Latest news with #andTransparency
Time of India
25-06-2025
- Health
- Time of India
AI chatbots like ChatGPT can be dangerous for doctors as well as patients, as ..., warns MIT Research
FILE (AP Photo/Richard Drew, file) A new study from MIT researchers reveals that Large Language Models (LLMs) used for medical treatment recommendations can be swayed by nonclinical factors in patient messages, such as typos, extra spaces, missing gender markers, or informal and dramatic language. These stylistic quirks can lead the models to mistakenly advise patients to self-manage serious health conditions instead of seeking medical care. The inconsistencies caused by nonclinical language become even more pronounced in conversational settings where an LLM interacts with a patient, which is a common use case for patient-facing chatbots. Published ahead of the ACM Conference on Fairness, Accountability, and Transparency, the research shows a 7-9% increase in self-management recommendations when patient messages are altered with such variations. The effect is particularly pronounced for female patients, with models making about 7% more errors and disproportionately advising women to stay home, even when gender cues are absent from the clinical context. 'This is strong evidence that models must be audited before use in health care, where they're already deployed,' said Marzyeh Ghassemi, MIT associate professor and senior author. 'LLMs take nonclinical information into account in ways we didn't previously understand.' Lead author Abinitha Gourabathina, an MIT graduate student, noted that LLMs, often trained on medical exam questions, are used in tasks like assessing clinical severity, where their limitations are less studied. 'There's still so much we don't know about LLMs,' she said. by Taboola by Taboola Sponsored Links Sponsored Links Promoted Links Promoted Links You May Like 2025 Top Trending local enterprise accounting software [Click Here] Esseps Learn More Undo The study found that colorful language, like slang or dramatic expressions, had the greatest impact on model errors. Unlike LLMs, human clinicians were unaffected by these message variations in follow-up research. 'LLMs weren't designed to prioritize patient care,' Ghassemi added, urging caution in their use for high-stakes medical decisions. The researchers plan to further investigate how LLMs infer gender and design tests to capture vulnerabilities in other patient groups, aiming to improve the reliability of AI in health care.
Time of India
21-06-2025
- Health
- Time of India
Hosps follow transparency bill, start displaying rates
Kolkata: Several private hospitals in Kolkata plan to display their charges, including package rates, on LCD screens. Others are altering their displays to include additional information, mandated by a bill placed at the state assembly earlier this week. Association of Hospitals of Eastern India has slated a meeting for next week, when plans are on to address the need to consider the flexibility of hospital charges, which often leads to rates varying between initial estimates and the actual bill. The West Bengal Clinical Establishments (Registration, Regulation and Transparency) (Amendment) Bill, 2025, tabled in the assembly last Monday, states: "Every clinical establishment shall strictly follow the fixed rates and charges.... It shall ensure that intensive care, ventilation, implants, consultation and similar tests and procedures, and any additional treatment or procedure shall not attract additional charges. .." Woodlands Hospital already has an LCD display, listing major charges. "We are expanding the list to meet the bill requirement. We plan to counsel patients' families more elaborately on charges. While we have a system of counselling and display, there could be gaps that can be improved," said Rupak Barua, CEO of Woodlands Multispecialty Hospital and AHEI president. Barua added opinion would be sought from other hospitals to arrive at a consensus on variable charges, like those under packages that could change during treatment. "Treatment being a dynamic process, costs might increase, depending on patient's condition. After our internal talks, we will approach the govt with a proposal," he added. BP Poddar Hospital has displayed the rates of its general beds, critical care, double-bed, single-bed and suites on two screens as well as charges for tests, procedures, implants, package rates and consultation fees. "We maintain transparency across every stage. Keeping in line with NABH guidelines and govt regulations, we ensure all hospital charges and treatment-related expenses are itemised and communicated to patients and their families. Our tariffs and charge structures are prominently displayed. We are adding a few more speciality units and we plan to install modern devices that will ease patient convenience about tariffs and rates," said Supriyo Chakrabarty, Group Adviser, B P Poddar Hospital. Peerless Hospital is waiting for more instructions from the health authorities before displaying charges. "We have a manual display, which must now include a lot more categories. It will be difficult without an electronic screen. We had an interaction with the health authorities and were asked to wait," said Peerless CEO Sudipta Mitra. Charnock Hospital, too, plans to follow soon. "There should be transparency, rates displayed and charged should be the same. Also, hospital treatment depends on patients' condition, which is dynamic. Pre-admission cost estimates may change during treatment. But pricing and billing should be transparent," said Charnock MD Prashant Sharma, Indian Chamber of Commerce Health Committee chairperson.
The Hindu
17-06-2025
- Health
- The Hindu
West Bengal Assembly passes Bill on ‘transparency' in medical costs in private facilities
The West Bengal Legislative Assembly on Tuesday (June 17, 2025) passed a Bill that aims to regulate the cost of treatment in private clinical establishments in the State, and protect patients from unexpected, inflated charges for healthcare. Also Read | Experts call for regulation and standardisation of private healthcare in India The West Bengal Clinical Establishments (Registration, Regulation, and Transparency) (Amendment) Bill, 2025 was tabled on Monday by the Minister of State for Health and Family Welfare Chandrima Bhattacharya. The Bill amends the West Bengal Clinical Establishments Act, 2017 with the objective to regulate the licensing process of clinical establishments, increase transparency in their functioning, ensure strict adherence to fixed rates and package rates, and mandate electronic medical record-keeping. No hidden charges The Bill states that 'every clinical establishment must strictly follow fixed rates and charges including the package rates for investigation, bed charges, operation theatre procedures'. Under the amended Bill, privately owned medical facilities will also have to provide proper estimates for treatments not covered under fixed or package rates to the patient and their kin during initiation and through the course of treatment. Hospitals have also been mandated to communicate updated charges and the amount due to the patient and their kin every 24 hours. The amended Bill also prohibits final hospital bills from exceeding the estimates by a percentage specified by the State Health Department. Increased surveillance Additionally, the Bill mandates detailed medical record-keeping of patients in the hospital's electronic software via e-prescriptions, and detailed discharge summaries. 'Clinical establishments will maintain such records and other data in the software as may be notified by the State government from time to time and all such records shall be furnished to the State Government electronically and physically, on demand by the Government,' the Bill states. The Opposition raised concerns over women's safety, and confidentiality. During the debate, the Leader of the Opposition (LoP) in the State Assembly Suvendu Adhikari questioned the lack of specific steps or guidelines in the Bill to improve safety for women doctors, nurses, patients, and guards. 'If e-prescription is introduced, will the confidentiality of the patient's personal information be protected?' Mr. Adhikari said. The Bharatiya Janata Party (BJP) legislator also raised questions over the 'practicality' of the new charges being communicated to the patient within 24 hours. 'Sometimes it takes more than 24 hours for a patient's health test report to come. So, this specific time frame is not realistic,' Mr. Adhikari said. Minister Chandrima Bhattacharya responded to the LoP's allegations, saying that, going forward, private hospitals would be obliged to inform patients about the cost of treatment in a timely manner, and that the Bill had been introduced to regulate the private healthcare sector. Notably, the West Bengal Clinical Establishment Regulatory Commission, conceptualised and announced by Chief Minister Mamata Banerjee in 2017, also oversees treatment infrastructure in private clinical establishments across the State. The President of the Association of Hospitals of Eastern India, Rupak Baruah, said that the Bill was a good initiative to bridge misunderstandings between common people and hospitals, but added that 'medical treatment is a dynamic process that does not always adhere to a fixed system'.
