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Voice Technology in Healthcare: A Comparative Analysis of TTS and STT Models

Published on
January 8, 2025
Contributors
Yogendra Jaiswal
Software Craftsperson
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In the fast-paced world of healthcare, seconds can save lives. Imagine a virtual assistant transcribing a doctor’s rapid-fire instructions during an emergency or converting critical patient information into clear, accessible audio. These are not just futuristic scenarios; they are the present-day reality powered by advanced AI models for Text-to-Speech (TTS) and Speech-to-Text (STT).

Selecting the right model isn't just a technical choice—it's a decision that directly impacts patient care, documentation, operational efficiency, and compliance with regulations. Let’s explore how leading TTS and STT models stack up, with a focus on their applications in the medical field.

Text-To-Speech (TTS) Models

Pricing: Balancing Cost and Scalability

In healthcare, large-scale text conversion is common—from electronic health records (EHR) to patient education materials. Here’s how popular TTS models compare in terms of cost per 1,000 characters:

Key Insight:

For high-volume applications like medical documentation and patient interaction systems, Deepgram Aura Asteria is the most cost-effective, significantly reducing operational costs.

Latency: Speed for Real-Time Interaction

In emergency response systems or virtual medical consultations, low latency is crucial. Here’s the average latency for top models:

Key Insight:  

Google’s models, particularly Polyglot 1 and Standard A, excel in low latency, making it ideal for real-time conversational agents in medical emergencies.

Accuracy and Error Evaluation

Accuracy in pronunciation, especially for medical terms, is non-negotiable. Medical terminology is notoriously difficult for AI models. Common errors in drug names like 'acetaminophen' being mispronounced could lead to serious misunderstandings, especially in patient-facing systems.  

Pronunciation accuracy is non-negotiable and in TTS models it is measured by the number of errors in the generated speech.  

Here are the models' performance:


Key Insight:

Both Deepgram Aura Asteria and Eleven Labs Turbo perform well, though targeted training on medical terminology would further improve their reliability.

Audio Quality: Clarity in Communication

The final aspect is the naturalness and quality of the synthesized voice. Natural, clear audio improves user experience, especially in patient-facing roles, affecting their comfort and comprehension during medical interactions.  

Key Insight:

Eleven Labs Turbo v2 offers superior audio quality, making it a top choice for patient-focused systems.

Speech-to-Text (STT) Models

Efficiency and Cost

For transcribing doctor notes or patient interactions, both cost and speed are key.

Key Insight:

We didn't find any significant difference in the accuracy of different models like OpenAI Whisper, Deepgram Nova-2, and other models based on Whisper.

However, the Deepgram model had significantly lower latency than OpenAI, being 3-4 times faster. Additionally, pricing was lower for Deepgram Nova-2 (approximately $4.5 per 1000 minutes) compared to $6 for OpenAI Whisper.

Which AI Model to Choose?

When selecting Text-to-Speech (TTS) and Speech-to-Text (STT) models, it's essential to consider how they'll be used in real-world scenarios. Different models excel in different areas, so understanding your specific needs is key.  

Let’s look at two use cases and see how the right choice of models can make a big difference.

Use Case 1: Customer Support Chatbots

Scenario: You're operating a customer support center where speed and clear communication are critical. You want your chatbot to respond quickly and accurately to customer queries, handling everything from basic FAQs to complex troubleshooting.

Recommended Models:

  1. TTS: Google Polyglot 1 is a great option because of its super-fast response time (1.63 ms latency ensures instant responses). This means your chatbot can speak responses almost instantly, keeping customers engaged and reducing frustration.
  1. STT: Deepgram Nova-2 is perfect for transcribing customer speech quickly and accurately leading to seamless interaction.  

Impact: Faster and clearer communication enhances patient satisfaction, driving a seamless experience, making your customers feel heard and valued.

Use Case 2: Large-Scale Medical Transcription

Scenario: You're transcribing hours long meetings, lectures, or any long-form audio. Accuracy is crucial because you need the transcription to be reliable for future reference, but you also want to keep costs manageable, especially if you’re dealing with hours of content.

Recommended Models:

  1. TTS: If you need to convert text summaries or notes into speech for sharing, Deepgram Aura Asteria is a budget-friendly option at $0.015 per 1,000 characters. It strikes a good balance between cost and quality, making it ideal for generating audio summaries or briefings from text.
  1. STT: Deepgram Nova-2 again shines here. It’s cost-effective (around $4.5 per 1,000 minutes) and still provides the accuracy you need for clear, readable transcriptions, making it a smart choice for processing large volumes of audio without breaking the bank.

Impact: Efficient, scalable transcription reduces costs while maintaining accuracy.

The Bigger Picture

Security and Privacy

In healthcare, protecting patient data is critical, and AI models must comply with strict regulations like HIPAA. Several TTS and STT models are designed with healthcare in mind and often meet these standards:

  1. Azure TTS: Known for its HIPAA compliance, Azure TTS offers end-to-end encryption, role-based access control (RBAC), and regional hosting options to ensure secure processing of Protected Health Information (PHI).
  1. Google Cloud TTS and STT: Provides encryption for data in transit and at rest, with HIPAA-compliant infrastructure suitable for healthcare applications.
  1. Deepgram Nova-2: Offers robust privacy controls, rapid transcription, and customizable models tailored for sensitive environments.  

When deploying these models, ensure secure implementation with encryption, strong API authentication, and clear data retention policies. For higher control, consider on-premise deployments where feasible.

By choosing HIPAA-compliant models like these, healthcare organizations can leverage AI for efficiency and innovation while safeguarding patient privacy.

Future Trends

The future of TTS and STT lies in further specialization for healthcare:

  1. Real-Time Multilingual Translation: Bridging language gaps during international consultations.
  1. Voice-Driven Diagnostics: Analyzing speech patterns for early detection of diseases like Parkinson's or depression.

Final Thoughts: Tailoring AI for Healthcare Needs

Choosing the right TTS and STT models is not a one-size-fits-all solution. For real-time applications that need instant responses, like in customer support, go for models with low latency and high accuracy. For large-scale transcription, where cost and accuracy are top priorities, choose models that offer a good balance of both.

By aligning model selection with specific healthcare needs, AI-driven solutions can make a real difference in how you operate and communicate.

References

  1. Deepgram Aura Asteria
  1. Google TTS Models
  1. Eleven Labs TTS Models
  1. OpenAI Azure TTS
  1. PlayHT2.0
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