Off-Policy Evaluation with Irregularly-Spaced, Outcome-Dependent Observation Times

While the classic off-policy evaluation (OPE) literature commonly assumes decision time points to be evenly spaced for simplicity, in many real-world scenarios, such as those involving user-initiated visits, decisions are made at irregularly-spaced and potentially outcome-dependent time points. For a more principled evaluation of the dynamic policies, this paper constructs a novel OPE framework, which concerns not only the state-action process but also an observation process dictating the time points at which decisions are made. The framework is closely connected to the Markov decision process in computer science and with the renewal process in the statistical literature. Within the framework, two distinct value functions, derived from cumulative reward and integrated reward respectively, are considered, and statistical inference for each value function is developed under revised Markov and time-homogeneous assumptions. The validity of the proposed method is further supported by theoretical results, simulation studies, and a real-world application from electronic health records (EHR) evaluating periodontal disease treatments.