{"id":"W2012319625","doi":"10.7326/0003-4819-148-9-200805060-00018","title":"How to Achieve a High-Performance Health Care System in the United States","year":2008,"lang":"en","type":"letter","venue":"Annals of Internal Medicine","topic":"Healthcare Policy and Management","field":"Economics, Econometrics and Finance","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"McGill University","funders":"","keywords":"Health care; Government (linguistics); Medicine; Negotiation; Public health; Gerontology; Library science; Nursing; Political science; Law","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":true,"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":[0.01517044,0.0006767133,0.0004468577,0.00157543,0.008452586,0.01048159,0.001798255,0.01280644,0.03451032],"category_scores_gemma":[0.02946494,0.0005412303,0.001067632,0.001382288,0.004143661,0.01271742,0.008522472,0.01053644,0.006611161],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.01059594,"about_ca_system_score_gemma":0.03320504,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.02639734,"about_ca_topic_score_gemma":0.04700662,"domain_scores_codex":[0.9862649,0.005194158,0.0007789736,0.0005782321,0.003470094,0.003713535],"domain_scores_gemma":[0.9785379,0.003466084,0.001246619,0.0007228719,0.004399814,0.01162665],"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":[0.00002143937,0.00009457696,0.001662987,0.0001387868,0.00001554296,0.000176007,0.0006022739,0.0001216524,0.00007374314,0.02673662,0.9181178,0.05223862],"study_design_scores_gemma":[0.0001262377,0.0001797867,0.009793716,0.002256126,0.00002478265,0.0003131932,0.004431582,0.0002315989,0.0003015197,0.03195775,0.9503154,0.0000682859],"study_design_candidate":"not_applicable","study_design_consensus":"not_applicable","genre_codex":"commentary","genre_gemma":"commentary","genre_scores_codex":[0.001418745,0.005749651,0.0003656043,0.9649056,0.006506311,0.00003031701,0.00009640711,0.00006774354,0.02085969],"genre_scores_gemma":[0.1330743,0.02840229,0.009388064,0.7669071,0.01815095,0.0004669836,0.0008900014,0.0002442603,0.04247596],"genre_candidate":"commentary","genre_consensus":"commentary","teacher_disagreement_score":0.03451032,"threshold_uncertainty_score":0.1154485,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.09591999771058421,"score_gpt":0.3168510797464818,"score_spread":0.2209310820358976,"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."}}