Evaluation of Markov models with discontinuities

Background. Several methods, such as the half-cycle correction and the life-table method, were developed to attenuate the error introduced in Markov models by the discretization of time. Elbasha and Chhatwal have proposed alternative “corrections” based on numerical integration techniques. They pres...

Descripción completa

Detalles Bibliográficos
Autores: Bermejo, Iñigo, Pérez Martín, Jorge, Díez Vegas, Francisco Javier
Tipo de recurso: artículo
Fecha de publicación:2019
País:España
Institución:Universidad Nacional de Educación a Distancia
Repositorio:e-spacio. Repositorio Institucional de la UNED
Idioma:inglés
OAI Identifier:oai:e-spacio.uned.es:20.500.14468/12447
Acceso en línea:https://hdl.handle.net/20.500.14468/12447
Access Level:acceso abierto
Palabra clave:state-transition models
half-cycle correction
Markov models
within-cycle correction
discontinuities
Descripción
Sumario:Background. Several methods, such as the half-cycle correction and the life-table method, were developed to attenuate the error introduced in Markov models by the discretization of time. Elbasha and Chhatwal have proposed alternative “corrections” based on numerical integration techniques. They present an example whose results suggest that the trapezoidal rule, which is equivalent to the half-cycle correction, is not as accurate as Simpson’s 1/3 and 3/8 rules. However, they did not take into consideration the impact of discontinuities. Objective. To propose a method for evaluating Markov models with discontinuities. Design. Applying the trapezoidal rule, we derive a method that consists of adjusting the model by setting the cost at each point of discontinuity to the mean of the left and right limits of the cost function. We then take from the literature a model with a cycle length of 1 year and a discontinuity on the cost function and compare our method with other “corrections” using as the gold standard an equivalent model with a cycle length of 1 day. Results. As expected, for this model, the life-table method is more accurate than assuming that transitions occur at the beginning or the end of cycles. The application of numerical integration techniques without taking into account the discontinuity causes large errors. The model with averaged cost values yields very small errors, especially for the trapezoidal and the 1/3 Simpson rules. Conclusion. In the case of discontinuities, we recommend applying the trapezoidal rule on an averaged model because this method has a mathematical justification, and in our empirical evaluation, it was more accurate than the sophisticated 3/8 Simpson rule.