Profile-associated financial and access-related framing in LLM-generated pediatric asthma referral plans: a factorial audit of seven large language models - Takeaways - MDSpire
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Evaluation of Financial and Access Framing in Pediatric Asthma Referral Plans Generated by Large Language Models: A Factorial Analysis of Seven Models

  • By

  • Zhendong Liu

  • Xiaoping Yang

  • Yu Zhang

  • Yujing Xu

  • Yue Xiang

  • Hongyan Wang

  • July 7, 2026

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  • 1

    The study evaluated pediatric asthma referral plans generated by seven large language models (LLMs) using a factorial analysis.

  • 2

    Results indicated that the name 'DeShawn' was linked to a higher financial-access term rate in generated plans compared to 'Liam'.

  • 3

    The bundled geographic-access signal significantly increased the financial-access term rate in LLM-generated plans.

  • 4

    Variations in LLM outputs included differences in financial-access language, navigation support, and recognition of social determinants of health.

  • 5

    The findings highlight the need for evaluating structural and access-related framing alongside biomedical content in clinical LLM audits.

Original Source(s)

Profile-associated financial and access-related framing in LLM-generated pediatric asthma referral plans: a factorial audit of seven large language models

  • by Zhendong Liu, Xiaoping Yang, Yu Zhang, Yujing Xu, Yue Xiang, Hongyan Wang

  • July 7, 2026

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