Statistical Tests for Replacing Human Decision Makers with Algorithms
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This paper proposes a statistical framework with which artificial intelligence can improve human decision making. The performance of each human decision maker is first benchmarked against machine predictions; we then replace the decisions made by a subset of the decision makers with the recommendation from the proposed artificial intelligence algorithm. Using a large nationwide dataset of pregnancy outcomes and doctor diagnoses from prepregnancy checkups of reproductive age couples, we experimented with both a heuristic frequentist approach and a Bayesian posterior loss function approach with an application to abnormal birth detection. We find that our algorithm on a test dataset results in a higher overall true positive rate and a lower false positive rate than the diagnoses made by doctors only. We also find that the diagnoses of doctors from rural areas are more frequently replaceable, suggesting that artificial intelligence assisted decision making tends to improve precision more in less developed regions.
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