{"id":"W3176300146","doi":"10.1080/09537287.2021.1938730","title":"Lean implementation in healthcare: offsetting Physicians’ resistance to change","year":2021,"lang":"en","type":"article","venue":"Production Planning & Control","topic":"Healthcare Quality and Management","field":"Health Professions","cited_by":37,"is_retracted":false,"has_abstract":true,"ca_institutions":"McGill University; HEC Montréal; Université de Sherbrooke","funders":"","keywords":"Resistance (ecology); Health care; Perspective (graphical); Lean manufacturing; Business; Lean project management; Process (computing); Qualitative research; Public relations; Psychology; Process management; Knowledge management; Marketing; Political science; Computer science; Sociology","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":"codex-gemma-dda1882f352a","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.002209919,0.0001438808,0.0002991495,0.0001712422,0.0006035218,0.00001349981,0.00008840256,0.00008387816,0.00005372259],"category_scores_gemma":[0.0004301938,0.0001633483,0.0000369553,0.0005960964,0.00001207646,0.0002346957,0.00004759684,0.0004983783,0.0001094531],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0003961159,"about_ca_system_score_gemma":0.0002005352,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.001063189,"about_ca_topic_score_gemma":0.006269452,"domain_scores_codex":[0.9967928,0.0009274036,0.0007776997,0.0005561458,0.0002978443,0.0006481315],"domain_scores_gemma":[0.9988149,0.0001579863,0.0002768883,0.0003422763,0.0002940812,0.0001138572],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"not_applicable","study_design_scores_codex":[0.0006273877,0.0002346473,0.503238,0.0032238,0.00008894394,0.0000947978,0.06941397,0.0002240622,0.003262588,0.02162153,0.1515853,0.2463849],"study_design_scores_gemma":[0.002505461,0.0001005083,0.3653967,0.001752108,0.00002957223,0.00000184892,0.03863253,0.00006818924,0.0006049853,0.001642223,0.5888172,0.0004486695],"study_design_candidate":"observational","study_design_consensus":null,"genre_codex":"commentary","genre_gemma":"empirical","genre_scores_codex":[0.3170612,0.001867609,0.003426874,0.6685316,0.003881856,0.004097898,0.00005760117,0.0002964303,0.0007789443],"genre_scores_gemma":[0.9598263,0.00005211772,0.0008190948,0.03525621,0.001548793,0.001014314,0.00009412624,0.00002398349,0.001365059],"genre_candidate":"empirical","genre_consensus":null,"teacher_disagreement_score":0.6427651,"threshold_uncertainty_score":0.6661153,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.1361764255850954,"score_gpt":0.4859420947270063,"score_spread":0.349765669141911,"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."}}