CARE-Bench: Benchmarking Patient-Facing LLM Triage

Yining Hua, Hongbin Na, Cyrus Ayubcha


Abstract
Patient-facing medical LLMs and agents increasingly answer symptom questions before clinician contact, where the key safety question is what action the user should take next. We introduce CARE-Bench, a source-grounded benchmark that evaluates sequential patient-facing triage as a four-label per-turn current-action task. CARE-Bench contains 500 cases and 1,059 evaluated patient-disclosure prefixes reconstructed from medical dialogue, consultation, and follow-up-question sources. We evaluate 11 models on 269 held-out rounds under unprompted and minimally prompted open-ended protocols, using a fixed gpt-5.5 mapper to code each response into the four-label action space. Unprompted macro-F1 remains low, ranging from 31.2 to 50.4. Prompting improves 10 of 11 models, with prompted macro-F1 ranging from 46.9 to 63.4, but substantial threshold errors remain. Prompted models often recommend care before needed clarification is obtained; when the correct action was to ask for more information, only 33.5% of prompted outputs preserved the step. The persistence of these errors after prompting suggests that patient-facing triage is not a simple prompting problem and supports explicit evaluation of action timing before deployment.
Anthology ID:
2026.aacl-long.63
Volume:
Proceedings of the 15th International Joint Conference on Natural Language Processing and the 5th Conference of the Asia-Pacific Chapter of the Association for Computational Linguistics (Volume 1: Long Papers)
Month:
November
Year:
2026
Address:
Hengqin, China
Editors:
Yue Zhang, Ruifeng Xu, Ayu Purwarianti, Tong Rong, Jun Suzuki
Venues:
AACL | IJCNLP
SIG:
Publisher:
Association for Computational Linguistics
Note:
Pages:
1340–1363
Language:
URL:
https://aclanthology.org/2026.aacl-long.63/
DOI:
Bibkey:
Cite (ACL):
Yining Hua, Hongbin Na, and Cyrus Ayubcha. 2026. CARE-Bench: Benchmarking Patient-Facing LLM Triage. In Proceedings of the 15th International Joint Conference on Natural Language Processing and the 5th Conference of the Asia-Pacific Chapter of the Association for Computational Linguistics (Volume 1: Long Papers), pages 1340–1363, Hengqin, China. Association for Computational Linguistics.
Cite (Informal):
CARE-Bench: Benchmarking Patient-Facing LLM Triage (Hua et al., AACL-IJCNLP 2026)
Copy Citation:
PDF:
https://aclanthology.org/2026.aacl-long.63.pdf