{"id":535571,"date":"2026-04-17T07:35:52","date_gmt":"2026-04-17T07:35:52","guid":{"rendered":"https:\/\/www.newsbeep.com\/uk\/535571\/"},"modified":"2026-04-17T07:35:52","modified_gmt":"2026-04-17T07:35:52","slug":"public-use-of-a-generalist-llm-chatbot-for-health-queries","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/uk\/535571\/","title":{"rendered":"Public use of a generalist LLM chatbot for health queries"},"content":{"rendered":"<p>Our dataset comprises conversations classified as \u2018Health and Fitness\u2019. After applying the step 1 classifier (described in the <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"section anchor\" href=\"http:\/\/www.nature.com\/articles\/s44360-026-00117-x#Sec7\" rel=\"nofollow noopener\" target=\"_blank\">Methods<\/a>) and excluding two categories not analysed further (Not Health and Other Health\/Fitness), the sample contains N = 617,827 conversations across the remaining intent categories. Of these, 99.1% have a known platform value and are included in the mobile-versus-desktop analysis; 99.6% have a valid timestamp and are included in the temporal analyses. The full category descriptions are presented in Table <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"table anchor\" href=\"http:\/\/www.nature.com\/articles\/s44360-026-00117-x#Tab1\" rel=\"nofollow noopener\" target=\"_blank\">1<\/a>.<\/p>\n<p>Table 1 Health intent taxonomyThe boundary between general information and personal health queries<\/p>\n<p>Figure <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"figure anchor\" href=\"http:\/\/www.nature.com\/articles\/s44360-026-00117-x#Fig1\" rel=\"nofollow noopener\" target=\"_blank\">1<\/a> shows the distribution of conversations across health intents. The largest category, \u2018Health Information and Education\u2019, accounts for 40.8% of conversations, 95% confidence interval (CI) 40.7\u201340.9. This category captures non-personalized queries, including how a medication works, what causes a condition, and general nutrition information. Its size is consistent with the finding that information seeking remains the dominant mode of health engagement online<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 3\" title=\"Eysenbach, G. &amp; K&#xF6;hler, C. How do consumers search for and appraise health information on the world wide web? Qualitative study using focus groups, usability tests, and in-depth interviews. BMJ 324, 573&#x2013;577 (2002).\" href=\"http:\/\/www.nature.com\/articles\/s44360-026-00117-x#ref-CR3\" id=\"ref-link-section-d329495626e784\" rel=\"nofollow noopener\" target=\"_blank\">3<\/a>. However, some queries framed in general terms may reflect underlying personal concerns, and the true share of personal health intents may be higher than the taxonomy suggests. We observe from topic clusters (Extended Data Table <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"table anchor\" href=\"http:\/\/www.nature.com\/articles\/s44360-026-00117-x#Tab2\" rel=\"nofollow noopener\" target=\"_blank\">1<\/a>) that many queries are about specific treatments and conditions rather than general health education, further supporting the interpretation that users may seek general information as a step towards personal decision-making.<\/p>\n<p>Fig. 1: Distribution of health intents.<img decoding=\"async\" aria-describedby=\"figure-1-desc ai-alt-disclaimer-figure-1-1\" src=\"https:\/\/www.newsbeep.com\/uk\/wp-content\/uploads\/2026\/04\/44360_2026_117_Fig1_HTML.png\" alt=\"Fig. 1: Distribution of health intents.\" loading=\"lazy\" width=\"685\" height=\"292\"\/>The alt text for this image may have been generated using AI.<\/p>\n<p>Distribution of health intent usage, in percentage of conversations.<\/p>\n<p>Device as a signal for intent<\/p>\n<p>Figure <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"figure anchor\" href=\"http:\/\/www.nature.com\/articles\/s44360-026-00117-x#Fig2\" rel=\"nofollow noopener\" target=\"_blank\">2<\/a> shows how the percentage of all conversations on desktop and mobile varies throughout the day, with the former more predominant during the day and the latter at night. This pattern reflects everyday routines: during working and school hours, users have access to desktop devices and may prefer them for longer or more complex tasks, whereas in the evening and at night, when people are away from their desks, the phone becomes the primary device for health queries.<\/p>\n<p>Fig. 2: Mobile versus desktop usage throughout the day.<img decoding=\"async\" aria-describedby=\"figure-2-desc ai-alt-disclaimer-figure-2-1\" src=\"https:\/\/www.newsbeep.com\/uk\/wp-content\/uploads\/2026\/04\/44360_2026_117_Fig2_HTML.png\" alt=\"Fig. 2: Mobile versus desktop usage throughout the day.\" loading=\"lazy\" width=\"685\" height=\"286\"\/>The alt text for this image may have been generated using AI.<\/p>\n<p>Average percentage of mobile versus desktop health conversations, throughout the day.