The Geometry of Queries: Query-Based Innovations in Retrieval-Augmented Generation for Healthcare QA
On the map: Retrieval-augmented generation → Medical and biomedical RAG
Abstract (arXiv)
Deploying Large Language Models (LLMs) for healthcare question answering requires robust methods to ensure accuracy and reliability. This work introduces Query-Based Retrieval Augmented Generation (QB-RAG), a framework for enhancing Retrieval-Augmented Generation (RAG) systems in healthcare question-answering by pre-aligning user queries with a database of curated, answerable questions derived from healthcare content. A key component of QB-RAG is an LLM-based filtering mechanism that ensures that only relevant and answerable questions are included in the database, enabling reliable reference query generation at scale. We provide theoretical motivation for QB-RAG, conduct a comparative analysis of existing retrieval enhancement techniques, and introduce a generalizable, comprehensive evaluation framework that assesses both the retrieval effectiveness and the quality of the generated response based on faithfulness, relevance, and adherence to the guideline. Our empirical evaluation on a healthcare data set demonstrates the superior performance of QB-RAG compared to existing retrieval methods, highlighting its practical value in building trustworthy digital health applications for health question-answering.
Key facts. No citing papers in the map yet (data through 7 Oct 2026). Placed in Medical and biomedical RAG, one of 15 directions in Retrieval-augmented generation. Builds on 24 of its 38 references that are in the map. First posted on arXiv 25 Jul 2024.
Builds on
24 of 38 references.
References · 24
- 2023GPT-4 Technical Reportcited by 18,132
- 2022Training language models to follow instructions with human feedbackcited by 15,712
- 2023Llama 2: Open Foundation and Fine-Tuned Chat Modelscited by 12,865
- 2020Retrieval-Augmented Generation for Knowledge-Intensive NLP Taskscited by 9,160
- 2019BERTScore: Evaluating Text Generation with BERTcited by 5,462
- 2020Dense Passage Retrieval for Open-Domain Question Answeringcited by 3,779
- 2021Finetuned Language Models Are Zero-Shot Learnerscited by 3,747
- 2022Training a Helpful and Harmless Assistant with Reinforcement Learning from Human Feedbackcited by 3,634
- 2023PaLM 2 Technical Reportcited by 1,154
- 2023REPLUG: Retrieval-Augmented Black-Box Language Modelscited by 786
- 2023Capabilities of GPT-4 on Medical Challenge Problemscited by 630
- 2022Precise Zero-Shot Dense Retrieval without Relevance Labelscited by 508
12 more
- 2023Towards Expert-Level Medical Question Answering with Large Language Modelscited by 382
- 2023Enhancing Retrieval-Augmented Large Language Models with Iterative Retrieval-Generation Synergycited by 343
- 2019Document Expansion by Query Predictioncited by 225
- 2023Query Rewriting for Retrieval-Augmented Large Language Modelscited by 211
- 2019Multi-Stage Document Ranking with BERTcited by 200
- 2024A Survey on Efficient Inference for Large Language Modelscited by 197
- 2023A Study of Generative Large Language Model for Medical Research and Healthcarecited by 160
- 2023Query2doc: Query Expansion with Large Language Modelscited by 146
- 2019A Question-Entailment Approach to Question Answeringcited by 133
- 2024Retrieval-Augmented Generation with Knowledge Graphs for Customer Service Question Answeringcited by 95
- 2024RAG vs Fine-tuning: Pipelines, Tradeoffs, and a Case Study on Agriculturecited by 80
- 2024Question-Based Retrieval using Atomic Units for Enterprise RAGcited by 16
Built on by
Not cited yet.
Similar, not cited
Close in wording, no citation either way
- 2024Comprehensive and Practical Evaluation of Retrieval-Augmented Generation Systems for Medical Question Answering
- 2023MKRAG: Medical Knowledge Retrieval Augmented Generation for Medical Question Answering
- 2026A Systematic Study of Retrieval Pipeline Design for Retrieval-Augmented Medical Question Answering
- 2025Efficient and Reproducible Biomedical Question Answering using Retrieval Augmented Generation
- 2025Optimizing Medical Question-Answering Systems: A Comparative Study of Fine-Tuned and Zero-Shot Large Language Models with RAG Framework
- 2026Healthier LLMs: Retrieval-Augmented Generation for Public Health Question Answering
- 2025Retrieval-Augmented Generation in Medicine: A Scoping Review of Technical Implementations, Clinical Applications, and Ethical Considerations
- 2024Improving Retrieval-Augmented Generation in Medicine with Iterative Follow-up Questions