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PreprintCC BY-NC-SA 4.0HAL

Set-Valued Policy Learning

Abstract

Conventional treatment policies map patient covariates to a single recommended intervention in order to maximize expected clinical outcomes. However, when multiple treatments yield statistically indistinguishable outcomes or when treatment has no effect, recommending a single intervention may result in somewhat arbitrary interventions, undermining clinical adoption and trust. To address this, we propose a set-valued policy learning paradigm. By outputting sets of valuable treatments whose cardinality reflects the recommendation’s ambiguity, our approach better supports clinical decision-making. Evaluating a set-valued policy proves subtle due to the range of possible downstream decisions. To do so, we define the set-policy value using a choice function to model clinical decision-making, and we develop doubly robust estimators thereof. Despite its practical importance, set-valued policy learning for categorical treatments remains largely unexplored. In this context, we introduce two complementary approaches: the Greatest Lower Bound method, which extends the learning-to-defer framework to multiple treatments, and conformal set-valued policy learning, which bridges the gap between unobserved ground-truth optimal treatments and estimated optimal treatment rules. Through experiments on synthetic data and real-world applications to trauma care and in-vitro fertilization (IVF), we demonstrate that our methods produce robust and actionable policies that naturally incorporate clinical considerations while effectively balancing performance and reliability.

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BibTeX
@misc{fuentesvicente2026setvalued,
  title = {{Set-Valued Policy Learning}},
  author = {Laura Fuentes-Vicente and Mathieu Even and Gaëlle Dormion and Antoine Chambaz and Uri Shalit and Julie Josse},
  howpublished = {HAL},
  year = {2026},
  month = may,
  doi = {10.48550/arxiv.2605.19830},
  eprint = {2605.19830},
  archivePrefix = {arXiv},
  url = {https://hal.science/hal-05673977v2},
  note = {CC BY-NC-SA 4.0},
}
RIS
TY  - UNPB
TI  - Set-Valued Policy Learning
AU  - Laura Fuentes-Vicente
AU  - Mathieu Even
AU  - Gaëlle Dormion
AU  - Antoine Chambaz
AU  - Uri Shalit
AU  - Julie Josse
PY  - 2026
DA  - 2026/05/19
PB  - HAL
DO  - 10.48550/arxiv.2605.19830
UR  - https://hal.science/hal-05673977v2
AB  - Conventional treatment policies map patient covariates to a single recommended intervention in order to maximize expected clinical outcomes. However, when multiple treatments yield statistically indistinguishable outcomes or when treatment has no effect, recommending a single intervention may result in somewhat arbitrary interventions, undermining clinical adoption and trust. To address this, we propose a set-valued policy learning paradigm. By outputting sets of valuable treatments whose cardinality reflects the recommendation’s ambiguity, our approach better supports clinical decision-making. Evaluating a set-valued policy proves subtle due to the range of possible downstream decisions. To do so, we define the set-policy value using a choice function to model clinical decision-making, and we develop doubly robust estimators thereof. Despite its practical importance, set-valued policy learning for categorical treatments remains largely unexplored. In this context, we introduce two complementary approaches: the Greatest Lower Bound method, which extends the learning-to-defer framework to multiple treatments, and conformal set-valued policy learning, which bridges the gap between unobserved ground-truth optimal treatments and estimated optimal treatment rules. Through experiments on synthetic data and real-world applications to trauma care and in-vitro fertilization (IVF), we demonstrate that our methods produce robust and actionable policies that naturally incorporate clinical considerations while effectively balancing performance and reliability.
ER  -