An effective framework for estimating individualized treatment rules

Estimating individualized treatment rules (ITRs) is fundamental in causal inference, particularly for precision medicine applications. Traditional ITR estimation methods rely on inverse probability weighting (IPW) to address confounding factors and $L_{1}$-penalization for simplicity and interpretability. However, IPW can introduce statistical bias without precise propensity score modeling, while $L_1$-penalization makes the objective non-smooth, leading to computational bias and requiring subgradient methods. In this paper, we propose a unified ITR estimation framework formulated as a constrained, weighted, and smooth convex optimization problem. The optimal ITR can be robustly and effectively computed by projected gradient descent. Our comprehensive theoretical analysis reveals that weights that balance the spectrum of a `weighted design matrix' improve both the optimization and likelihood landscapes, yielding improved computational and statistical estimation guarantees. In particular, this is achieved by distributional covariate balancing weights, which are model-free alternatives to IPW. Extensive simulations and applications demonstrate that our framework achieves significant gains in both robustness and effectiveness for ITR learning against existing methods.