{"id":"W4400226871","doi":"10.1503/cmaj.231250","title":"The lived experiences of transgender and gender-diverse people in accessing publicly funded penile-inversion vaginoplasty in Canada","year":2024,"lang":"en","type":"article","venue":"Canadian Medical Association Journal","topic":"LGBTQ Health, Identity, and Policy","field":"Psychology","cited_by":8,"is_retracted":false,"has_abstract":true,"ca_institutions":"The Wilson Centre; Toronto Western Hospital; Public Health Ontario; Women's College Hospital; University of Toronto; University Health Network","funders":"Royal College of Physicians and Surgeons of Canada","keywords":"Vaginoplasty; Transgender; Transgender women; Gender dysphoria; Transgender people; Medicine; Gender studies; Psychology; Sociology; Family medicine; Surgery; Men who have sex with men","routes":{"ca_aff":true,"ca_fund":true,"ca_venue":true,"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":[0.002622268,0.0003185515,0.0006056969,0.001291609,0.02370752,0.005137732,0.001532895,0.001071638,0.002701429],"category_scores_gemma":[0.005144333,0.0003909317,0.0004088865,0.002892165,0.01106567,0.001589669,0.006530903,0.00222449,0.0001187184],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.04799164,"about_ca_system_score_gemma":0.07269962,"about_ca_topic_candidate":true,"about_ca_topic_consensus":true,"about_ca_topic_score_codex":0.9534014,"about_ca_topic_score_gemma":0.9770566,"domain_scores_codex":[0.9966177,0.0008478119,0.0001051013,0.0002206907,0.0006349993,0.001573613],"domain_scores_gemma":[0.9956672,0.001150939,0.0003684957,0.0001046899,0.0008411527,0.001867431],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"qualitative","study_design_gemma":"qualitative","study_design_scores_codex":[0.0000323247,0.00001507345,0.009320525,0.00008323379,0.000005165302,0.000909163,0.9843039,0.00004306802,0.0003523378,0.0006790899,0.0006943313,0.00356184],"study_design_scores_gemma":[0.000001497733,0.00001063118,0.006005381,0.00007473731,0.00000323753,0.0001138246,0.9902221,0.00003031213,0.00004636493,0.00006361174,0.003415884,0.00001241677],"study_design_candidate":"qualitative","study_design_consensus":"qualitative","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9923334,0.000695734,0.0002354546,0.001888882,0.00004233684,0.00006282865,0.0001923173,0.00000801701,0.004540982],"genre_scores_gemma":[0.9973647,0.0006664412,0.0001665738,0.0005177257,0.000006872063,0.00003661922,0.00005986867,0.000009028117,0.001172062],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.04799164,"threshold_uncertainty_score":0.3482053,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.03770441559447493,"score_gpt":0.3221619271341285,"score_spread":0.2844575115396536,"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."}}