 Solution

The fitted progressive illness-death model has three allowed arrows: $1\to 2$ with estimated transition intensity $0.1849$, $1\to 3$ with $0.01935$, and $2\to 3$ with $0.06143$, all in years${}^{-1}$. State 3 is an absorbing state, and state 2 has no return arrow.

Once in state 2, the holding time has an exponential distribution with rate $q_{23}$, so the mean holding time from a transition intensity matrix isApply a confidence interval for an inverse rate to the printed rate interval $(0.03552,0.1063)$: since inversion reverses order, the approximate 95% interval for the mean isThe time-homogeneous Markov property makes the future depend only on the current state; the exponential distribution also has the memoryless property. For a person currently in state 2,Equivalently, $p_{22}(2)=p_{22}(1{)}^2\simeq 0.9404163^2$. Thus the fitted two-year death probability is approximately 11.6%.