{"id":"W3022354635","doi":"10.1016/j.pec.2020.04.027","title":"What makes difficult decisions so difficult?: An activity theory analysis of decision making for physicians treating children with medical complexity","year":2020,"lang":"en","type":"article","venue":"Patient Education and Counseling","topic":"Patient-Provider Communication in Healthcare","field":"Health Professions","cited_by":10,"is_retracted":false,"has_abstract":false,"ca_institutions":"Holland Bloorview Kids Rehabilitation Hospital; Toronto Rehabilitation Institute; Hospital for Sick Children; Institute for Clinical Evaluative Sciences; University of Toronto; SickKids Foundation; Institute for Work & Health","funders":"","keywords":"Context (archaeology); Process (computing); Medical decision making; R-CAST; Business decision mapping; Decision analysis; Psychology; Patient participation; Decision-making; Decision theory; Decision engineering; Knowledge management; Decision support system; Management science; MEDLINE; Computer science; Medicine; Business; Artificial intelligence; Marketing","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":[],"consensus_categories":[],"category_scores_codex":[0.004694588,0.0004443918,0.0004827066,0.001660412,0.001554582,0.004864669,0.001224744,0.001367299,0.005916998],"category_scores_gemma":[0.02522865,0.0003300926,0.001064799,0.001241251,0.002945458,0.003152719,0.001931089,0.002196646,0.0002213858],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.004034577,"about_ca_system_score_gemma":0.006334355,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.01854704,"about_ca_topic_score_gemma":0.01424949,"domain_scores_codex":[0.9974955,0.00162623,0.0000821109,0.0001799508,0.0002319613,0.000384099],"domain_scores_gemma":[0.9672623,0.02917587,0.001302152,0.0002953827,0.0007167495,0.001247593],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"theoretical_or_conceptual","study_design_gemma":"qualitative","study_design_scores_codex":[0.0008198593,0.002614367,0.2393807,0.0003124291,0.0003559332,0.001440558,0.04427759,0.06667046,0.0004762156,0.5601226,0.003863636,0.07966557],"study_design_scores_gemma":[0.0002169371,0.0004210034,0.07083,0.0003946325,0.0002434769,0.0007337103,0.08397543,0.447851,0.000565302,0.3899184,0.004731756,0.0001183444],"study_design_candidate":"qualitative","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9462838,0.0004097419,0.02870033,0.005868748,0.00003880467,0.0001928762,0.0001314519,0.0000194337,0.01835471],"genre_scores_gemma":[0.9944398,0.00009979986,0.004832956,0.0000822311,0.000008720939,0.00004245391,0.00003913776,0.000004729556,0.0004500016],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.01854704,"threshold_uncertainty_score":0.03687817,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.1214150734625886,"score_gpt":0.4216747967631739,"score_spread":0.3002597233005854,"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."}}