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This paper advances causal inference by introducing set-valued policy learning, which outputs multiple clinically equivalent treatment options rather than a single arbitrary recommendation when outcomes are indistinguishable. By developing doubly robust estimators and choice functions, the authors provide a rigorous framework for handling ambiguity in categorical treatments across domains like trauma care and IVF. This work addresses a critical gap in decision-making reliability where traditional point-estimate policies may undermine trust due to their inherent arbitrariness.
Set-Valued Policy Learning
arXiv:2605.19830v2 Announce Type: replace Abstract: Conventional treatment policies map patient covariates to a single recommended intervention in order to maximize expected clinical outcomes. However, when multiple treatments yield statistically indistinguishable outcomes or when treatment has no effect, recommending a single intervention may result in somewhat arbitrary interventions, undermining clinical adoption and trust. To address this, we propose a set-valued policy learning paradigm. By outputting sets of valuable treatments whose cardinality reflects the recommendation's ambiguity, our approach better supports clinical decision-making. Evaluating a set-valued policy proves subtle due to the range of possible downstream decisions. To do so, we define the set-policy value using a choice function to model clinical decision-making, and we develop doubly robust estimators thereof. Despite its practical importance, set-valued policy learning for categorical treatments remains largely unexplored. In this context, we introduce two complementary approaches: the Greatest Lower Bound method, which extends the learning-to-defer framework to multiple treatments, and conformal set-valued policy learning, which bridges the gap between unobserved ground-truth optimal treatments and estimated optimal treatment rules. Through experiments on synthetic data and real-world applications to trauma care and in-vitro fertilization (IVF), we demonstrate that our methods produce robust and actionable policies that naturally incorporate clinical considerations while effectively balancing performance and reliability.
Abstract:Conventional treatment policies map patient covariates to a single recommended intervention in order to maximize expected clinical outcomes. However, when multiple treatments yield statistically indistinguishable outcomes or when treatment has no effect, recommending a single intervention may result in somewhat arbitrary interventions, undermining clinical adoption and trust. To address this, we propose a set-valued policy learning paradigm. By outputting sets of valuable treatments whose cardinality reflects the recommendation's ambiguity, our approach better supports clinical decision-making. Evaluating a set-valued policy proves subtle due to the range of possible downstream decisions. To do so, we define the set-policy value using a choice function to model clinical decision-making, and we develop doubly robust estimators thereof. Despite its practical importance, set-valued policy learning for categorical treatments remains largely unexplored. In this context, we introduce two complementary approaches: the Greatest Lower Bound method, which extends the learning-to-defer framework to multiple treatments, and conformal set-valued policy learning, which bridges the gap between unobserved ground-truth optimal treatments and estimated optimal treatment rules. Through experiments on synthetic data and real-world applications to trauma care and in-vitro fertilization (IVF), we demonstrate that our methods produce robust and actionable policies that naturally incorporate clinical considerations while effectively balancing performance and reliability.
Machine Learning (cs.LG); Statistics Theory (math.ST)
arXiv:2605.19830 [cs.LG]
(or arXiv:2605.19830v2 [cs.LG] for this version)
https://doi.org/10.48550/arXiv.2605.19830 Focus to learn more arXiv-issued DOI via DataCite
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