Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
Stigmatizing language in electronic health records (EHRs) harms clinician and patient relationships, reinforcing health disparities. To assess ChatGPT's ability to reduce stigmatizing language in clinical notes. We analyzed 140 clinical notes and 150 stigmatizing examples from 2 urban hospitals. ChatGPT-4 identified and rephrased stigmatizing language. Identification performance was evaluated using precision, recall, and F1 score, with human expert annotations as the gold standard. Rephrasing quality was rated by experts on a three-point Likert scale for de-stigmatization, faithfulness, conciseness, and clarity. ChatGPT showed poor overall identification (micro-F1 = 0.51) but moderate-to-high performance across individual stigmatizing language categories (micro-F1 = 0.69-0.91). Rephrasing scored 2.7 for de-stigmatization, 2.8 for faithfulness, and 3.0 for conciseness and clarity. Prompt design significantly affected ChatGPT's performance. While ChatGPT has limitations in automatic identification, it can be used to support real-time identification and rephrasing stigmatizing language in EHRs with appropriate prompt design and human oversight.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.outlook.2025.102472 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Patient Disability Status and the Use of Stigmatizing Language in Clinical Notes During Hospital Admission for Birth.
J Obstet Gynecol Neonatal Nurs
September 2025
Objective: To examine the association between patient disability status and use of stigmatizing language in clinical notes from the hospital admission for birth.
Design: Cross-sectional study of electronic health record data.
Setting: Two urban hospitals in the northeastern United States.
Digital Hostility Toward LGBTQIA+ Research Recruitment on Social Media Using Topic Modeling and Sentiment Analysis of Facebook Comments: Quantitative Content Analysis Study.
J Med Internet Res
September 2025
Department of Psychological and Brain Sciences, Boston University, Boston, United States.
Background: Lesbian, gay, bisexual, transgender, queer/questioning, intersex, asexual (LGBTQIA+) researchers and participants frequently encounter hostility in virtual environments, particularly on social media platforms where public commentary on research advertisements can foster stigmatization. Despite a growing body of work on researcher virtual hostility, little empirical research has examined the actual content and emotional tone of public responses to LGBTQIA+-focused research recruitment.
Objective: This study aimed to analyze the thematic patterns and sentiment of social media comments directed at LGBTQIA+ research recruitment advertisements, in order to better understand how virtual stigma is communicated and how it may impact both researchers and potential participants.
The Psychological Impact of Male Infertility: A Narrative Review.
Cureus
August 2025
Obstetrics and Gynaecology, Kalinga Institute of Nursing Sciences, Kalinga Institute of Industrial Technology, Deemed to be University (KIIT-DU), Bhubaneswar, IND.
Male infertility is a major health concern worldwide. While biological causes are well understood, the psychological aspects receive less focus. This gap is evident in clinical practice and research, where emotional, social, and mental health issues linked to male infertility are often neglected or inadequately managed.
View Article and Find Full Text PDFChildhood essentialism.
Adv Child Dev Behav
September 2025
Department of Psychology, University of Michigan, Ann Arbor, MI, USA.
Essentialism is the intuitive belief that certain categories, such as "tiger," "boy," or "gold," have an underlying reality that goes beyond surface appearances. Childhood essentialism provides insights regarding the nature, origins, and development of human cognition. This chapter reviews the current state of the art regarding research on childhood essentialism, addressing five key issues: (1) what is essentialism and why is it important?; (2) the role of experience (including context, culture, and identity); (3) language as a uniquely powerful mode of transmission; (4) developmental origins; and (5) consequences for social issues and education.
View Article and Find Full Text PDF[The potential of medical comics in rheumatology-Results of a standardized survey at the German Rheumatology Congress 2024].
Z Rheumatol
September 2025
Abteilung Rheumatologie, Klinik für Innere Medizin 5, Klinikum Nürnberg, Universitätsklinik der Paracelsus Medizinischen Privatuniversität, Nürnberg, Deutschland.
Background: Comics are increasingly being discussed as an innovative means of communication in healthcare. In rheumatology there has so far been a lack of studies on the acceptance and potential use of medical comics.
Aim Of The Study: The aim of this study was to determine the acceptance of medical comics among rheumatologists and to evaluate their potential for use in clinical practice.