Patient-Centered Treatment Planning for Chronic Multimorbidity: A Hierarchical Reinforcement Learning Framework for Preference Modeling

Nafiseh Payani, Soham Das, G. Anthony Wilson, Anahita Khojandi

Patient preference, defined as a patient's demonstrated willingness and capacity to adhere to clinical recommendations, is a primary determinant of therapeutic effect yet remains structurally absent from existing computational treatment planning models. We address this gap by presenting patient-centered factored-action hierarchical option-critic (FAHOC), a hierarchical reinforcement learning (HRL) framework that jointly learns high-level options corresponding to therapeutic strategies and factored intra-option policies that decompose the joint action space into disease- and intervention-specific subcomponents, while imposing a cooperation-aware action masking mechanism. This enables structured exploration, improved credit assignment across hierarchy levels, and more interpretable decision pathways, while enforcing patients' preferences. Formal guarantees establish that cooperative patients achieve higher optimal expected health outcomes than non-cooperative patients, and that the factored Q-function approximation error is provably bounded. The framework is evaluated using longitudinal data collected from approximately 50,000 comorbid hypertension and type 2 diabetes mellitus…