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In my opinion, it is not a good idea to ask patients direct questions. Not only they feel a pressure on them that can make them choose unwisely but also they might not have enough knowledge about some medical situations to decide between them. Some of the information in 'The Utility Assessment Approach' section is repeated in 'Incorporating Patient Preferences in Decision-Support Systems' section. I think you can better organize your page. Your page is full of abstract solutions, and I don't know how those methods can be implemented practically. Your approach takes a lot of time to implement. You need to ask every patient lots of questions. I think you can reduce this time by using a combination of patient-specific and historical data.

Thank you for your response, Fardad. I have revised my article to provide additional details regarding my proposed solution. Regarding your point about the limitations of directly asking patients, I acknowledge that every method has its drawbacks, and the choice of methodology depends on our specific goals. I fully concur with your suggestion of utilizing a combination of patient-specific and historical data. In fact, I explicitly mentioned in the bias section that we incorporate historical data into our approach and continuously update it.