Evaluating Large Language Models for Health-related Queries with Presuppositions
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Abstract (arXiv)
As corporations rush to integrate large language models (LLMs) to their search offerings, it is critical that they provide factually accurate information that is robust to any presuppositions that a user may express. In this work, we introduce UPHILL, a dataset consisting of health-related queries with varying degrees of presuppositions. Using UPHILL, we evaluate the factual accuracy and consistency of InstructGPT, ChatGPT, and BingChat models. We find that while model responses rarely disagree with true health claims (posed as questions), they often fail to challenge false claims: responses from InstructGPT agree with 32% of the false claims, ChatGPT 26% and BingChat 23%. As we increase the extent of presupposition in input queries, the responses from InstructGPT and ChatGPT agree with the claim considerably more often, regardless of its veracity. Responses from BingChat, which rely on retrieved webpages, are not as susceptible. Given the moderate factual accuracy, and the inability of models to consistently correct false assumptions, our work calls for a careful assessment of current LLMs for use in high-stakes scenarios.
Key facts. Cited by 12 papers in the map (data through 7 Oct 2026). Builds on 44 of its 73 references that are in the map. First posted on arXiv 14 Dec 2023.
Builds on
44 of 73 references.
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Built on by
Citing papers per year: 2024: 4; 2025: 5; 2026: 3.
12 papers.
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- 2025Assessing Web Search Credibility and Response Groundedness in Chat Assistantscited by 0
- 2026MedRedFlag: Investigating how LLMs Redirect Misconceptions in Real-World Health Communicationcited by 0
- 2026Towards Emotion Consistency Analysis of Large Language Models in Emotional Conversational Contextscited by 0
- 2026XYBench: Can LLMs Respond Pragmatically to Queries with Misconceptions?6 Sep 2026
- 2026Towards Emotion Consistency Analysis of Large Language Models in Emotional Conversational Contexts7 May 2026
- 2026MedRedFlag: Investigating how LLMs Redirect Misconceptions in Real-World Health Communication14 Jan 2026
- 2025Zoom In Disparities in Healthcare LLM Q&A20 Oct 2025
- 2025Who's Asking? Simulating Role-Based Questions for Conversational AI Evaluation19 Oct 2025
- 2025Assessing Web Search Credibility and Response Groundedness in Chat Assistants15 Oct 2025
- 2025DeepTRACE: Auditing Deep Research AI Systems for Tracking Reliability Across Citations and Evidence2 Sep 2025
- 2025MythTriage: Scalable Detection of Opioid Use Disorder Myths on a Video-Sharing Platform30 May 2025
- 2024BiMediX2: Bio-Medical EXpert LMM for Diverse Medical Modalities10 Dec 2024
- 2024Search Engines in an AI Era: The False Promise of Factual and Verifiable Source-Cited Responses15 Oct 2024
- 2024MedHalu: Hallucinations in Responses to Healthcare Queries by Large Language Models29 Sep 2024
- 2024Enhancing Recommendation Diversity by Re-ranking with Large Language Models21 Jan 2024