2026Understanding Clinical Cognitive Dialogues Using Large Language Modelscited by 0
- 2026Understanding Clinical Cognitive Dialogues Using Large Language Models28 Sep 2026
- 2026From Triage to Discharge: A Survey of NLP Tasks, Methods, and Open Challenges in the Emergency Department23 Aug 2026
- 2025Fine-Tuning DialoGPT on Common Diseases in Rural Nepal for Medical Conversations1 Nov 2025
- 2025Enhancing Medical Dialogue Generation through Knowledge Refinement and Dynamic Prompt Adjustment12 Jun 2025
- 2025GAP: Graph-Assisted Prompts for Dialogue-based Medication Recommendation19 May 2025
- 2025Towards conversational assistants for health applications: using ChatGPT to generate conversations about heart failure6 May 2025
- 2025TRUST: An LLM-Based Dialogue System for Trauma Understanding and Structured Assessments30 Apr 2025
- 2024ZALM3: Zero-Shot Enhancement of Vision-Language Alignment via In-Context Information in Multi-Turn Multimodal Medical Dialogue26 Sep 2024
- 2024MedKP: Medical Dialogue with Knowledge Enhancement and Clinical Pathway Encoding11 Mar 2024
- 2024Medical Dialogue Generation via Intuitive-then-Analytical Differential Diagnosis12 Jan 2024