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A user-customizable hybrid framework for targeted medical decision-making.

M Gabriela Sava1, Luis G Vargas2, Jerrold H May2

  • 1Allen W. and Carol M. Schmidthorst College of Business, Bowling Green State University, Bowling Green, OH, 43403, USA.

Journal of Multi-Criteria Decision Analysis
|March 5, 2025
PubMed
Summary

This study introduces a customizable framework for targeted medical decisions, balancing provider time and prediction accuracy. It groups patients by preferences to optimize resource allocation in healthcare.

Keywords:
Analytic Hierarchy Process (AHP)machine learningstability analysisuser-customizable hybrid framework

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Area of Science:

  • Health Informatics
  • Decision Analysis
  • Medical Economics

Background:

  • Patient heterogeneity necessitates targeted medical decision-making.
  • Incorporating patient preferences is crucial for effective healthcare strategies.
  • Current methods may be time-consuming when modeling individual patient preferences.

Purpose of the Study:

  • To propose a user-customizable hybrid framework for targeted medical decision-making.
  • To balance the trade-off between reduced provider time and prediction accuracy through group customization.
  • To apply the framework to colorectal cancer screening for resource allocation optimization.

Main Methods:

  • A hybrid framework combining descriptive and predictive processes.
  • Descriptive process: Groups patients based on preference-based subjective features.
  • Predictive process: Matches new patients to groups using objective features.

Main Results:

  • The framework offers flexibility in adjusting group customization levels.
  • Demonstrated application to colorectal cancer screening decision-making.
  • The provider can select the desired trade-off based on acceptable error levels.

Conclusions:

  • The proposed framework enables efficient resource allocation in healthcare.
  • Group customization can shorten the process of modeling patient preferences.
  • The framework is adaptable to various medical decisions and provider-user scenarios.