Phuong Anh Nguyen, Jill Noorily, Matthew Flathers +7cs.CY cs.CL cs.IR
Online health information seeking is shifting from keyword search, where users consider a ranked list of links, to conversational systems that compose a single answer and curate its citations. Source evaluation therefore passes from user to platform, yet what these systems surface is poorly characterized. We audited three free consumer products (ChatGPT, Perplexity, Google AI Overview) on twenty English mental health questions under two prompt conditions, with a subset of three also translated into six further languages of varying resource tiers. We recorded 15,942 citations across 1,140 responses and 1,713 unique domains, then classified every citation with a nine-category organizational typology applied by a deterministic classifier validated against human coding. Citations were heavily concentrated: the ten most-cited domains accounted for 43.6% of English citations, and government, commercial health, and academic sources were closely matched at roughly 22% each. Platforms differed little in typical citation volume but sharply in consistency and in the source types they favored. Explicitly requesting sources shifted composition only modestly. Non-English queries surfaced fewer citations and were routed to language-appropriate resources at significantly lower rates. We release the typology, classifier, and annotated corpus as reusable instruments for auditing generative health search.
Citation excerpts can be used to increase the reliability of generated outputs and their faithfulness to cited sources, which is especially important in high-stakes domains such as human and veterinary medicine. However, this does not guarantee that generated claims are faithful to the provided excerpts. We present VetScore, a multi-step evaluation method for veterinary long-form question answering, designed to assess how well are generated claims supported by the provided excerpts, weighing this information by each claim's harm potential. VetScore first segments the output and decomposes it into individual claims, then scores each claim with respect to its harm potential and evaluates its faithfulness to source excerpts, and finally calculates the overall risk-adjusted score. We collect an expert-annotated meta-evaluation dataset, evaluate our approach with a range of judge models, and show that it achieves high correlations with veterinary experts even with small judge models, while offering explainability across multiple dimensions.