@inproceedings{zhou-etal-2025-unveiling,
    title = "Unveiling Performance Challenges of Large Language Models in Low-Resource Healthcare: A Demographic Fairness Perspective",
    author = "Zhou, Yue  and
      Di Eugenio, Barbara  and
      Cheng, Lu",
    editor = "Rambow, Owen  and
      Wanner, Leo  and
      Apidianaki, Marianna  and
      Al-Khalifa, Hend  and
      Eugenio, Barbara Di  and
      Schockaert, Steven",
    booktitle = "Proceedings of the 31st International Conference on Computational Linguistics",
    month = jan,
    year = "2025",
    address = "Abu Dhabi, UAE",
    publisher = "Association for Computational Linguistics",
    url = "https://preview.aclanthology.org/fix-sig-urls/2025.coling-main.485/",
    pages = "7266--7278",
    abstract = "This paper studies the performance of large language models (LLMs), particularly regarding demographic fairness, in solving real-world healthcare tasks. We evaluate state-of-the-art LLMs with three prevalent learning frameworks across six diverse healthcare tasks and find significant challenges in applying LLMs to real-world healthcare tasks and persistent fairness issues across demographic groups. We also find that explicitly providing demographic information yields mixed results, while LLM{'}s ability to infer such details raises concerns about biased health predictions. Utilizing LLMs as autonomous agents with access to up-to-date guidelines does not guarantee performance improvement. We believe these findings reveal the critical limitations of LLMs in healthcare fairness and the urgent need for specialized research in this area."
}