Listen to the Patient: Enhancing Medical Dialogue Generation with Patient Hallucination Detection and Mitigation

Medical dialogue systems aim to provide medical services through patient-agent conversations. Previous methods typically regard patients as ideal users, focusing mainly on common challenges in dialogue systems, while neglecting the potential biases or misconceptions that might be introduced by real patients, who are typically non-experts. This study investigates the discrepancy between patients' expressions during medical consultations and their actual health conditions, defined as patient hallucination. Such phenomena often arise from patients' lack of knowledge and comprehension, concerns, and anxieties, resulting in the transmission of inaccurate or wrong information during consultations. To address this issue, we propose MedPH, a Medical dialogue generation method for mitigating the problem of Patient Hallucinations designed to detect and cope with hallucinations. MedPH incorporates a detection method that utilizes one-dimensional structural entropy over a temporal dialogue entity graph, and a mitigation strategy based on hallucination-related information to guide patients in expressing their actual conditions. Experimental results indicate the high effectiveness of MedPH when compared to existing approaches in both medical entity prediction and response generation tasks, while also demonstrating its effectiveness in mitigating hallucinations within interactive scenarios.