Balancing Knowledge Delivery and Emotional Comfort in Healthcare Conversational Systems

Shang-Chi Tsai, Yun-Nung Chen


Abstract
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.
Anthology ID:
2025.iwsds-1.9
Volume:
Proceedings of the 15th International Workshop on Spoken Dialogue Systems Technology
Month:
May
Year:
2025
Address:
Bilbao, Spain
Editors:
Maria Ines Torres, Yuki Matsuda, Zoraida Callejas, Arantza del Pozo, Luis Fernando D'Haro
Venues:
IWSDS | WS
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Publisher:
Association for Computational Linguistics
Note:
Pages:
115–128
Language:
URL:
https://preview.aclanthology.org/fix-sig-urls/2025.iwsds-1.9/
DOI:
Bibkey:
Cite (ACL):
Shang-Chi Tsai and Yun-Nung Chen. 2025. Balancing Knowledge Delivery and Emotional Comfort in Healthcare Conversational Systems. In Proceedings of the 15th International Workshop on Spoken Dialogue Systems Technology, pages 115–128, Bilbao, Spain. Association for Computational Linguistics.
Cite (Informal):
Balancing Knowledge Delivery and Emotional Comfort in Healthcare Conversational Systems (Tsai & Chen, IWSDS 2025)
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PDF:
https://preview.aclanthology.org/fix-sig-urls/2025.iwsds-1.9.pdf