{"id":"W4400074476","doi":"10.1200/go.23.00455","title":"Barriers and Challenges to Implementing a Quality Improvement Program: Political and Administrative Challenges","year":2024,"lang":"en","type":"article","venue":"JCO Global Oncology","topic":"Primary Care and Health Outcomes","field":"Health Professions","cited_by":18,"is_retracted":false,"has_abstract":true,"ca_institutions":"University of Calgary","funders":"","keywords":"Outreach; Incentive; Promotion (chess); Data collection; Public relations; Politics; Quality (philosophy); Business; Health care; Medicine; Political science; Economics; Sociology","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":"codex-gemma-dda1882f352a","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.001387374,0.0002240627,0.0005291268,0.00006441309,0.0003834974,0.00002249408,0.0001134064,0.0003121924,0.0001380663],"category_scores_gemma":[0.0002985798,0.0001890291,0.00005212926,0.0001054439,0.0001290995,0.00009970451,0.0004589121,0.00040878,0.00004321693],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.00148577,"about_ca_system_score_gemma":0.001879422,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0004588329,"about_ca_topic_score_gemma":0.006879889,"domain_scores_codex":[0.9967084,0.0005834994,0.0006660419,0.0006108251,0.0001951471,0.001236084],"domain_scores_gemma":[0.9979007,0.0008090034,0.00009221637,0.0002000827,0.00009815516,0.000899862],"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":[0.00007849076,0.00005028402,0.002726282,0.001295567,0.00006671039,0.00004259336,0.002949936,2.816861e-9,0.00002813996,0.5232952,0.002826173,0.4666407],"study_design_scores_gemma":[0.0006564716,0.003303872,0.05403351,0.00007817356,0.00004587013,0.00001567002,0.03071648,0.000003090676,0.000006738672,0.008861099,0.9020703,0.0002086682],"study_design_candidate":"not_applicable","study_design_consensus":null,"genre_codex":"commentary","genre_gemma":"empirical","genre_scores_codex":[0.1883834,0.02787773,0.00002529729,0.5566787,0.001422603,0.002837683,0.000290122,0.000468672,0.2220159],"genre_scores_gemma":[0.9698172,0.005305773,0.001442899,0.02160577,0.0005946071,0.0009439168,0.00001125093,0.00002163199,0.0002569521],"genre_candidate":"empirical","genre_consensus":null,"teacher_disagreement_score":0.8992442,"threshold_uncertainty_score":0.7708383,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.244772413772393,"score_gpt":0.5789304052005059,"score_spread":0.3341579914281129,"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."}}