Hierarchical Multi-agent Model for Reinforced Medical Resource Allocation with Imperfect Information

With the advent of the COVID-19 pandemic, the shortage in medical resources became increasingly more evident. Therefore, efficient strategies for medical resource allocation are urgently needed. However, conventional rule-based methods employed by public health experts have limited capability in dealing with the complex and dynamic pandemic-spreading situation. In addition, model-based optimization methods such as dynamic programming (DP) fail to work since we cannot obtain a precise model in real-world situations most of the time. Model-free reinforcement learning (RL) is a powerful tool for decision-making; however, three key challenges exist in solving this problem via RL: (1) complex situations and countless choices for decision-making in the real world; (2) imperfect information due to the latency of pandemic spreading; and (3) limitations on conducting experiments in the real world since we cannot set up pandemic outbreaks arbitrarily. In this article, we propose a hierarchical RL framework with several specially designed components. We design a decomposed action space with a corresponding training algorithm to deal with the countless choices, ensuring efficient and real-time strategies. We design a recurrent neural network–based framework to utilize the imperfect information obtained from the environment. We also design a multi-agent voting method, which modifies the decision-making process considering the randomness during model training and, thus, improves the performance. We build a pandemic-spreading simulator based on real-world data, serving as the experimental platform. We then conduct extensive experiments. The results show that our method outperforms all baselines, which reduces infections and deaths by 14.25% on average without the multi-agent voting method and up to 15.44% with it.