{"id":"W2002689674","doi":"10.1503/cmaj.109-3345","title":"Obstacles to health care transformation are numerous","year":2010,"lang":"en","type":"article","venue":"Canadian Medical Association Journal","topic":"Primary Care and Health Outcomes","field":"Health Professions","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"","funders":"","keywords":"Health care; Focus (optics); Transformation (genetics); Health care reform; Medical care; Medicine; Operations research; Health policy; Political science; Nursing; Engineering; Law","routes":{"ca_aff":false,"ca_fund":false,"ca_venue":true,"about_ca":true,"invisible_to_affiliation_only":true},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.02621732,0.0007580489,0.0009314132,0.002028759,0.01762529,0.01813555,0.00407279,0.01212575,0.02924439],"category_scores_gemma":[0.04866418,0.000610643,0.001048715,0.003129327,0.02129715,0.008773601,0.01446488,0.02178053,0.002586639],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.04698874,"about_ca_system_score_gemma":0.1316893,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.470259,"about_ca_topic_score_gemma":0.6418542,"domain_scores_codex":[0.9680206,0.007195789,0.0009642708,0.001637254,0.01265572,0.009526382],"domain_scores_gemma":[0.9464899,0.01300262,0.002308857,0.001270024,0.01237493,0.02455374],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"not_applicable","study_design_gemma":"not_applicable","study_design_scores_codex":[0.00005282167,0.0001732238,0.004252485,0.0003416996,0.00006730304,0.0003762855,0.003992414,0.0005139219,0.0001619523,0.2175008,0.7055472,0.06701989],"study_design_scores_gemma":[0.00007843826,0.00006353711,0.01138688,0.001564132,0.00003863008,0.0003471887,0.02837064,0.0007400019,0.0001560409,0.08212542,0.8750005,0.0001285292],"study_design_candidate":"not_applicable","study_design_consensus":"not_applicable","genre_codex":"commentary","genre_gemma":"editorial","genre_scores_codex":[0.002127606,0.003399545,0.0005946092,0.9711591,0.001369715,0.00002567995,0.000104599,0.00004620849,0.021173],"genre_scores_gemma":[0.30867,0.02649035,0.005577571,0.6240555,0.00688117,0.0002137389,0.0005104632,0.0001771815,0.02742405],"genre_candidate":"editorial","genre_consensus":null,"teacher_disagreement_score":0.470259,"threshold_uncertainty_score":0.9350436,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.0168689776827748,"score_gpt":0.368031272676023,"score_spread":0.3511622949932482,"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."}}