Modeling multistate health transitions with a most-recent-event Hawkes process
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<title>Modeling multistate health transitions with a most-recent-event Hawkes process</title>
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<namePart>Xu, Mengyi</namePart>
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<abstract displayLabel="Summary">The paper develops a multistate health transition model based on a most-recent-event Hawkes process to capture the effect of past disability and duration dependence on future health transitions. Unlike traditional Markov or Hawkes models, the proposed approach focuses on the most recent transition, preserving semi-Markov tractability while incorporating self-exciting effects. The model is estimated using a Monte Carlo EM algorithm to address incomplete prestudy information. Results show significant impacts of disability history on transition intensities, improved goodness of fit, and important implications for life expectancy estimation and insurance pricing, particularly for long-term care insurance and life annuities</abstract>
<note type="statement of responsibility">Jiwon Jung, Kiseop Lee and Mengyi Xu</note>
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<topic>Cálculo actuarial</topic>
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<subject xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="MAPA20080562144">
<topic>Discapacidad</topic>
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<topic>Modelos Semi-Markov</topic>
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<subject xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="MAPA20080580377">
<topic>Esperanza de vida</topic>
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<subject xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="MAPA20080555016">
<topic>Longevidad</topic>
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<title>North American actuarial journal</title>
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<publisher>Schaumburg : Society of Actuaries, 1997-</publisher>
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<identifier type="issn">1092-0277</identifier>
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<text>16/03/2026 Tomo 30 Número 1 - 2026 , 23 p.</text>
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