{"id":"W4301497467","doi":"10.51952/9781447326984.ch004","title":"Models of health system reform","year":2016,"lang":"en","type":"book-chapter","venue":"Policy Press eBooks","topic":"Healthcare Systems and Challenges","field":"Health Professions","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"","funders":"","keywords":"Government (linguistics); Health care; Political science; Public administration; Devolution (biology); Localism; Prime minister; Coalition government; Position (finance); Politics; Sociology; Law; Economics","routes":{"ca_aff":false,"ca_fund":false,"ca_venue":false,"about_ca":true,"invisible_to_affiliation_only":true},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":["metaepi_narrow","research_integrity"],"consensus_categories":[],"category_scores_codex":[0.001359617,0.0005374587,0.001668743,0.0003427293,0.0004854459,0.000005164449,0.0004726357,0.001395148,0.00003063591],"category_scores_gemma":[0.00001962172,0.000381324,0.0002605997,0.000007111893,0.000120044,0.00005278036,0.0003153488,0.001119803,0.0001269001],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.00299187,"about_ca_system_score_gemma":0.002960632,"about_ca_topic_candidate":true,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.04546481,"about_ca_topic_score_gemma":0.001158851,"domain_scores_codex":[0.9949584,0.0004921579,0.002341085,0.0005642137,0.0005973317,0.001046807],"domain_scores_gemma":[0.9953802,0.0002139971,0.002211744,0.001322321,0.0004221788,0.0004496249],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"theoretical_or_conceptual","study_design_gemma":"not_applicable","study_design_scores_codex":[0.00002266126,0.000004023621,5.938213e-7,0.01210656,0.00008958318,0.000002858902,0.003106592,1.877586e-7,0.000001812497,0.9643388,0.002397632,0.01792871],"study_design_scores_gemma":[0.0006564943,0.0001453347,0.000004465284,0.01827727,0.00002360366,0.000007337987,0.000840208,0.00001690911,0.000005683565,0.02957605,0.9500292,0.0004174554],"study_design_candidate":"theoretical_or_conceptual","study_design_consensus":null,"genre_codex":"other","genre_gemma":"other","genre_scores_codex":[0.000005025254,0.004901167,0.0001644539,0.001651429,0.0007955057,0.002117869,0.0008796164,0.0002797728,0.9892052],"genre_scores_gemma":[0.03329268,0.0009226101,0.0000428675,0.0006173615,0.002988624,0.0002957828,0.00001291769,0.0002201983,0.961607],"genre_candidate":"other","genre_consensus":"other","teacher_disagreement_score":0.9476315,"threshold_uncertainty_score":0.9999012,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.301254618184757,"score_gpt":0.4526579299312601,"score_spread":0.1514033117465031,"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."}}