{"id":"W2950546474","doi":"10.1016/j.jclinepi.2019.05.025","title":"Care and research concepts should be revised to practice outcome-based medical care","year":2019,"lang":"en","type":"article","venue":"Journal of Clinical Epidemiology","topic":"Ethics in Clinical Research","field":"Medicine","cited_by":22,"is_retracted":false,"has_abstract":false,"ca_institutions":"Institut Universitaire de Gériatrie de Montréal; Alberta Hospital Edmonton; Health Sciences Centre; Centre Hospitalier de l’Université de Montréal; University of Alberta Hospital; Hôpital Notre-Dame","funders":"","keywords":"Argument (complex analysis); Medical practice; Medical care; Outcome (game theory); Medical research; Work (physics); Patient care; MEDLINE; Best practice; Medicine; Psychology; Medical education; Nursing; Engineering ethics; Political science","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":["metaresearch"],"consensus_categories":["metaresearch"],"category_scores_codex":[0.2762849,0.00141441,0.003504088,0.003965606,0.004038291,0.01853184,0.008836974,0.0149617,0.005839175],"category_scores_gemma":[0.4336629,0.001298623,0.002735067,0.003072052,0.05085263,0.02247699,0.009828041,0.04286232,0.002135458],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.01392917,"about_ca_system_score_gemma":0.05252984,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.004442258,"about_ca_topic_score_gemma":0.005809479,"domain_scores_codex":[0.753267,0.1686954,0.03003652,0.006957782,0.03752116,0.00352215],"domain_scores_gemma":[0.389476,0.4117118,0.03206545,0.03780314,0.1068012,0.02214247],"domain_codex":null,"domain_gemma":"methods","domain_candidate":"methods","domain_consensus":null,"study_design_codex":"theoretical_or_conceptual","study_design_gemma":"theoretical_or_conceptual","study_design_scores_codex":[0.00004833797,0.0001930296,0.002264647,0.001589396,0.0001210341,0.0001137044,0.00608199,0.0004982311,0.0001070583,0.8808597,0.0580041,0.05011878],"study_design_scores_gemma":[0.00007863757,0.00009863089,0.00159847,0.003987668,0.0001079511,0.00035776,0.003309891,0.0007095186,0.0001896108,0.8959582,0.09348079,0.0001228747],"study_design_candidate":"theoretical_or_conceptual","study_design_consensus":"theoretical_or_conceptual","genre_codex":"commentary","genre_gemma":"empirical","genre_scores_codex":[0.001957693,0.009265418,0.08397615,0.8602536,0.0201651,0.000432765,0.0001067899,0.0001829645,0.02365953],"genre_scores_gemma":[0.1685216,0.0210545,0.2469838,0.5173471,0.03003228,0.005327624,0.0004906995,0.0005866652,0.00965588],"genre_candidate":"empirical","genre_consensus":null,"teacher_disagreement_score":0.7237151,"threshold_uncertainty_score":0.8924695,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.8867226568960868,"score_gpt":0.7919250646716792,"score_spread":0.09479759222440753,"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."}}