<\/p>\n<p>Figure <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"figure anchor\" href=\"http:\/\/www.nature.com\/articles\/s44360-026-00117-x#Fig3\" rel=\"nofollow noopener\" target=\"_blank\">3<\/a> compares intent distributions across mobile and desktop. \u2018Digital Tools and Fitness Apps\u2019 was excluded from the platform and temporal analyses, as manual review revealed that many conversations in this category were misclassified as health-related when users were seeking technical support for wearable devices. Intent distributions differ significantly between platforms (\u03c72(8, N = 612,330) = 73,981.6, P &lt; 0.001). Besides \u2018Health Information and Education\u2019, which is close to 40% for both, the usage patterns are quite different between devices. The most striking differences are in personal versus professional intents: on mobile, \u2018Symptom Questions and Health Concerns\u2019 accounts for 15.9%, 95% CI 15.8\u201316.0, of conversations versus 6.9%, 95% CI 6.8\u20137.0, on desktop, and \u2018Emotional Well-being\u2019 is 5.1%, 95% CI 5.0\u20135.1, versus 3.0%, 95% CI 2.9\u20133.0. Conversely, \u2018Research and Academic Support\u2019 is 16.9%, 95% CI 16.8\u201317.1, on desktop versus 5.3%, 95% CI 5.2\u20135.3, on mobile, and \u2018Medical Paperwork\u2019 is 15.7%, 95% CI 15.6\u201315.8, versus 2.7%, 95% CI 2.7\u20132.8.<\/p>\n<p>Fig. 3: Intent distribution by platform.<img decoding=\"async\" aria-describedby=\"figure-3-desc ai-alt-disclaimer-figure-3-1\" src=\"https:\/\/www.newsbeep.com\/uk\/wp-content\/uploads\/2026\/04\/44360_2026_117_Fig3_HTML.png\" alt=\"Fig. 3: Intent distribution by platform.\" loading=\"lazy\" width=\"685\" height=\"355\"\/>The alt text for this image may have been generated using AI.<\/p>\n<p>Percentage of conversations per intent on mobile (solid colour) versus desktop (striped overlay).<\/p>\n<p>Extended Data Figs. <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"figure anchor\" href=\"http:\/\/www.nature.com\/articles\/s44360-026-00117-x#Fig6\" rel=\"nofollow noopener\" target=\"_blank\">1<\/a> and <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"figure anchor\" href=\"http:\/\/www.nature.com\/articles\/s44360-026-00117-x#Fig7\" rel=\"nofollow noopener\" target=\"_blank\">2<\/a> show the breakdown of intents per hour of the day, with the top four highlighted. Although the predominance of \u2018Health Information and Education\u2019 on both platforms is expected given Fig. <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"figure anchor\" href=\"http:\/\/www.nature.com\/articles\/s44360-026-00117-x#Fig1\" rel=\"nofollow noopener\" target=\"_blank\">1<\/a>, on desktop its share decreases during working hours as \u2018Research and Academic Support\u2019 and \u2018Medical Paperwork\u2019 rise. This suggests that Copilot usage on desktop is often adjacent to another activity such as thesis writing, research or processing paperwork, tasks that typically require access to other documents or files alongside the conversation. \u2018Medical Paperwork\u2019 peaks during normal working hours, while \u2018Research and Academic Support\u2019 rises steadily throughout the day, particularly after work and school hours when researchers and students turn to their own projects. More broadly, the desktop pattern may reflect workflows that depend on multiple windows and reference materials, which are cumbersome to manage on a mobile device.<\/p>\n<p>On mobile, the second most common intent is \u2018Symptom Questions and Health Concerns\u2019, followed by queries on conditions and fitness. This is consistent with mobile devices being used primarily for personal health queries rather than work-related tasks. In this case, the bottom five topics are separate from the top four and present a low percentage throughout the day.<\/p>\n<p>When looking at the changes throughout the day compared with morning (again excluding \u2018Digital Tools and Fitness Apps\u2019 as above), the distinction between types of intent becomes more evident (Fig. <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"figure anchor\" href=\"http:\/\/www.nature.com\/articles\/s44360-026-00117-x#Fig4\" rel=\"nofollow noopener\" target=\"_blank\">4<\/a>), with the more personal intents (such as queries about conditions or emotional well-being) increasing in the evening and at night and the more scholarly ones (such as research or documentation) decreasing. The pattern is especially pronounced for \u2018Emotional Well-being\u2019, whose share increases by more than half from 3.3%, 95% CI 3.3\u20133.4, in the morning (6:00\u201312:00) to 5.2%, 95% CI 5.0\u20135.4, at nighttime (00:00\u20136:00) (\u03c72(23, N = 613,026) = 903.3, P &lt; 0.001). Similarly, \u2018Symptom Questions and Health Concerns\u2019 rises from 10.6%, 95% CI 10.4\u201310.7, in the morning to 13.4%, 95% CI 13.1\u201313.8, at nighttime (\u03c72(23, N = 613,026) = 1,445.8, P &lt; 0.001).