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Soutik Ghosal

Publications and source records attributed to Soutik Ghosal.

3 recordsLinked to original sources

Assessing the informative value of macroeconomic indicators for public health forecasting

Macroeconomic conditions influence the environments in which health systems operate, yet their value as leading signals of health system capacity has not been systematically evaluated. In this study, we examine whether selected macroeconomic indicators contain predictive information for several capacity-related public health targets, including employment in the health and social assistance workforce, new business applications in the sector, and health care construction spending. Using monthly U.S. time series data, we evaluate multiple forecasting approaches, including neural network models with different optimization strategies, generalized additive models, random forests, and time series models with exogenous macroeconomic indicators, under alternative model fitting designs. Across evaluation settings, we find that macroeconomic indicators provide a consistent and reproducible predictive signal for some public health targets, particularly workforce and infrastructure measures, while other targets exhibit weaker or less stable predictability. Models emphasizing stability and implicit regularization tend to perform more reliably during periods of economic volatility. These findings suggest that macroeconomic indicators may serve as useful upstream signals for digital public health monitoring, while underscoring the need for careful model selection and validation when translating economic trends into health system forecasting tools.

stat.AP

A placement-value based approach to concave ROC analysis

The receiver operating characteristic (ROC) curve is an important graphic tool for evaluating a test in a wide range of disciplines. While useful, an ROC curve can cross the chance line, either by having an S-shape or a hook at the extreme specificity. These non-concave ROC curves are sub-optimal according to decision theory, as there are points that are superior than those corresponding to the portions below the chance line with either the same sensitivity or specificity. We extend the literature by proposing a novel placement value-based approach to ensure concave curvature of the ROC curve, and utilize Bayesian paradigm to make estimations under both a parametric and a semiparametric framework. We conduct extensive simulation studies to assess the performance of the proposed methodology under various scenarios, and apply it to a pancreatic cancer dataset.

stat.ME

Impact of methodological assumptions and covariates on the cutoff estimation in ROC analysis

The Receiver Operating Characteristic (ROC) curve stands as a cornerstone in assessing the efficacy of biomarkers for disease diagnosis. Beyond merely evaluating performance, it provides with an optimal cutoff for biomarker values, crucial for disease categorization. While diverse methodologies exist for threshold estimation, less attention has been paid to integrating covariate impact into this process. Covariates can strongly impact diagnostic summaries, leading to variations across different covariate levels. Therefore, a tailored covariate-based framework is imperative for outlining covariate-specific optimal cutoffs. Moreover, recent investigations into cutoff estimators have overlooked the influence of ROC curve estimation methodologies. This study endeavors to bridge this gap by addressing the research void. Extensive simulation studies are conducted to scrutinize the performance of ROC curve estimation models in estimating different cutoffs in varying scenarios, encompassing diverse data-generating mechanisms and covariate effects. Additionally, leveraging the Alzheimer's Disease Neuroimaging Initiative (ADNI) dataset, the research assesses the performance of different biomarkers in diagnosing Alzheimer's disease and determines the suitable optimal cutoffs.

stat.ME