Recently, there has been growing interest in estimating optimal treatment regimes which are individualized decision rules that can achieve maximal average outcomes. This paper considers the problem of inference for optimal treatment regimes in the model-free setting, where the specification of an outcome regression model is not needed. Existing model-free estimators are usually not suitable for the purpose of inference because they either have nonstandard asymptotic distributions, or are designed to achieve fisher-consistent classification performance. This paper first studies a smoothed robust estimator that directly targets estimating the parameters corresponding to the Bayes decision rule for estimating the optimal treatment regime. This estimator is shown to have an asymptotic normal distribution. Furthermore, it is proved that a resampling procedure provides asymptotically accurate inference for both the parameters indexing the optimal treatment regime and the optimal value function. A new algorithm is developed to calculate the proposed estimator with substantially improved speed and stability. Numerical results demonstrate the satisfactory performance of the new methods.
翻译:最近,人们越来越有兴趣估计最佳治疗制度,这种制度是能够取得最大平均结果的个性化决定规则。本文件审议了在不需要结果回归模型规格的无模式环境中,最佳治疗制度的推断问题。现有的无模式估计者通常不适合推断,因为它们要么具有非标准无症状分布,要么旨在取得与鱼类一致的分类性能。本文件首先研究一个平滑的稳健估计员,直接针对与贝耶斯决定规则相对应的参数来估计最佳治疗制度。这个估计员显示,它具有无症状正常分布。此外,事实证明,重新抽样程序为最佳治疗制度和最佳价值功能的指数化参数提供了无症状准确的推论。开发了一种新的算法,以大大加快和稳定的速度计算拟议的估算员。数字结果显示,新方法的性能令人满意。