{"id":"https://openalex.org/W4410086877","doi":"https://doi.org/10.1109/tce.2025.3565900","title":"Reinforcement Learning-Based Integrated Risk Aware Dynamic Treatment Strategy for Consumer-Centric Next-Gen Healthcare","display_name":"Reinforcement Learning-Based Integrated Risk Aware Dynamic Treatment Strategy for Consumer-Centric Next-Gen Healthcare","publication_year":2025,"publication_date":"2025-05-01","ids":{"openalex":"https://openalex.org/W4410086877","doi":"https://doi.org/10.1109/tce.2025.3565900"},"language":"en","primary_location":{"id":"doi:10.1109/tce.2025.3565900","is_oa":false,"landing_page_url":"https://doi.org/10.1109/tce.2025.3565900","pdf_url":null,"source":{"id":"https://openalex.org/S126824455","display_name":"IEEE Transactions on Consumer Electronics","issn_l":"0098-3063","issn":["0098-3063","1558-4127"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319808","host_organization_name":"Institute of Electrical and Electronics Engineers","host_organization_lineage":["https://openalex.org/P4310319808"],"host_organization_lineage_names":["Institute of Electrical and Electronics Engineers"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IEEE Transactions on Consumer Electronics","raw_type":"journal-article"},"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5093131880","display_name":"Divya Nimma","orcid":"https://orcid.org/0009-0005-1525-2395"},"institutions":[{"id":"https://openalex.org/I44854399","display_name":"University of Southern Mississippi","ror":"https://ror.org/0270vfa57","country_code":"US","type":"education","lineage":["https://openalex.org/I4210141039","https://openalex.org/I44854399"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Divya Nimma","raw_affiliation_strings":["Department of Computational Science, The University of Southern Mississippi, Hattiesburg, MS, USA","Data Analyst, UMMC, USA"],"affiliations":[{"raw_affiliation_string":"Department of Computational Science, The University of Southern Mississippi, Hattiesburg, MS, USA","institution_ids":["https://openalex.org/I44854399"]},{"raw_affiliation_string":"Data Analyst, UMMC, USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5114226956","display_name":"Pinapati Lakshmana Rao","orcid":null},"institutions":[{"id":"https://openalex.org/I875944469","display_name":"Koneru Lakshmaiah Education Foundation","ror":"https://ror.org/02k949197","country_code":"IN","type":"education","lineage":["https://openalex.org/I875944469"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Pinapati Lakshmana Rao","raw_affiliation_strings":["Department of Computer science and Engineering, Koneru Lakshmaiah Education Foundation, Guntur, India","Department of Computer science and Engineering, Koneru Lakshmaiah Education Foundation, Vaddeswaram, Guntur, Andhra Pradesh, India"],"affiliations":[{"raw_affiliation_string":"Department of Computer science and Engineering, Koneru Lakshmaiah Education Foundation, Guntur, India","institution_ids":["https://openalex.org/I875944469"]},{"raw_affiliation_string":"Department of Computer science and Engineering, Koneru Lakshmaiah Education Foundation, Vaddeswaram, Guntur, Andhra Pradesh, India","institution_ids":["https://openalex.org/I875944469"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5043414948","display_name":"Janjhyam Venkata Naga Ramesh","orcid":"https://orcid.org/0000-0002-2084-8864"},"institutions":[{"id":"https://openalex.org/I60054993","display_name":"Graphic Era University","ror":"https://ror.org/03wqgqd89","country_code":"IN","type":"education","lineage":["https://openalex.org/I60054993"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Janjhyam Venkata Naga Ramesh","raw_affiliation_strings":["Department of CSE, Graphic Era Hill University, Dehradun, India","Adjunct Professor, Department of CSE, Graphic Era Hill University, Dehradun, India"],"affiliations":[{"raw_affiliation_string":"Department of CSE, Graphic Era Hill University, Dehradun, India","institution_ids":["https://openalex.org/I60054993"]},{"raw_affiliation_string":"Adjunct Professor, Department of CSE, Graphic Era Hill University, Dehradun, India","institution_ids":["https://openalex.org/I60054993"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5072605553","display_name":"Fadl