{"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":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.1213023,0.0006290735,0.001150937,0.002002635,0.009456421,0.01441913,0.005591948,0.006154354,0.007126495],"category_scores_gemma":[0.1913366,0.000865404,0.001343877,0.002876989,0.006236514,0.00729324,0.01566504,0.0143255,0.00108399],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.01428258,"about_ca_system_score_gemma":0.0909036,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.02256116,"about_ca_topic_score_gemma":0.01534431,"domain_scores_codex":[0.8510763,0.08711953,0.01170409,0.005028998,0.02827985,0.01679122],"domain_scores_gemma":[0.77164,0.1211271,0.01997257,0.006929708,0.03823083,0.04209979],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"design_other","study_design_gemma":"observational","study_design_scores_codex":[0.0002302556,0.002613597,0.07168381,0.006404781,0.000418594,0.001715044,0.05545153,0.0050644,0.002104035,0.1275275,0.1452472,0.5815392],"study_design_scores_gemma":[0.0004151966,0.001903687,0.1070126,0.01859047,0.0002401986,0.00150798,0.1467761,0.009951423,0.001959397,0.06993146,0.6411387,0.0005727689],"study_design_candidate":"observational","study_design_consensus":null,"genre_codex":"commentary","genre_gemma":"empirical","genre_scores_codex":[0.0902134,0.006604183,0.01885313,0.8451272,0.002588152,0.001675098,0.0002884228,0.0003827833,0.03426769],"genre_scores_gemma":[0.7913469,0.009238693,0.04548292,0.1383835,0.002868953,0.003437041,0.0004378657,0.0003001685,0.00850404],"genre_candidate":"empirical","genre_consensus":null,"teacher_disagreement_score":0.1213023,"threshold_uncertainty_score":0.6415154,"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."}}