{"id":"W2795954746","doi":"10.1177/0825859718762287","title":"Perceived Barriers to Goals of Care Discussions With Patients With Advanced Cancer and Their Families in the Ambulatory Setting","year":2018,"lang":"en","type":"article","venue":"Journal of Palliative Care","topic":"Palliative Care and End-of-Life Issues","field":"Medicine","cited_by":81,"is_retracted":false,"has_abstract":true,"ca_institutions":"Impact; University of Toronto; Sunnybrook Health Science Centre; Kingston General Hospital; Health Sciences Centre; McMaster University; Queen's University","funders":"","keywords":"Referral; Medicine; Family medicine; Ambulatory; Palliative care; Ambulatory care; Cancer; Health care; Nursing; Internal medicine","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"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":[0.002449628,0.0001861361,0.0002581012,0.0003200703,0.002014875,0.0009840211,0.0002802214,0.0004711607,0.003076556],"category_scores_gemma":[0.01291203,0.0001783091,0.0002453307,0.0002925893,0.0007268417,0.0005604511,0.0008934396,0.0007650801,0.0001268435],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.001930316,"about_ca_system_score_gemma":0.002843959,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.03145684,"about_ca_topic_score_gemma":0.05274826,"domain_scores_codex":[0.9978845,0.001097022,0.000137823,0.0001103691,0.000365737,0.0004044925],"domain_scores_gemma":[0.9863954,0.005101903,0.004300542,0.0001486061,0.001153284,0.002900331],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.0001792832,0.0002192167,0.925835,0.0001766539,0.00005675329,0.0006620544,0.05624764,0.0001360654,0.0005884818,0.00009718825,0.002155009,0.01364645],"study_design_scores_gemma":[0.00004169971,0.0005731903,0.8839405,0.0002623063,0.00004455213,0.001492947,0.1079827,0.0003717519,0.0001742426,0.0001005155,0.004982886,0.00003257164],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9982117,0.0002570647,0.00004820682,0.0005942657,0.000008080307,0.00001281213,0.00003665168,0.000002402728,0.0008288287],"genre_scores_gemma":[0.9993743,0.0001598382,0.00009985967,0.000195278,0.000007448632,0.00001122281,0.00002807976,0.000001092794,0.000122837],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.03145684,"threshold_uncertainty_score":0.06254745,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.02696783272864781,"score_gpt":0.3638195561415132,"score_spread":0.3368517234128653,"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."}}