{"id":"W2139941799","doi":"10.12927/hcpap.2007.18992","title":"An Inconvenient Truth: A Sustainable Healthcare System Requires Chronic Disease Prevention and Management Transformation","year":2007,"lang":"en","type":"article","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":67,"is_retracted":false,"has_abstract":true,"ca_institutions":"University Health Network","funders":"","keywords":"Mandate; Health care; Sustainability; Healthcare system; Chronic disease; Business; Medicine; Management system; Best practice; Quality (philosophy); Sustainable development; Operations management; Intensive care medicine; Political science; Economic growth; Engineering; Economics; Management","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":[0.01248579,0.0004744021,0.0008067318,0.001302316,0.0126215,0.0142242,0.00184578,0.008189962,0.004461335],"category_scores_gemma":[0.02467278,0.0003341015,0.0006722506,0.001690608,0.04132655,0.008627367,0.005138151,0.01208324,0.0006590736],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.03538058,"about_ca_system_score_gemma":0.1008273,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.4765625,"about_ca_topic_score_gemma":0.5774609,"domain_scores_codex":[0.9859489,0.003873382,0.0005476409,0.0008941515,0.005640042,0.003095938],"domain_scores_gemma":[0.9794773,0.007261259,0.001548113,0.001608964,0.006456386,0.003647877],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"theoretical_or_conceptual","study_design_gemma":"not_applicable","study_design_scores_codex":[0.0000431804,0.00005126997,0.003978678,0.0004776652,0.00005539975,0.0004267395,0.006243675,0.001084716,0.0004178159,0.7841641,0.1523356,0.05072127],"study_design_scores_gemma":[0.00006004559,0.00008576135,0.008189702,0.001259147,0.00005081541,0.000368518,0.02380384,0.00149525,0.0005301221,0.5187522,0.445278,0.0001266686],"study_design_candidate":"not_applicable","study_design_consensus":null,"genre_codex":"commentary","genre_gemma":"commentary","genre_scores_codex":[0.006295315,0.004986429,0.004047087,0.9578,0.001330179,0.00002556003,0.00009952468,0.00006899128,0.02534696],"genre_scores_gemma":[0.6700181,0.01412003,0.02118229,0.2774472,0.002633832,0.0001088427,0.000190157,0.0001456567,0.01415395],"genre_candidate":"commentary","genre_consensus":"commentary","teacher_disagreement_score":0.4765625,"threshold_uncertainty_score":0.9475772,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.05113973962012253,"score_gpt":0.4140154125983121,"score_spread":0.3628756729781896,"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."}}