{"id":"W2017206051","doi":"10.12927/hcq.2009.20420","title":"Sustaining Change: Once Evidence-Based Practices Are Transferred, What Then?","year":2009,"lang":"en","type":"article","venue":"Healthcare Quarterly","topic":"Primary Care and Health Outcomes","field":"Health Professions","cited_by":74,"is_retracted":false,"has_abstract":true,"ca_institutions":"University of Toronto","funders":"","keywords":"Sophistication; Best practice; Health care; Medicine; Sustainability; Health administration; Nursing; Business; Political science; Public health; Sociology","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":["metaepi_narrow","sts"],"consensus_categories":[],"category_scores_codex":[0.002125117,0.0004612505,0.0008380666,0.0003211243,0.001734019,0.0001285909,0.0005372812,0.0005451886,0.0003122305],"category_scores_gemma":[0.0003999527,0.0004147255,0.0002017013,0.0005973053,0.00006355926,0.003700003,0.00001710677,0.001812651,0.0003630647],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.001226706,"about_ca_system_score_gemma":0.004380394,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.002913714,"about_ca_topic_score_gemma":0.003373109,"domain_scores_codex":[0.9931676,0.002149863,0.00126846,0.0008184557,0.0007748462,0.001820728],"domain_scores_gemma":[0.9938774,0.002382728,0.001302861,0.0009671453,0.0007758505,0.0006939751],"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":[0.001081166,0.000192149,0.02646957,0.003594139,0.00002805153,0.0002186685,0.0718546,0.000001218552,0.00006574678,0.003595437,0.01860675,0.8742925],"study_design_scores_gemma":[0.004131248,0.009046607,0.3474696,0.0133601,0.0001439971,0.00002637002,0.2686359,0.0002459645,0.00002826345,0.004599759,0.3507147,0.001597462],"study_design_candidate":"design_other","study_design_consensus":null,"genre_codex":"commentary","genre_gemma":"empirical","genre_scores_codex":[0.05333978,0.02707727,0.0003271298,0.9102915,0.003137414,0.003484037,0.00003603558,0.0007266954,0.001580145],"genre_scores_gemma":[0.775011,0.002413498,0.0003358503,0.2194063,0.001845015,0.0004261307,0.00003575769,0.00004256716,0.0004838907],"genre_candidate":"commentary","genre_consensus":null,"teacher_disagreement_score":0.872695,"threshold_uncertainty_score":0.9998305,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.2637370040261867,"score_gpt":0.4981584823577031,"score_spread":0.2344214783315164,"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."}}