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Generative AI’s earliest applications in medicine have largely focused on curing not patients, but the plague of productivity physicians lose to digital documentation. Now, research suggests a way that large language models like ChatGPT could benefit both patients and providers: by automatically extracting a patient’s social needs from reams of text in their clinical records.

Factors like housing, transportation, financial stability, and community support play a critical role in patients’ health once they leave the doctor’s office. But it takes concerted effort to screen patients for gaps in these so-called social determinants of health — and even when screening occurs, this critical information is usually scattered in the rambling clinical notes that providers write each time a patient has a visit.

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As a physician trying to understand a patient’s needs, “you’re trying to do a needle in a haystack type search for clinical information,” said Danielle Bitterman, a radiation oncologist and artificial intelligence researcher at Mass General Brigham. “Patients oftentimes have thousands of notes.”

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