Enhancing healthcare resource allocation through large language models

IF 8.5 1区 计算机科学 Q1 COMPUTER SCIENCE, ARTIFICIAL INTELLIGENCE Swarm and Evolutionary Computation Pub Date : 2025-04-01 Epub Date: 2025-02-05 DOI:10.1016/j.swevo.2025.101859
Fang Wan , Kezhi Wang , Tao Wang , Hu Qin , Julien Fondrevelle , Antoine Duclos
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Abstract

Recognizing the growing capabilities of large language models (LLMs) and their potential in healthcare, this study explores the application of LLMs in healthcare resource allocation using Prompt Engineering, Retrieval-Augmented Generation (RAG), and Tool Utilization. It addresses both optimizable and non-optimizable challenges in allocating operating rooms (ORs), postoperative beds, and surgeons, while also identifying key factors like ethical and legal constraints through a medical knowledge Q&A survey. Among the seven evaluated LLMs, including LaMDA 2, PaLM 2, and Qwen, ChatGPT-4o demonstrated superior performance by reducing OR and surgeon overtime, alleviating peak bed demand, and achieving the highest accuracy in medical knowledge queries. Comprehensive comparisons with traditional methods (exact and heuristic algorithm), varying problem sizes, and hybrid approaches from the literature revealed that as problem size increased, LLMs performed better and faster by integrating historical experience with new data. They adapted to changes in problem scale or demand without requiring re-optimization, effectively addressing the runtime limitations of traditional methods. These findings underscore the potential of LLMs in advancing dynamic and efficient healthcare resource management.
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通过大型语言模型增强医疗保健资源分配
认识到大型语言模型(llm)不断增长的能力及其在医疗保健领域的潜力,本研究探索了llm在使用提示工程、检索增强生成(RAG)和工具利用的医疗保健资源分配中的应用。它解决了手术室(or)、术后床位和外科医生分配方面的可优化和不可优化挑战,同时还通过医学知识问答调查确定了道德和法律约束等关键因素。在7个被评估的llm中,包括LaMDA 2、PaLM 2和Qwen, chatgpt - 40在减少手术室和外科医生加班、缓解高峰床位需求、实现医学知识查询的最高准确性方面表现出优异的性能。与传统方法(精确和启发式算法)、不同问题规模和混合方法的综合比较表明,随着问题规模的增加,llm通过将历史经验与新数据集成在一起,执行得更好、更快。它们可以适应问题规模或需求的变化,而无需重新优化,有效地解决了传统方法的运行时限制。这些发现强调了法学硕士在推进动态和有效的医疗保健资源管理方面的潜力。
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来源期刊
Swarm and Evolutionary Computation
Swarm and Evolutionary Computation COMPUTER SCIENCE, ARTIFICIAL INTELLIGENCEC-COMPUTER SCIENCE, THEORY & METHODS
CiteScore
16.00
自引率
12.00%
发文量
169
期刊介绍: Swarm and Evolutionary Computation is a pioneering peer-reviewed journal focused on the latest research and advancements in nature-inspired intelligent computation using swarm and evolutionary algorithms. It covers theoretical, experimental, and practical aspects of these paradigms and their hybrids, promoting interdisciplinary research. The journal prioritizes the publication of high-quality, original articles that push the boundaries of evolutionary computation and swarm intelligence. Additionally, it welcomes survey papers on current topics and novel applications. Topics of interest include but are not limited to: Genetic Algorithms, and Genetic Programming, Evolution Strategies, and Evolutionary Programming, Differential Evolution, Artificial Immune Systems, Particle Swarms, Ant Colony, Bacterial Foraging, Artificial Bees, Fireflies Algorithm, Harmony Search, Artificial Life, Digital Organisms, Estimation of Distribution Algorithms, Stochastic Diffusion Search, Quantum Computing, Nano Computing, Membrane Computing, Human-centric Computing, Hybridization of Algorithms, Memetic Computing, Autonomic Computing, Self-organizing systems, Combinatorial, Discrete, Binary, Constrained, Multi-objective, Multi-modal, Dynamic, and Large-scale Optimization.
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