5.8AINov 17, 2025
Grounded by Experience: Generative Healthcare Prediction Augmented with Hierarchical Agentic RetrievalChuang Zhao, Hui Tang, Hongke Zhao et al.
Accurate healthcare prediction is critical for improving patient outcomes and reducing operational costs. Bolstered by growing reasoning capabilities, large language models (LLMs) offer a promising path to enhance healthcare predictions by drawing on their rich parametric knowledge. However, LLMs are prone to factual inaccuracies due to limitations in the reliability and coverage of their embedded knowledge. While retrieval-augmented generation (RAG) frameworks, such as GraphRAG and its variants, have been proposed to mitigate these issues by incorporating external knowledge, they face two key challenges in the healthcare scenario: (1) identifying the clinical necessity to activate the retrieval mechanism, and (2) achieving synergy between the retriever and the generator to craft contextually appropriate retrievals. To address these challenges, we propose GHAR, a \underline{g}enerative \underline{h}ierarchical \underline{a}gentic \underline{R}AG framework that simultaneously resolves when to retrieve and how to optimize the collaboration between submodules in healthcare. Specifically, for the first challenge, we design a dual-agent architecture comprising Agent-Top and Agent-Low. Agent-Top acts as the primary physician, iteratively deciding whether to rely on parametric knowledge or to initiate retrieval, while Agent-Low acts as the consulting service, summarising all task-relevant knowledge once retrieval was triggered. To tackle the second challenge, we innovatively unify the optimization of both agents within a formal Markov Decision Process, designing diverse rewards to align their shared goal of accurate prediction while preserving their distinct roles. Extensive experiments on three benchmark datasets across three popular tasks demonstrate our superiority over state-of-the-art baselines, highlighting the potential of hierarchical agentic RAG in advancing healthcare systems.
9.4LGMay 17, 2025
Diffmv: A Unified Diffusion Framework for Healthcare Predictions with Random Missing Views and View LazinessChuang Zhao, Hui Tang, Hongke Zhao et al.
Advanced healthcare predictions offer significant improvements in patient outcomes by leveraging predictive analytics. Existing works primarily utilize various views of Electronic Health Record (EHR) data, such as diagnoses, lab tests, or clinical notes, for model training. These methods typically assume the availability of complete EHR views and that the designed model could fully leverage the potential of each view. However, in practice, random missing views and view laziness present two significant challenges that hinder further improvements in multi-view utilization. To address these challenges, we introduce Diffmv, an innovative diffusion-based generative framework designed to advance the exploitation of multiple views of EHR data. Specifically, to address random missing views, we integrate various views of EHR data into a unified diffusion-denoising framework, enriched with diverse contextual conditions to facilitate progressive alignment and view transformation. To mitigate view laziness, we propose a novel reweighting strategy that assesses the relative advantages of each view, promoting a balanced utilization of various data views within the model. Our proposed strategy achieves superior performance across multiple health prediction tasks derived from three popular datasets, including multi-view and multi-modality scenarios.
6.9IRJun 25, 2024
Performative Debias with Fair-exposure Optimization Driven by Strategic Agents in Recommender SystemsZhichen Xiang, Hongke Zhao, Chuang Zhao et al.
Data bias, e.g., popularity impairs the dynamics of two-sided markets within recommender systems. This overshadows the less visible but potentially intriguing long-tail items that could capture user interest. Despite the abundance of research surrounding this issue, it still poses challenges and remains a hot topic in academic circles. Along this line, in this paper, we developed a re-ranking approach in dynamic settings with fair-exposure optimization driven by strategic agents. Designed for the producer side, the execution of agents assumes content creators can modify item features based on strategic incentives to maximize their exposure. This iterative process entails an end-to-end optimization, employing differentiable ranking operators that simultaneously target accuracy and fairness. Joint objectives ensure the performance of recommendations while enhancing the visibility of tail items. We also leveraged the performativity nature of predictions to illustrate how strategic learning influences content creators to shift towards fairness efficiently, thereby incentivizing features of tail items. Through comprehensive experiments on both public and industrial datasets, we have substantiated the effectiveness and dominance of the proposed method especially on unveiling the potential of tail items.