2022 article
When History and Heterogeneity Matter: A Tutorial on the Impact of Markov Model Specifications in the Context of Colorectal Cancer Screening
Townsley, R. M., Koutouan, P. R., Mayorga, M. E., Mills, S. D., Davis, M. M., & Hasmiller Lich, K. (2022, May 11). MEDICAL DECISION MAKING.
Background Markov models are used in health research to simulate health care utilization and disease states over time. Health phenomena, however, are complex, and the memoryless assumption of Markov models may not appropriately represent reality. This tutorial provides guidance on the use of Markov models of different orders and stratification levels in health decision-analytic modeling. Colorectal cancer (CRC) screening is used as a case example to examine the impact of using different Markov modeling approaches on CRC outcomes.