论文标题
选择选择?医疗保健决策的个性化建议:一种多臂强盗方法
Spoiled for Choice? Personalized Recommendation for Healthcare Decisions: A Multi-Armed Bandit Approach
论文作者
论文摘要
在线医疗保健社区为用户提供各种医疗干预措施,以促进健康的行为并提高依从性。但是,当面对太多干预选择时,个人可能会发现很难决定要采取哪种选择,尤其是当他们缺乏评估不同选择的经验或知识时。选择超负荷问题可能会对用户在健康管理中的参与产生负面影响。在这项研究中,我们采用设计科学的角度来提出一个建议框架,以帮助用户选择医疗干预措施。考虑到用户的健康行为可能是高度动态和多样的,我们提出了一个多臂强盗(MAB)驱动的推荐框架,这使我们能够自适应地学习用户的偏好变化,同时促进推荐多样性。为了更好地适应医疗保健环境,我们根据著名的健康理论合成了两个创新模型组件。第一个组件是基于深度学习的功能工程程序,旨在学习有关用户的依次健康历史,健康管理经验,偏好和医疗保健干预措施内在属性的关键建议环境。第二个组件是多样性约束,在结构上,在不同维度上的建议在结构上多样化,以为用户提供全面的支持。我们将方法应用于在线体重管理环境中,并通过一系列实验对其进行严格的评估。我们的结果表明,每个设计组件都是有效的,并且我们的建议设计优于广泛的最新推荐系统。我们的研究有助于研究商业智能的应用,并对包括在线医疗平台,政策制定者和用户在内的多个利益相关者产生影响。
Online healthcare communities provide users with various healthcare interventions to promote healthy behavior and improve adherence. When faced with too many intervention choices, however, individuals may find it difficult to decide which option to take, especially when they lack the experience or knowledge to evaluate different options. The choice overload issue may negatively affect users' engagement in health management. In this study, we take a design-science perspective to propose a recommendation framework that helps users to select healthcare interventions. Taking into account that users' health behaviors can be highly dynamic and diverse, we propose a multi-armed bandit (MAB)-driven recommendation framework, which enables us to adaptively learn users' preference variations while promoting recommendation diversity in the meantime. To better adapt an MAB to the healthcare context, we synthesize two innovative model components based on prominent health theories. The first component is a deep-learning-based feature engineering procedure, which is designed to learn crucial recommendation contexts in regard to users' sequential health histories, health-management experiences, preferences, and intrinsic attributes of healthcare interventions. The second component is a diversity constraint, which structurally diversifies recommendations in different dimensions to provide users with well-rounded support. We apply our approach to an online weight management context and evaluate it rigorously through a series of experiments. Our results demonstrate that each of the design components is effective and that our recommendation design outperforms a wide range of state-of-the-art recommendation systems. Our study contributes to the research on the application of business intelligence and has implications for multiple stakeholders, including online healthcare platforms, policymakers, and users.