Cross-Lingual Empirical Evaluation of Large Language Models for Arabic Medical Tasks

Chaimae Abouzahir, Congbo Ma, Nizar Habash, Farah E. Shamout


Abstract
In recent years, Large Language Models (LLMs) have become widely used in medical applications, such as clinical decision support, medical education and medical question answering. Yet, these models are often English-centric, limiting their robustness and reliability for linguistically diverse communities. Recent work has highlighted discrepancies in performance in low-resource languages for various medical tasks, but the underlying causes remain poorly understood. In this study, we conduct a cross-lingual empirical analysis of LLM performance on Arabic & English medical question and answering. Our findings reveal a persistent language-driven performance gap that intensifies with increasing task complexity. Tokenization analysis exposes structural fragmentation in Arabic medical text, while reliability analysis shows that model-reported confidence and explanations are poor indicators of correctness. Together, these findings underscore the need for language-aware design and evaluation strategies in LLMs for medical tasks.
Anthology ID:
2026.healing-1.13
Volume:
Proceedings of the 1st Workshop on Linguistic Analysis for Health (HeaLing 2026)
Month:
March
Year:
2026
Address:
Rabat, Morocco
Editors:
Vera Danilova, Murathan Kurfalı, Ylva Söderfeldt, Julia Reed, Andrew Burchell
Venues:
HeaLing | WS
SIG:
Publisher:
Association for Computational Linguistics
Note:
Pages:
158–171
Language:
URL:
https://preview.aclanthology.org/ingest-eacl/2026.healing-1.13/
DOI:
Bibkey:
Cite (ACL):
Chaimae Abouzahir, Congbo Ma, Nizar Habash, and Farah E. Shamout. 2026. Cross-Lingual Empirical Evaluation of Large Language Models for Arabic Medical Tasks. In Proceedings of the 1st Workshop on Linguistic Analysis for Health (HeaLing 2026), pages 158–171, Rabat, Morocco. Association for Computational Linguistics.
Cite (Informal):
Cross-Lingual Empirical Evaluation of Large Language Models for Arabic Medical Tasks (Abouzahir et al., HeaLing 2026)
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https://preview.aclanthology.org/ingest-eacl/2026.healing-1.13.pdf