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Presented By: U-M Industrial & Operations Engineering

IOE PhD Seminar Series - Lauren Steimle

Sequential Decision-Making under Ambiguity with Applications to Chronic Disease Management

Open to all IOE graduate students and faculty. Lunch will be provided. In order to get an accurate count for food, please RSVP by the end of the day on Wednesday, November 28.

Abstract:
Optimization of sequential decision-making under uncertainty is important in many contexts, including chronic diseases, but ambiguity in the underlying models introduces significant challenges. In the context of chronic disease management, Markov decision processes (MDPs) have been used to optimize the delivery of medical interventions in a way that balances the immediate harms and costs with the uncertain future health benefits associated with these interventions. Unfortunately, treatment recommendations that result from MDPs can depend heavily on the model of the chronic disease, and there are often multiple plausible models due to conflicting data sources or differing opinions among medical experts. To address this problem, we introduce a new framework in which a decision-maker can consider multiple models of the MDP’s ambiguous parameters and seeks to find a strategy that maximizes the weighted performance with respect to each of these models of the MDP. We establish connections to other models in the stochastic optimization literature, derive complexity results, and establish solution methods for solving these problems. We illustrate our approach in the context of preventative treatment for cardiovascular disease, and end with a discussion of opportunities for future work by extending to other preferences towards ambiguity and other chronic diseases.

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