Dahan","orcid":"https://orcid.org/0000-0002-5975-0696"},"institutions":[{"id":"https://openalex.org/I142608572","display_name":"Prince Sattam Bin Abdulaziz University","ror":"https://ror.org/04jt46d36","country_code":"SA","type":"education","lineage":["https://openalex.org/I142608572"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Fadl Dahan","raw_affiliation_strings":["Department of Management Information Systems, College of Business Administration Hawtat Bani Tamim, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia"],"affiliations":[{"raw_affiliation_string":"Department of Management Information Systems, College of Business Administration Hawtat Bani Tamim, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia","institution_ids":["https://openalex.org/I142608572"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100591216","display_name":"Desidi Narsimha Reddy","orcid":"https://orcid.org/0009-0000-1201-4010"},"institutions":[{"id":"https://openalex.org/I4210125682","display_name":"Plano Cancer Institute","ror":"https://ror.org/02xtw2e05","country_code":"US","type":"facility","lineage":["https://openalex.org/I4210125682"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Desidi Narsimha Reddy","raw_affiliation_strings":["Data Consultant, Soniks Consulting LLC, Plano, TX, USA","Soniks consulting Data Consultant, Soniks consulting LLC, E park blvd, Telangana, India"],"affiliations":[{"raw_affiliation_string":"Data Consultant, Soniks Consulting LLC, Plano, TX, USA","institution_ids":["https://openalex.org/I4210125682"]},{"raw_affiliation_string":"Soniks consulting Data Consultant, Soniks consulting LLC, E park blvd, Telangana, India","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111138668","display_name":"Dr Venkatachalam Selvakumar","orcid":null},"institutions":[{"id":"https://openalex.org/I4210115326","display_name":"Swami Vivekanand College of Pharmacy","ror":"https://ror.org/029n4n358","country_code":"IN","type":"education","lineage":["https://openalex.org/I4210115326"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Venkatachalam Selvakumar","raw_affiliation_strings":["Department of Maths and Statistics, Bhavan&#x2019;s Vivekananda College of Science, Humanities and Commerce, Hyderabad, India","Department of Maths and Statistics, Bhavan&#x2019;s Vivekananda College of Science, Humanities and Commerce, Hyderabad, Telangana, India"],"affiliations":[{"raw_affiliation_string":"Department of Maths and Statistics, Bhavan&#x2019;s Vivekananda College of Science, Humanities and Commerce, Hyderabad, India","institution_ids":["https://openalex.org/I4210115326"]},{"raw_affiliation_string":"Department of Maths and Statistics, Bhavan&#x2019;s Vivekananda College of Science, Humanities and Commerce, Hyderabad, Telangana, India","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093846632","display_name":"Yodgorkhon Ilkhamova","orcid":null},"institutions":[{"id":"https://openalex.org/I55383850","display_name":"Tashkent State University of Economics","ror":"https://ror.org/029t9db68","country_code":"UZ","type":"education","lineage":["https://openalex.org/I55383850"]}],"countries":["UZ"],"is_corresponding":false,"raw_author_name":"Yodgorkhon Ilkhamova","raw_affiliation_strings":["Department of Digital Economy, Tashkent State University of Economics, Tashkent, Uzbekistan","Department of Digital economy, Tashkent State University of Economics, Tashkent, Uzbekistan"],"affiliations":[{"raw_affiliation_string":"Department of Digital Economy, Tashkent State University of Economics, Tashkent, Uzbekistan","institution_ids":["https://openalex.org/I55383850"]},{"raw_affiliation_string":"Department of Digital economy, Tashkent State University of Economics, Tashkent, Uzbekistan","institution_ids":["https://openalex.org/I55383850"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5066826293","display_name":"Pradeep Jangir","orcid":"https://orcid.org/0000-0001-6944-4775"},"institutions":[{"id":"https://openalex.org/I85461943","display_name":"Saveetha University","ror":"https://ror.org/0034me914","country_code":"IN","type":"education","lineage":["https://openalex.org/I85461943"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Pradeep