{"id":"W1717615651","doi":"10.1007/bf03404917","title":"Transforming a Health Care System: Managing Change for Community Gain","year":2000,"lang":"en","type":"article","venue":"Canadian Journal of Public Health","topic":"Primary Care and Health Outcomes","field":"Health Professions","cited_by":21,"is_retracted":false,"has_abstract":false,"ca_institutions":"University of Calgary","funders":"","keywords":"Healthcare system; Health care; Political science","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":true,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.02090238,0.0009600468,0.0007482087,0.002527505,0.01702674,0.02109844,0.004185152,0.01160439,0.01526435],"category_scores_gemma":[0.03767201,0.0004544771,0.001051887,0.002020885,0.01504409,0.01463387,0.01527079,0.01100479,0.002296906],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0155811,"about_ca_system_score_gemma":0.08715804,"about_ca_topic_candidate":true,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.02018712,"about_ca_topic_score_gemma":0.04879395,"domain_scores_codex":[0.9750563,0.0138597,0.0005807301,0.001101661,0.003861498,0.005540168],"domain_scores_gemma":[0.9580886,0.008374531,0.003060703,0.002013733,0.005679253,0.02278319],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"design_other","study_design_gemma":"not_applicable","study_design_scores_codex":[0.0001372738,0.002254108,0.03066278,0.0009608256,0.0002358291,0.001456236,0.03298831,0.002503568,0.001635897,0.2025008,0.330853,0.3938113],"study_design_scores_gemma":[0.0002293205,0.0007726378,0.02592395,0.001847335,0.0001851782,0.0009420513,0.1470539,0.004979952,0.001178658,0.3999174,0.4166878,0.0002817159],"study_design_candidate":"not_applicable","study_design_consensus":null,"genre_codex":"commentary","genre_gemma":"empirical","genre_scores_codex":[0.0398993,0.003204572,0.01853014,0.86853,0.0026999,0.0002819065,0.0000749511,0.000409503,0.06636972],"genre_scores_gemma":[0.8834124,0.004267232,0.034494,0.06166396,0.002204451,0.0004570856,0.0001308029,0.0001827969,0.01318732],"genre_candidate":"empirical","genre_consensus":null,"teacher_disagreement_score":0.9798129,"threshold_uncertainty_score":0.1130493,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.2072253387646834,"score_gpt":0.4297605732622828,"score_spread":0.2225352344975995,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}