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Paper · arXiv

MedPriv-Bench: Benchmarking the Privacy-Utility Trade-off of Large Language Models in Medical Open-Ended Question Answering

Recent advances in Retrieval-Augmented Generation enable LLMs to ground outputs in clinical evidence, but connections to external databases create the risk of contextual leakage, where unique combinations of medical details enable patient re-identification without explicit identifiers. Existing healthcare benchmarks emphasize accuracy while overlooking this risk. To fill this gap, we present MedPriv-Bench, the first benchmark for jointly evaluating privacy preservation and clinical utility in medical open-ended question answering. Our framework utilizes a multi-agent, human-in-the-loop pipeline to synthesize sensitive medical contexts and clinically relevant queries that create realistic ...

AuthorsShaowei Guan, Yu Zhai, Hin Chi Kwok et al.
Primary categorycs.CL
Published15 March 2026
Last updated at source25 August 2026
cs.CLcs.MA
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