In response to the pressing challenge of kidney allocation, characterized by growing demands for organs, this research sets out to develop a data-driven solution to this problem, which also incorporates stakeholder values. The primary objective of this study is to create a method for learning both individual and group-level preferences pertaining to kidney allocations. Drawing upon data from the 'Pairwise Kidney Patient Online Survey.' Leveraging two distinct datasets and evaluating across three levels - Individual, Group and Stability - we employ machine learning classifiers assessed through several metrics. The Individual level model predicts individual participant preferences, the Group level model aggregates preferences across participants, and the Stability level model, an extension of the Group level, evaluates the stability of these preferences over time. By incorporating stakeholder preferences into the kidney allocation process, we aspire to advance the ethical dimensions of organ transplantation, contributing to more transparent and equitable practices while promoting the integration of moral values into algorithmic decision-making.
AI systems are often used to make or contribute to important decisions in a growing range of applications, including criminal justice, hiring, and medicine. Since these decisions impact human lives, it is important that the AI systems act in ways which align with human values. Techniques for preference modeling and social choice help researchers learn and aggregate peoples' preferences, which are used to guide AI behavior; thus, it is imperative that these learned preferences are accurate. These techniques often assume that people are willing to express strict preferences over alternatives; which is not true in practice. People are often indecisive, and especially so when their decision has moral implications. The philosophy and psychology literature shows that indecision is a measurable and nuanced behavior -- and that there are several different reasons people are indecisive. This complicates the task of both learning and aggregating preferences, since most of the relevant literature makes restrictive assumptions on the meaning of indecision. We begin to close this gap by formalizing several mathematical \emph{indecision} models based on theories from philosophy, psychology, and economics; these models can be used to describe (indecisive) agent decisions, both when they are allowed to express indecision and when they are not. We test these models using data collected from an online survey where participants choose how to (hypothetically) allocate organs to patients waiting for a transplant.
The efficient and fair 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 gets 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.