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Adapting a Kidney Exchange Algorithm to Align with Human Values

机译:调整肾脏交换算法以与人类值对齐

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The efficient allocation of limited resources is a classical problem in economics and computer science. In kidney exchanges, a central market maker allocates living kidney donors to patients in need of an organ. Patients and donors in kidney exchanges are prioritized using ad-hoc weights decided on by committee and then fed into an allocation algorithm that determines who get what-and who does not. In this paper, we provide an end-to-end methodology for estimating weights of individual participant profiles in a kidney exchange. We first elicit from human subjects a list of patient attributes they consider acceptable for the purpose of prioritizing patients (e.g., medical characteristics, lifestyle choices. and so on). Then, we ask subjects comparison queries between patient profiles and estimate weights in a principled way from their responses. We show how to use these weights in kidney exchange market clearing algorithms. We then evaluate the impact of the weights in simulations and find that the precise numerical values of the weights we computed matter little, other than the ordering of profiles that they imply. However, compared to not prioritizing patients at all, there is a significant effect, with certain classes of patients being (de)prioritized based on the human-elicited value judgments.
机译:有限资源的有效分配是经济学和计算机科学的经典问题。在肾脏交易所,中央市场制造商将肾脏捐赠者分配给需要一个器官的患者。肾脏交易所的患者和捐助者优先使用委员会决定的ad-hoc重量,然后进入一个分配算法,确定谁得到什么 - 谁没有。在本文中,我们提供了一种端到端的方法,用于估算肾交换中各个参与者概况的权重。我们首先从人类主题中引出他们认为可以接受的患者属性列表,以便优先考虑患者(例如,医疗特征,生活方式选择。等等)。然后,我们向受试者询问患者简档之间的查询,并以原则的方式从他们的回复中估算权重。我们展示了如何在肾交换市场清算算法中使用这些重量。然后,我们评估重量在仿真中的影响,并发现我们计算的重量的精确数值很少,除了它们意味着的轮廓的排序之外。然而,与根本没有优先化患者相比,存在显着影响,某些患者(DE)基于人引发的价值判断优先考虑。

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