{"id":"W2091741956","doi":"10.12927/hcpap.2014.23678","title":"Triple Aiming Higher: Dreaming Big in Pursuit of Healthcare Transformation","year":2013,"lang":"en","type":"letter","venue":"A Nudge Too Far? A Nudge at All? On Paying People to Be Healthy","topic":"Primary Care and Health Outcomes","field":"Health Professions","cited_by":5,"is_retracted":false,"has_abstract":true,"ca_institutions":"Women's College Hospital","funders":"","keywords":"Health care; Healthcare system; Process (computing); Tracking (education); Public health; Transformation (genetics); Public healthcare; Health professionals; Business; Public relations; Process management; Political science; Public administration; Sociology; Medicine; Nursing; Computer science","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":true,"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":[0.008509364,0.0007349818,0.0009691488,0.000606078,0.01417818,0.007062692,0.00283111,0.06214816,0.007481582],"category_scores_gemma":[0.02583188,0.000780537,0.00139949,0.0006271345,0.01158955,0.01311616,0.005423997,0.07097496,0.003205562],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.01154517,"about_ca_system_score_gemma":0.02157141,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.03324453,"about_ca_topic_score_gemma":0.07053547,"domain_scores_codex":[0.9912976,0.003097159,0.0006662895,0.0007739048,0.002475995,0.001689186],"domain_scores_gemma":[0.9841413,0.006626717,0.0006786501,0.0005927098,0.002223929,0.005736701],"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":[0.00002642406,0.00008622307,0.001058909,0.00007316583,0.00001287732,0.002129567,0.001671775,0.00007202222,0.0002608809,0.009123967,0.9699742,0.01551006],"study_design_scores_gemma":[0.00007312562,0.0001176902,0.002033291,0.0007782226,0.00002304555,0.003967562,0.009202144,0.000730275,0.0002776874,0.03192456,0.9507458,0.0001266309],"study_design_candidate":"not_applicable","study_design_consensus":"not_applicable","genre_codex":"commentary","genre_gemma":"commentary","genre_scores_codex":[0.0003131522,0.0004684268,0.00006972387,0.9957736,0.002200903,0.000004549659,0.000004554574,0.00001003446,0.00115506],"genre_scores_gemma":[0.004141477,0.0006267877,0.0003132192,0.9874086,0.005043182,0.00002388243,0.000005627873,0.00001403443,0.0024232],"genre_candidate":"commentary","genre_consensus":"commentary","teacher_disagreement_score":0.06214816,"threshold_uncertainty_score":0.08376646,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.109280060168499,"score_gpt":0.3918692500795504,"score_spread":0.2825891899110513,"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."}}