{"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":"codex-gemma-dda1882f352a","candidate_categories":["metaepi_narrow","sts"],"consensus_categories":[],"category_scores_codex":[0.004265408,0.0006267691,0.000915442,0.0007442562,0.002933816,0.00006672485,0.0004267709,0.0003885965,0.0001103805],"category_scores_gemma":[0.0001016287,0.0005997103,0.0001956181,0.0008345701,0.00004611085,0.0007409074,0.0002891587,0.0007913176,0.0002579756],"about_ca_system_candidate":true,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0114232,"about_ca_system_score_gemma":0.002172684,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.002375506,"about_ca_topic_score_gemma":0.007249954,"domain_scores_codex":[0.9920611,0.001134518,0.002039816,0.001157476,0.0008856037,0.00272148],"domain_scores_gemma":[0.9949745,0.0006774141,0.0006184493,0.001080837,0.0003372085,0.002311578],"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":[0.01739746,0.001367596,0.03176416,0.06352506,0.0002968483,0.0006210601,0.07677539,0.00004358754,0.0001138944,0.3136933,0.4286351,0.06576665],"study_design_scores_gemma":[0.007768326,0.005084923,0.149608,0.00006703824,0.0002389708,0.00002871759,0.03553024,0.000736544,0.00002127647,0.0006074389,0.7990072,0.001301263],"study_design_candidate":"not_applicable","study_design_consensus":"not_applicable","genre_codex":"empirical","genre_gemma":"commentary","genre_scores_codex":[0.5443621,0.00121519,0.002496341,0.4401532,0.001162565,0.006940377,0.0001250732,0.000698378,0.002846699],"genre_scores_gemma":[0.4283718,0.0008898596,0.0003530031,0.5670398,0.000116179,0.001280111,0.0004187444,0.0001060183,0.001424465],"genre_candidate":"commentary","genre_consensus":null,"teacher_disagreement_score":0.3703722,"threshold_uncertainty_score":0.9996454,"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."}}