MedVoiceBias: A Controlled Study of Audio LLM Behavior in Clinical Decision-Making
Published in IEEE International Conference on Acoustics, Speech and Signal Processing (ICASSP 2026), 2026
We investigate whether audio LLMs introduce new biases through paralinguistic cues in clinical decision-making. Testing 170 clinical cases across 36 voice profiles, we found surgical recommendations varied by up to 35% between audio and text inputs, with age-related disparities reaching 12%, raising serious concerns about perpetuating healthcare disparities.
Recommended citation: Tam, Z.R., & Chen, Y.N. (2026). "MedVoiceBias: A Controlled Study of Audio LLM Behavior in Clinical Decision-Making." In IEEE International Conference on Acoustics, Speech and Signal Processing (ICASSP).
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