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Subjective probability is a measure of the degree of belief held for the truth of an answer to a question. It is used in the quantification of uncertainty due to lack of knowledge, also called epistemic uncertainty. The word epistemic stems from the Greek word for knowledge. It indicates that this uncertainty has its origin in the nature and limits of knowledge. In the case of epistemic uncertainty, there are several answers to a question that are considered as possibly true, while there is only one true answer. The true answer will either be deterministic or probabilistic, depending on the formulation of the question. Both may be subject to epistemic uncertainty. A probabilistic answer uses probability in its classical frequentistic interpretation to quantify uncertainty due to random (or stochastic) variability, also called aleatory uncertainty.

Decision making involves asking questions. The answers to most of the questions will be subject to epistemic uncertainty. Quantitatively expressing this uncertainty by subjective probability enables one to employ all concepts, methods, and tools from probability calculus in the quantification of the combined influence of the uncertainties on decision making.

The following paragraphs explain by example the difference between subjective probability and probability in its classical frequentistic interpretation. Then, the connection with medical decision making is briefly pointed out. Rules for calculation are followed by a short introduction into the specification of subjective probability values. The discussion ends with two practical examples and a summary of how subjective probability is used in the uncertainty and sensitivity analysis of results from decision models.

Explanation

Consider the following illustrative example: A die is under the dice box, and it is uncertain which side is up. The question “Which side is up?” has a deterministic answer, namely, the number of eyes on the upper side of the die. This number could be known—one would only have to lift the dice box. There is only one true number, and the uncertainty about the correct number is quantified by subjective probability. Does it make any difference whether the die was cast in the past and covered so that one just needs to lift the dice box or whether the question is “Which side will be up in the next cast?” In both cases, there is only one true but unknown number that answers the question, and subjective probability is used to quantify the uncertainty that prevails until the next cast has been executed. However, the question “Which side is up in any cast of the die?” does not specify the cast and therefore does not have one true number as an answer. Rather, the population of numbers 1, 2, …, 6 applies such that for any cast the number can be thought of as randomly chosen from this population. The question can therefore be only answered probabilistically. The probabilistic answer summarizes the random variability among casts in the form of a probability distribution assigning, for instance, probability 1/6 to each of the six possible numbers. Probability is used here in its classical frequentistic interpretation as the limit of relative frequencies and is simply called probability. For instance, the probability for the side with number 3 to be up in any cast is the limit approached by the number of times this side was up in n casts divided by n, for an increasing number n of casts.

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