@article{yim-etal-2026-morqa,
    title = "{MORQA}: Benchmarking Evaluation Metrics for Medical Open-Ended Question Answering",
    author = "Yim, Wen-wai  and
      Ben Abacha, Asma  and
      Yu, Zixuan  and
      Doerning, Robert  and
      Xia, Fei  and
      Yetisgen, Meliha",
    editor = "Piperidis, Stelios  and
      Bel, N{\'u}ria  and
      van den Heuvel, Henk  and
      Ide, Nancy  and
      Krek, Simon  and
      Toral, Antonio",
    journal = "International Conference on Language Resources and Evaluation",
    volume = "main",
    month = may,
    year = "2026",
    address = "Palma de Mallorca, Spain",
    publisher = "ELRA Language Resource Association",
    url = "https://preview.aclanthology.org/ingest-lrec/2026.lrec-main.396/",
    pages = "5035--5054",
    abstract = "Evaluating natural language generation (NLG) systems in the medical domain presents unique challenges due to the critical demands for accuracy, relevance, and domain-specific expertise. Traditional automatic evaluation metrics, such as BLEU, ROUGE, and BERTScore, often fall short in distinguishing between high-quality outputs, especially given the open-ended nature of medical question answering (QA) tasks where multiple valid responses exists. In this work, we introduce MORQA (Medical Open-Response QA), a new multilingual benchmark designed to assess the effectiveness of NLG evaluation metrics across three medical visual and text-based QA datasets in English and Chinese. Unlike prior resources, our datasets feature 2-4+ gold-standard answers authored by medical professionals, along with expert human ratings for three English and Chinese subsets. We benchmark both traditional metrics and large language model (LLM)-based evaluators, such as GPT-4 and Gemini, finding that LLM-based approaches significantly outperform traditional metrics in correlating with expert judgments. We further analyze factors driving this improvement, including LLMs' sensitivity to semantic nuances and robustness to variability among reference answers. Our results provide the first comprehensive, multilingual qualitative study of NLG evaluation in the medical domain, highlighting the need for human-aligned evaluation methods. We release our code and annotations to support future research."
}