<\/p>\n<p>Fig. 4: Temporal changes in intent relative to morning.<img decoding=\"async\" aria-describedby=\"figure-4-desc ai-alt-disclaimer-figure-4-1\" src=\"https:\/\/www.newsbeep.com\/uk\/wp-content\/uploads\/2026\/04\/44360_2026_117_Fig4_HTML.png\" alt=\"Fig. 4: Temporal changes in intent relative to morning.\" loading=\"lazy\" width=\"685\" height=\"365\"\/>The alt text for this image may have been generated using AI.<\/p>\n<p>Temporal changes of intent usage, relative to the morning. The y axes show percentage of the category relative to morning. (Percentage at morning is 0, if it increases it is +, if it decreases it is \u2212.) The top graph shows the intents that increase throughout the day, and the bottom shows the ones that decrease.<\/p>\n<p>Conversational AI as a health companion<\/p>\n<p>We also examined who the health query is about (Fig. <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"figure anchor\" href=\"http:\/\/www.nature.com\/articles\/s44360-026-00117-x#Fig5\" rel=\"nofollow noopener\" target=\"_blank\">5<\/a>), using a subsample of n = 2,165 conversations drawn from the main dataset and annotated for the person the query concerns (a small number of conversations about pets and animals were excluded). This subsample comprises the three personal health intents: \u2018Symptom Questions and Health Concerns\u2019, \u2018Condition Information and Care Questions\u2019 and \u2018Emotional Well-being\u2019. In every category, most questions are asked on behalf of the users themselves. However, across both condition information and symptom questions, one in seven conversations are on behalf of someone else, whether a child, an aging parent or a partner: for \u2018Symptom Questions and Health Concerns\u2019, 14.5%, 95% CI 12.4\u201316.8, are about a dependent; for \u2018Condition Information and Care Questions\u2019, 14.9%, 95% CI 12.6\u201317.6; while for \u2018Emotional Well-being\u2019 7.6%, 95% CI 5.4\u201310.5, concern a dependent.<\/p>\n<p>Fig. 5: Who the health query is about.<img decoding=\"async\" aria-describedby=\"figure-5-desc ai-alt-disclaimer-figure-5-1\" src=\"https:\/\/www.newsbeep.com\/uk\/wp-content\/uploads\/2026\/04\/44360_2026_117_Fig5_HTML.png\" alt=\"Fig. 5: Who the health query is about.\" loading=\"lazy\" width=\"685\" height=\"223\"\/>The alt text for this image may have been generated using AI.<\/p>\n<p>Percentage of conversations on three intents (symptom questions, condition information and emotional well-being) related to the user, a dependent, other or unknown.<\/p>\n<p>Extended Data Table <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"table anchor\" href=\"http:\/\/www.nature.com\/articles\/s44360-026-00117-x#Tab2\" rel=\"nofollow noopener\" target=\"_blank\">1<\/a> presents the five most common topic clusters for the six consumer-facing health intents, with within-category percentages. The remaining categories (Coverage and Benefits, Research and Academic Support, Medical Paperwork, and Digital Tools and Fitness Apps) primarily reflect professional or administrative use cases and were excluded from topic analysis by design. The clusters reveal that even the broadest category, \u2018Health Information and Education\u2019, is dominated by queries about specific treatments and conditions rather than abstract health knowledge, and that the narrower personal intents show clear concentrations around a small number of core needs.<\/p>\n","protected":false},"excerpt":{"rendered":"Our dataset comprises conversations classified as \u2018Health and Fitness\u2019. After applying the step 1 classifier (described in the&hellip;\n","protected":false},"author":2,"featured_media":535572,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[20],"tags":[554,733,4308,3250,3247,157624,81848,157623,90812,3249,90,89145,86,37024,56,54,55],"class_list":{"0":"post-535571","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-artificial-intelligence","8":"tag-ai","9":"tag-artificial-intelligence","10":"tag-artificialintelligence","11":"tag-general","12":"tag-health-care","13":"tag-health-economics","14":"tag-health-promotion-and-disease-prevention","15":"tag-health-psychology","16":"tag-maternal-and-child-health","17":"tag-medicine-public-health","18":"tag-science","19":"tag-signs-and-symptoms","20":"tag-technology","21":"tag-technology-and-society","22":"tag-uk","23":"tag-united-kingdom","24":"tag-unitedkingdom"},"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/posts\/535571","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/comments?post=535571"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/posts\/535571\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/media\/535572"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/media?parent=535571"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/categories?post=535571"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/tags?post=535571"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}