A treatment policy defines when and what treatments are applied to affect some outcome of interest. Data-driven decision-making requires the ability to predict what happens if a policy is changed. Existing methods that predict how the outcome evolves under different scenarios assume that the tentative sequences of future treatments are fixed in advance, while in practice the treatments are determined stochastically by a policy and may depend for example on the efficiency of previous treatments. Therefore, the current methods are not applicable if the treatment policy is unknown or a counterfactual analysis is needed. To handle these limitations, we model the treatments and outcomes jointly in continuous time, by combining Gaussian processes and point processes. Our model enables the estimation of a treatment policy from observational sequences of treatments and outcomes, and it can predict the interventional and counterfactual progression of the outcome after an intervention on the treatment policy (in contrast with the causal effect of a single treatment). We show with real-world and semi-synthetic data on blood glucose progression that our method can answer causal queries more accurately than existing alternatives.
翻译:一种治疗政策界定了何时和何种治疗方法来影响某种利益结果。数据驱动的决策要求有能力预测政策改变后会发生什么情况。现有方法预测结果在不同假设情况下如何演变。现有方法假设,未来治疗的暂定顺序是事先确定的,而实际上,治疗是由一项政策决定的,可能取决于先前治疗的效率。因此,如果治疗政策不明或需要反事实分析,目前的方法不适用。为了处理这些限制,我们通过将高山进程和点点进程结合起来,连续地对治疗和结果进行模拟。我们的模型能够根据治疗和结果的观察顺序对治疗政策进行估计,它可以预测治疗政策干预后结果的干预性和反效果进展(与单一治疗的因果关系形成对照)。我们用真实世界和半合成的血液甘油进展数据显示,我们的方法可以比现有的替代方法更准确地回答因果关系问题。