{"id":"W2161016776","doi":"10.12927/hcpap..17387","title":"Can a Healthcare System Be Transformed? Lessons from the Past Decade at the Veterans Health Administration","year":2005,"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":4,"is_retracted":false,"has_abstract":true,"ca_institutions":"Western University","funders":"","keywords":"Administration (probate law); Miracle; Health care; Healthcare system; Key (lock); Medicine; Political science; Public administration; Business; Economic growth; Economics; Computer science; Computer security","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":[0.01479675,0.0004946756,0.0007571432,0.0009947238,0.01364381,0.01354148,0.002845089,0.02056272,0.005158209],"category_scores_gemma":[0.03643695,0.0003325076,0.001005932,0.00153344,0.01736535,0.0108433,0.004485279,0.02934393,0.0006655177],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.02349571,"about_ca_system_score_gemma":0.03826416,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.1442609,"about_ca_topic_score_gemma":0.2531318,"domain_scores_codex":[0.9818435,0.01137954,0.0005193711,0.0007107296,0.002741718,0.002805083],"domain_scores_gemma":[0.9727721,0.01360384,0.001026151,0.00059007,0.005380979,0.006626862],"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":[0.0001078657,0.0001050304,0.001582643,0.0004546542,0.00007174928,0.001028771,0.02360333,0.0003854664,0.0001142382,0.1228097,0.793399,0.05633762],"study_design_scores_gemma":[0.0001053818,0.0001281032,0.00250558,0.003217248,0.00005747828,0.0004808505,0.0532383,0.0002157837,0.0001362667,0.06969412,0.8701248,0.00009608008],"study_design_candidate":"not_applicable","study_design_consensus":"not_applicable","genre_codex":"commentary","genre_gemma":"empirical","genre_scores_codex":[0.001100311,0.02241972,0.00006011013,0.968685,0.005704682,0.000001736957,0.000006029998,0.000005088607,0.002017324],"genre_scores_gemma":[0.09982727,0.04151739,0.0003008318,0.827269,0.02488203,0.00002772484,0.00002403209,0.00003724613,0.006114494],"genre_candidate":"empirical","genre_consensus":null,"teacher_disagreement_score":0.1442609,"threshold_uncertainty_score":0.2868425,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.1064007909883857,"score_gpt":0.424776461747098,"score_spread":0.3183756707587123,"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."}}