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Register a new userEquitable Allocation of Healthcare Resources with Fair Cox Models
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James Foulds
Publication date
2020
fields
Informatics Engineering
and research's language is
English
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Healthcare programs such as Medicaid provide crucial services to vulnerable populations, but due to limited resources, many of the individuals who need these services the most languish on waiting lists. Survival models, e.g. the Cox proportional hazards model, can potentially improve this situation by predicting individuals levels of need, which can then be used to prioritize the waiting lists. Providing care to those in need can prevent institutionalization for those individuals, which both improves quality of life and reduces overall costs. While the benefits of such an approach are clear, care must be taken to ensure that the prioritization process is fair or independent of demographic information-based harmful stereotypes. In this work, we develop multiple fairness definitions for survival models and corresponding fair Cox proportional hazards models to ensure equitable allocation of healthcare resources. We demonstrate the utility of our methods in terms of fairness and predictive accuracy on two publicly available survival datasets.
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Explicit and implicit bias clouds human judgement, leading to discriminatory treatment of minority groups. A fundamental goal of algorithmic fairness is to avoid the pitfalls in human judgement by learning policies that improve the overall outcomes while providing fair treatment to protected classes. In this paper, we propose a causal framework that learns optimal intervention policies from data subject to fairness constraints. We define two measures of treatment bias and infer best treatment assignment that minimizes the bias while optimizing overall outcome. We demonstrate that there is a dilemma of balancing fairness and overall benefit; however, allowing preferential treatment to protected classes in certain circumstances (affirmative action) can dramatically improve the overall benefit while also preserving fairness. We apply our framework to data containing student outcomes on standardized tests and show how it can be used to design real-world policies that fairly improve student test scores. Our framework provides a principled way to learn fair treatment policies in real-world settings.
The (COVID-19) pandemic-induced restrictions on travel and social gatherings have prompted most conference organizers to move their events online. However, in contrast to physical conferences, virtual conferences face a challenge in efficiently scheduling talks, accounting for the availability of participants from different time-zones as well as their interests in attending different talks. In such settings, a natural objective for the conference organizers would be to maximize some global welfare measure, such as the total expected audience participation across all talks. However, we show that optimizing for global welfare could result in a schedule that is unfair to the stakeholders, i.e., the individual utilities for participants and speakers can be highly unequal. To address the fairness concerns, we formally define fairness notions for participants and speakers, and subsequently derive suitable fairness objectives for them. We show that the welfare and fairness objectives can be in conflict with each other, and there is a need to maintain a balance between these objective while caring for them simultaneously. Thus, we propose a joint optimization framework that allows conference organizers to design talk schedules that balance (i.e., allow trade-offs) between global welfare, participant fairness and the speaker fairness objectives. We show that the optimization problem can be solved using integer linear programming, and empirically evaluate the necessity and benefits of such joint optimization approach in virtual conference scheduling.
Disparate access to resources by different subpopulations is a prevalent issue in societal and sociotechnical networks. For example, urban infrastructure networks may enable certain racial groups to more easily access resources such as high-quality schools, grocery stores, and polling places. Similarly, social networks within universities and organizations may enable certain groups to more easily access people with valuable information or influence. Here we introduce a new class of problems, Graph Augmentation for Equitable Access (GAEA), to enhance equity in networked systems by editing graph edges under budget constraints. We prove such problems are NP-hard, and cannot be approximated within a factor of $(1-tfrac{1}{3e})$. We develop a principled, sample- and time- efficient Markov Reward Process (MRP)-based mechanism design framework for GAEA. Our algorithm outperforms baselines on a diverse set of synthetic graphs. We further demonstrate the method on real-world networks, by merging public census, school, and transportation datasets for the city of Chicago and applying our algorithm to find human-interpretable edits to the bus network that enhance equitable access to high-quality schools across racial groups. Further experiments on Facebook networks of universities yield sets of new social connections that would increase equitable access to certain attributed nodes across gender groups.
Fairness-aware learning involves designing algorithms that do not discriminate with respect to some sensitive feature (e.g., race or gender). Existing work on the problem operates under the assumption that the sensitive feature available in ones training sample is perfectly reliable. This assumption may be violated in many real-world cases: for example, respondents to a survey may choose to conceal or obfuscate their group identity out of fear of potential discrimination. This poses the question of whether one can still learn fair classifiers given noisy sensitive features. In this paper, we answer the question in the affirmative: we show that if one measures fairness using the mean-difference score, and sensitive features are subject to noise from the mutually contaminated learning model, then owing to a simple identity we only need to change the desired fairness-tolerance. The requisite tolerance can be estimated by leveraging existing noise-rate estimators from the label noise literature. We finally show that our procedure is empirically effective on two case-studies involving sensitive feature censoring.
We consider the problem of dividing limited resources between a set of agents arriving sequentially with unknown (stochastic) utilities. Our goal is to find a fair allocation - one that is simultaneously Pareto-efficient and envy-free. When all utilities are known upfront, the above desiderata are simultaneously achievable (and efficiently computable) for a large class of utility functions. In a sequential setting, however, no policy can guarantee these desiderata simultaneously for all possible utility realizations. A natural online fair allocation objective is to minimize the deviation of each agents final allocation from their fair allocation in hindsight. This translates into simultaneous guarantees for both Pareto-efficiency and envy-freeness. However, the resulting dynamic program has state-space which is exponential in the number of agents. We propose a simple policy, HopeOnline, that instead aims to `match the ex-post fair allocation vector using the current available resources and `predicted histogram of future utilities. We demonstrate the effectiveness of our policy compared to other heurstics on a dataset inspired by mobile food-bank allocations.
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