Jangir","raw_affiliation_strings":["Department of Biosciences, Saveetha School of Engineering, Saveetha Institute of Medical and Technical Sciences, Chennai, India","Department of Biosciences, Saveetha School of Engineering. Saveetha Institute of Medical and Technical Sciences, Chennai"],"affiliations":[{"raw_affiliation_string":"Department of Biosciences, Saveetha School of Engineering, Saveetha Institute of Medical and Technical Sciences, Chennai, India","institution_ids":["https://openalex.org/I85461943"]},{"raw_affiliation_string":"Department of Biosciences, Saveetha School of Engineering. Saveetha Institute of Medical and Technical Sciences, Chennai","institution_ids":["https://openalex.org/I85461943"]}]}],"institutions":[],"countries_distinct_count":4,"institutions_distinct_count":8,"corresponding_author_ids":["https://openalex.org/A5093131880"],"corresponding_institution_ids":["https://openalex.org/I44854399"],"apc_list":null,"apc_paid":null,"fwci":38.8998,"has_fulltext":false,"cited_by_count":24,"citation_normalized_percentile":{"value":0.99845867,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":99,"max":100},"biblio":{"volume":"71","issue":"2","first_page":"5917","last_page":"5925"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11519","display_name":"Digital Mental Health Interventions","score":0.37059998512268066,"subfield":{"id":"https://openalex.org/subfields/3202","display_name":"Applied Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11519","display_name":"Digital Mental Health Interventions","score":0.37059998512268066,"subfield":{"id":"https://openalex.org/subfields/3202","display_name":"Applied Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13283","display_name":"Mental Health Research Topics","score":0.34599998593330383,"subfield":{"id":"https://openalex.org/subfields/3205","display_name":"Experimental and Cognitive Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/reinforcement-learning","display_name":"Reinforcement learning","score":0.6832669973373413},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.5478723049163818},{"id":"https://openalex.org/keywords/reinforcement","display_name":"Reinforcement","score":0.5173653960227966},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.4452727735042572},{"id":"https://openalex.org/keywords/knowledge-management","display_name":"Knowledge management","score":0.33835524320602417},{"id":"https://openalex.org/keywords/psychology","display_name":"Psychology","score":0.27886128425598145},{"id":"https://openalex.org/keywords/artificial-intelligence","display_name":"Artificial intelligence","score":0.27110016345977783}],"concepts":[{"id":"https://openalex.org/C97541855","wikidata":"https://www.wikidata.org/wiki/Q830687","display_name":"Reinforcement learning","level":2,"score":0.6832669973373413},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5478723049163818},{"id":"https://openalex.org/C67203356","wikidata":"https://www.wikidata.org/wiki/Q1321905","display_name":"Reinforcement","level":2,"score":0.5173653960227966},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.4452727735042572},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.33835524320602417},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.27886128425598145},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.27110016345977783},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1109/tce.2025.3565900","is_oa":false,"landing_page_url":"https://doi.org/10.1109/tce.2025.3565900","pdf_url":null,"source":{"id":"https://openalex.org/S126824455","display_name":"IEEE Transactions on Consumer Electronics","issn_l":"0098-3063","issn":["0098-3063","1558-4127"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319808","host_organization_name":"Institute of Electrical and Electronics Engineers","host_organization_lineage":["https://openalex.org/P4310319808"],"host_organization_lineage_names":["Institute of Electrical and Electronics Engineers"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IEEE Transactions on Consumer