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基于知识增强的医疗健康问答系统研究综述OA

A Survey on Knowledge-Enhanced Healthcare Question Answering Systems

中文摘要英文摘要

[目的/意义]文章旨在梳理知识增强技术在医疗健康问答系统中的研究进展与应用,以应对传统问答系统在知识表征与推理上的局限,以及当前基于大语言模型的问答系统面临的专业知识不足、隐私安全和幻觉生成等挑战,为提升问答系统的精准性与知识可靠性提供系统性参考.[过程/方法]文章聚焦于知识增强策略,首先阐述其基本概念与总体框架,进而将策略归纳为显式与隐式2类,分别分析其特征、实现方式及其在典型医疗场景中的应用,最后对未来发展方向进行展望.[结果/结论]研究表明,知识增强技术通过将外部医学知识融入大语言模型的预训练或推理阶段,可有效提升模型的准确度、可解释性与可信度.显式增强策略强调知识的可追溯性与结构化融合,隐式增强策略注重知识的语义内化与生成灵活性,二者协同可为构建更智能、可靠的医疗健康问答系统提供重要支撑.

[Purpose/significance]This paper aims to review the research progress and applications of knowledge enhancement techniques in healthcare question answering systems,in response to the limitations of traditional systems in knowledge representation and reasoning,as well as challenges faced by current large language model-based systems,such as insufficient domain knowledge,privacy concerns,and hallucination.The review provides a systematic reference for improving the precision and knowledge reliability of such systems.[Process/method]Focusing on knowledge enhancement strategies,this paper firstly outlines their fundamental concepts and overall framework.The strategies are then categorized into explicit and implicit types,with an analysis of their characteristics,implementation methods,and applications in typical healthcare scenarios.Finally,future research directions are discussed.[Result/conclusion]The study indicates that knowledge enhancement techniques,which integrate external medical knowledge during the pre-training or inference stages of large lan-guage models,can effectively improve the accuracy,interpretability,and trustworthiness of the models.Explicit enhancement strategies emphasize the traceability and structured integration of knowledge,while implicit strategies focus on the semantic internalization and gen-erative flexibility of knowledge.Their synergistic application provides crucial support for building more intelligent and reliable healthcare question answering systems.

苏俊楠;韩普;魏建香

南京邮电大学管理学院,南京 210003南京邮电大学管理学院,南京 210003||数据工程与知识服务省高校重点实验室(南京大学),南京 210023南京邮电大学管理学院,南京 210003||数据工程与知识服务省高校重点实验室(南京大学),南京 210023

社会科学

知识增强问答系统大语言模型医学知识库医疗健康

knowledge enhancementquestion answering systemslarge language modelsmedical knowledge baseshealthcare

《科技情报研究》 2026 (2)

140-151,12

国家社会科学基金项目"面向多模态医疗健康数据的知识组织模式研究"(编号:22BTQ096)江苏省高校哲学社会科学创新团队(数智驱动的健康大数据管理创新团队)建设项目国家级大学生创新训练计划项目"大语言模型融入外部知识的医疗问答系统研究"(编号:202410293066Z).

10.19809/j.cnki.kjqbyj.2026.02.013

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