{"id":"W4321352715","doi":"10.34172/ijhpm.2023.7409","title":"The Fentanyl System Shock – Are There Lessons to Learn From the COVID-19 System Shock Framework?; Comment on \"The COVID-19 System Shock Framework: Capturing Health Sys-tem Innovation During the COVID-19 Pandemic\"","year":2023,"lang":"en","type":"letter","venue":"International Journal of Health Policy and Management","topic":"Opioid Use Disorder Treatment","field":"Medicine","cited_by":1,"is_retracted":false,"has_abstract":true,"ca_institutions":"University of British Columbia","funders":"","keywords":"Coronavirus disease 2019 (COVID-19); 2019-20 coronavirus outbreak; Shock (circulatory); Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2); Healthcare system; Virology; Coronavirus Infections; Medicine; Business; Political science; Health care; Law; Infectious disease (medical specialty)","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":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.006504744,0.00107213,0.001322442,0.0008258148,0.006606258,0.004177669,0.003425169,0.07669089,0.007956724],"category_scores_gemma":[0.03187359,0.00113225,0.001739478,0.0009249454,0.006732271,0.008529777,0.002569311,0.06877912,0.005797267],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.007234534,"about_ca_system_score_gemma":0.01197405,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.03357869,"about_ca_topic_score_gemma":0.03998425,"domain_scores_codex":[0.9949664,0.001577774,0.0006205103,0.000712819,0.001293527,0.0008288104],"domain_scores_gemma":[0.9850292,0.009609032,0.0009290643,0.0003288789,0.002355628,0.001748133],"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":[0.00002751241,0.00002199142,0.0003650738,0.00004451685,0.00000519545,0.0004895056,0.000256049,0.00004402806,0.00006075953,0.003423305,0.9919788,0.003283447],"study_design_scores_gemma":[0.0001824239,0.0001104644,0.002324425,0.0008099231,0.00004385645,0.002167947,0.00219581,0.0008852047,0.0003919761,0.01764845,0.9730185,0.0002211459],"study_design_candidate":"not_applicable","study_design_consensus":"not_applicable","genre_codex":"commentary","genre_gemma":"commentary","genre_scores_codex":[0.0001356131,0.000405771,0.00003770861,0.9948969,0.003748621,0.000005449367,0.00002551502,0.00001353655,0.0007308299],"genre_scores_gemma":[0.0009395899,0.0002505209,0.0000624971,0.9921205,0.005613756,0.00001821324,0.000007382257,0.000007208855,0.000980315],"genre_candidate":"commentary","genre_consensus":"commentary","teacher_disagreement_score":0.07669089,"threshold_uncertainty_score":0.0667665,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.1036820910180021,"score_gpt":0.4079545135141132,"score_spread":0.3042724224961111,"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."}}