Electronics","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":29,"referenced_works":["https://openalex.org/W2998316788","https://openalex.org/W3014375543","https://openalex.org/W3037198273","https://openalex.org/W3162561301","https://openalex.org/W4285079099","https://openalex.org/W4285136945","https://openalex.org/W4310460605","https://openalex.org/W4312297461","https://openalex.org/W4312455169","https://openalex.org/W4312497540","https://openalex.org/W4320525875","https://openalex.org/W4382865033","https://openalex.org/W4387780089","https://openalex.org/W4388283616","https://openalex.org/W4390102760","https://openalex.org/W4391642658","https://openalex.org/W4391925146","https://openalex.org/W4392449537","https://openalex.org/W4392739263","https://openalex.org/W4393170648","https://openalex.org/W4394711246","https://openalex.org/W4394997664","https://openalex.org/W4398762379","https://openalex.org/W4399761342","https://openalex.org/W4400168244","https://openalex.org/W4400679778","https://openalex.org/W4400722106","https://openalex.org/W4400810165","https://openalex.org/W4401691658"],"related_works":["https://openalex.org/W4391375266","https://openalex.org/W2899084033","https://openalex.org/W2748952813","https://openalex.org/W4310083477","https://openalex.org/W2328553770","https://openalex.org/W2920061524","https://openalex.org/W1977959518","https://openalex.org/W2038908348","https://openalex.org/W2107890255","https://openalex.org/W2106552856"],"abstract_inverted_index":{"Reinforcement":[0],"learning":[1,189],"(RL)":[2],"has":[3],"gained":[4],"prominence":[5],"in":[6,190],"healthcare":[7],"due":[8],"to":[9,12,42,52,69,105,117,143,179],"its":[10],"ability":[11],"optimize":[13],"treatment":[14,38,63,170,195],"strategies":[15,33,51],"without":[16,36],"relying":[17],"on":[18,153],"predefined":[19],"mathematical":[20],"models.":[21,181],"However,":[22],"existing":[23],"approaches":[24],"face":[25],"critical":[26],"challenges:":[27],"(1)":[28],"the":[29,102,123,185],"optimality":[30],"of":[31,187],"learned":[32,50,124],"is":[34,115],"assessed":[35],"considering":[37],"risks,":[39],"potentially":[40],"leading":[41,68],"unsafe":[43],"recommendations;":[44],"(2)":[45],"distribution":[46,119],"shift":[47,120],"issues":[48],"cause":[49],"diverge":[53],"from":[54],"physician":[55,113],"decisions;":[56],"and":[57,62,121,168,197],"(3)":[58],"past":[59],"observational":[60],"data":[61],"history":[64],"are":[65],"often":[66],"overlooked,":[67],"suboptimal":[70],"state":[71,135],"representations.":[72],"To":[73,133],"address":[74],"these":[75],"limitations,":[76],"we":[77,137],"propose":[78],"a":[79],"Dynamic":[80],"Treatment":[81],"Strategy":[82],"Generation":[83],"Model":[84],"that":[85,158],"integrates":[86],"Dead":[87,99],"Ends":[88,100],"with":[89,109,126,172],"an":[90,139],"Offline":[91],"Supervised":[92],"Actor-Critic":[93,103],"approach":[94],"(DOSAC-DTR).":[95],"Our":[96],"model":[97,142],"incorporates":[98],"into":[101],"framework":[104],"evaluate":[106],"risks":[107],"associated":[108],"recommended":[110],"treatments.":[111],"Additionally,":[112],"oversight":[114],"embedded":[116],"mitigate":[118],"align":[122],"strategy":[125],"expert":[127],"decisions":[128],"while":[129],"maximizing":[130],"expected":[131],"outcomes.":[132],"enhance":[134],"representation,":[136],"employ":[138],"LSTM-based":[140],"encoder-decoder":[141],"capture":[144],"essential":[145],"patient":[146,198],"history,":[147],"ensuring":[148],"robust":[149],"decision-making.":[150],"Experimental":[151],"results":[152],"real-world":[154],"datasets":[155],"(MIMIC-III)":[156],"demonstrate":[157],"DOSAC-DTR":[159],"significantly":[160],"reduces":[161],"mortality":[162],"rates":[163],"(Sepsis:":[164],"3.51%,":[165],"Ventilation:":[166],"13.74%)":[167],"improves":[169],"alignment":[171],"physicians":[173],"(Jaccard":[174],"similarity:":[175],"0.362,":[176],"0.126)":[177],"compared":[178],"baseline":[180],"These":[182],"findings":[183],"underscore":[184],"potential":[186],"reinforcement":[188],"personalized":[191],"healthcare,":[192],"improving":[193],"both":[194],"efficacy":[196],"safety.":[199]},"counts_by_year":[{"year":2026,"cited_by_count":3},{"year":2025,"cited_by_count":21}],"updated_date":"2026-03-21T08:13:44.787528","created_date":"2025-10-10T00:00:00"}
