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April 26, 2026Health Information Science and Systems0 citationsOpen Access

Fine-grained evaluation of a domain-specific Q&A dataset to support trustworthy medical language models

RFRafael da C. FonsecaRRRicardo A. RiosRCRodrigo Castaldoni

Key Points

  • This study aims to evaluate the quality of LLM-generated content in medical Q&A, focusing on hemophilia.
  • Developed HemoQAL, a domain-specific Q&A dataset on hemophilia from scientific publications and clinical guidelines.
  • Conducted human evaluations by medical experts on the factual accuracy and educational value of Q&A pairs.
  • Performed semantic similarity analysis to assess alignment between generated Q&A pairs and their source material.
  • Expert evaluations indicated that the majority of Q&A pairs met acceptable standards of factual accuracy and educational value.
  • Semantic similarity analysis demonstrated a strong correlation with original source materials, enhancing the reliability of generated content.
  • Integration of human review and semantic metrics significantly improved the trustworthiness of the generated medical content.

Abstract

Abstract The effective use of Large Language Models (LLMs) for generating coherent and informative content in specialized domains has largely been driven by the development of robust evaluation strategies. Based on this assumption, we introduce HemoQAL, a domain-specific question-and-answer (Q&A) dataset on hemophilia, derived from recent scientific publications and clinical guidelines. Our main contribution lies in a fine-grained evaluation of the quality of LLM-generated content. First, we carried out a human evaluation in which medical experts assessed the factual accuracy and educational value of the generated Q&A pairs. Second, we conducted a semantic similarity analysis to quantitatively evaluate the alignment between each Q&A pair and its original source material. These lightweight, scalable semantic metrics offer an efficient alternative to more resource-intensive human or LLM-based evaluation pipelines. Our findings show that integrating expert review with semantic similarity measures improves the reliability and trustworthiness of LLM-generated medical content, contributing to the development of dependable AI tools in health informatics.

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Cite This Study

Fonseca et al. (2026) studied this question.

synapsesocial.com/papers/69edad094a46254e215b4bc5https://doi.org/10.1007/s13755-026-00458-7
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