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arXiv 提交日期: 2026-02-26
📄 Abstract - ClinDet-Bench: Beyond Abstention, Evaluating Judgment Determinability of LLMs in Clinical Decision-Making

Clinical decisions are often required under incomplete information. Clinical experts must identify whether available information is sufficient for judgment, as both premature conclusion and unnecessary abstention can compromise patient safety. To evaluate this capability of large language models (LLMs), we developed ClinDet-Bench, a benchmark based on clinical scoring systems that decomposes incomplete-information scenarios into determinable and undeterminable conditions. Identifying determinability requires considering all hypotheses about missing information, including unlikely ones, and verifying whether the conclusion holds across them. We find that recent LLMs fail to identify determinability under incomplete information, producing both premature judgments and excessive abstention, despite correctly explaining the underlying scoring knowledge and performing well under complete information. These findings suggest that existing benchmarks are insufficient to evaluate the safety of LLMs in clinical settings. ClinDet-Bench provides a framework for evaluating determinability recognition, leading to appropriate abstention, with potential applicability to medicine and other high-stakes domains, and is publicly available.

顶级标签: llm medical benchmark
详细标签: clinical decision-making determinability abstention incomplete information safety evaluation 或 搜索:

ClinDet-Bench:超越弃权,评估大语言模型在临床决策中的判断可确定性 / ClinDet-Bench: Beyond Abstention, Evaluating Judgment Determinability of LLMs in Clinical Decision-Making


1️⃣ 一句话总结

这篇论文提出了一个名为ClinDet-Bench的新评估基准,用于测试大语言模型在信息不全的临床场景中,能否准确判断当前信息是否足以做出可靠决策,结果发现现有模型容易过早下结论或过度弃权,揭示了其在医疗等高风险领域应用的安全性不足。

源自 arXiv: 2602.22771