Coordinating the treatment of multiple chronic conditions
Luke DeRoos, Mariel Lavieri, Joshua Stein
University of Michigan, United States of America
We present a Markov decision model for simultaneously managing the treatment of multiple chronic conditions. We first provide a general framework, then demonstrate under which conditions model complexity can be dramatically reduced--including to that of an index optimal policy. We present a case study on patients with age related macular degeneration, and demonstrate that following our framework could reduce symptoms by 38% and direct medical costs by 23%.