# Balancing Knowledge Delivery and Emotional Comfort in Healthcare Conversational Systems

arXiv: https://arxiv.org/abs/2506.13692 · HTML: https://mlsanity.com/paper/2506.13692/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 24 of its 45 references that are in the map.
- First posted on arXiv 16 Jun 2025.

## Builds on (most cited first, 24 of 24)

- [Training language models to follow instructions with human feedback](https://mlsanity.com/paper/2203.02155/) (2022)
- [LLaMA: Open and Efficient Foundation Language Models](https://mlsanity.com/paper/2302.13971/) (2023)
- [Direct Preference Optimization: Your Language Model is Secretly a Reward Model](https://mlsanity.com/paper/2305.18290/) (2023)
- [Finetuned Language Models Are Zero-Shot Learners](https://mlsanity.com/paper/2109.01652/) (2021)
- [Large Language Models Encode Clinical Knowledge](https://mlsanity.com/paper/2212.13138/) (2022)
- [LlamaFactory: Unified Efficient Fine-Tuning of 100+ Language Models](https://mlsanity.com/paper/2403.13372/) (2024)
- [Towards Expert-Level Medical Question Answering with Large Language Models](https://mlsanity.com/paper/2305.09617/) (2023)
- [ChatDoctor: A Medical Chat Model Fine-Tuned on a Large Language Model Meta-AI (LLaMA) Using Medical Domain Knowledge](https://mlsanity.com/paper/2303.14070/) (2023)
- [MedAgents: Large Language Models as Collaborators for Zero-shot Medical Reasoning](https://mlsanity.com/paper/2311.10537/) (2023)
- [MedAlpaca -- An Open-Source Collection of Medical Conversational AI Models and Training Data](https://mlsanity.com/paper/2304.08247/) (2023)
- [Large Language Models Understand and Can be Enhanced by Emotional Stimuli](https://mlsanity.com/paper/2307.11760/) (2023)
- [Hybrid Retrieval-Generation Reinforced Agent for Medical Image Report Generation](https://mlsanity.com/paper/1805.08298/) (2018)
- [DoctorGLM: Fine-tuning your Chinese Doctor is not a Herculean Task](https://mlsanity.com/paper/2304.01097/) (2023)
- [PMC-LLaMA: Towards Building Open-source Language Models for Medicine](https://mlsanity.com/paper/2304.14454/) (2023)
- [ClinicalGPT: Large Language Models Finetuned with Diverse Medical Data and Comprehensive Evaluation](https://mlsanity.com/paper/2306.09968/) (2023)
- [Clinical Camel: An Open Expert-Level Medical Language Model with Dialogue-Based Knowledge Encoding](https://mlsanity.com/paper/2305.12031/) (2023)
- [BianQue: Balancing the Questioning and Suggestion Ability of Health LLMs with Multi-turn Health Conversations Polished by ChatGPT](https://mlsanity.com/paper/2310.15896/) (2023)
- [EmoLLMs: A Series of Emotional Large Language Models and Annotation Tools for Comprehensive Affective Analysis](https://mlsanity.com/paper/2401.08508/) (2024)
- [Radiology-Llama2: Best-in-Class Large Language Model for Radiology](https://mlsanity.com/paper/2309.06419/) (2023)
- [A Survey of the Evolution of Language Model-Based Dialogue Systems: Data, Task and Models](https://mlsanity.com/paper/2311.16789/) (2023)
- [Writing by Memorizing: Hierarchical Retrieval-based Medical Report Generation](https://mlsanity.com/paper/2106.06471/) (2021)
- [Medical Dialogue Response Generation with Pivotal Information Recalling](https://mlsanity.com/paper/2206.08611/) (2022)
- [Hierarchical Reinforcement Learning for Automatic Disease Diagnosis](https://mlsanity.com/paper/2004.14254/) (2020)
- [Building an Efficient and Effective Retrieval-based Dialogue System via Mutual Learning](https://mlsanity.com/paper/2110.00159/) (2021)

## Abstract (arXiv)

With the advancement of large language models, many dialogue systems are now capable of providing reasonable and informative responses to patients' medical conditions. However, when patients consult their doctor, they may experience negative emotions due to the severity and urgency of their situation. If the model can provide appropriate comfort and empathy based on the patient's negative emotions while answering medical questions, it will likely offer a more reassuring experience during the medical consultation process. To address this issue, our paper explores the balance between knowledge sharing and emotional support in the healthcare dialogue process. We utilize a large language model to rewrite a real-world interactive medical dialogue dataset, generating patient queries with negative emotions and corresponding medical responses aimed at soothing the patient's emotions while addressing their concerns. The modified data serves to refine the latest large language models with various fine-tuning methods, enabling them to accurately provide sentences with both emotional reassurance and constructive suggestions in response to patients' questions. Compared to the original LLM model, our experimental results demonstrate that our methodology significantly enhances the model's ability to generate emotional responses while maintaining its original capability to provide accurate knowledge-based answers.