{"id":"W4311441880","doi":"10.1136/bmjqs-2022-014977","title":"Top-down and bottom-up approaches to low-value care","year":2022,"lang":"en","type":"letter","venue":"BMJ Quality & Safety","topic":"Healthcare cost, quality, practices","field":"Health Professions","cited_by":21,"is_retracted":false,"has_abstract":false,"ca_institutions":"University of Toronto; Ottawa Hospital; Sinai Health System; University of Ottawa","funders":"","keywords":"Medicine; Top-down and bottom-up design; Value (mathematics); Value-Based Purchasing; Data science; Operations management; Nursing; Computer science; Engineering; Software engineering","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":[0.02461155,0.0009185318,0.00103191,0.00201908,0.01383621,0.01779363,0.003439845,0.06535721,0.01841315],"category_scores_gemma":[0.07398168,0.0009147806,0.002029505,0.001631397,0.02954982,0.01133989,0.01026049,0.06146743,0.00538621],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.01646631,"about_ca_system_score_gemma":0.03002734,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0251913,"about_ca_topic_score_gemma":0.06422222,"domain_scores_codex":[0.9567225,0.01428587,0.001915884,0.002627644,0.0178804,0.006567548],"domain_scores_gemma":[0.9156145,0.05334557,0.002612997,0.0028537,0.01096239,0.01461081],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"not_applicable","study_design_gemma":"not_applicable","study_design_scores_codex":[0.00006070915,0.0001264005,0.0008466201,0.0001149427,0.00003923747,0.0004603988,0.00145684,0.0001562812,0.0002506481,0.1130251,0.8556321,0.02783083],"study_design_scores_gemma":[0.0002663501,0.0001140488,0.002781567,0.0006999875,0.00004702091,0.0005384883,0.003645122,0.001183587,0.000423294,0.2530124,0.7371345,0.0001536314],"study_design_candidate":"not_applicable","study_design_consensus":"not_applicable","genre_codex":"commentary","genre_gemma":"commentary","genre_scores_codex":[0.0003086556,0.0004146058,0.000486413,0.9880122,0.002526324,0.00001330278,0.00001086507,0.00001321735,0.008214477],"genre_scores_gemma":[0.01387188,0.0005305805,0.0009254336,0.9680771,0.008218866,0.00006426484,0.00001148223,0.00003143347,0.008269018],"genre_candidate":"commentary","genre_consensus":"commentary","teacher_disagreement_score":0.06535721,"threshold_uncertainty_score":0.1301599,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.7316720423206377,"score_gpt":0.559734997687121,"score_spread":0.1719370446335167,"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."}}