{"id":"W4400743006","doi":"10.1186/s12961-024-01168-w","title":"Siloed mentality, health system suboptimization and the healthcare symphony: a Canadian perspective","year":2024,"lang":"en","type":"letter","venue":"Health Research Policy and Systems","topic":"Chronic Disease Management Strategies","field":"Medicine","cited_by":34,"is_retracted":false,"has_abstract":true,"ca_institutions":"Health Sciences Centre; University of Calgary; Alberta Innovates","funders":"Canadian Institutes of Health Research; Alberta Innovates","keywords":"Symphony; Perspective (graphical); Health administration; Health care; Health services research; Public health; Health care reform; Health policy; Healthcare policy; Medicine; Healthcare system; International health; Political science; Nursing; Gerontology; History; Law; Art; Art history","routes":{"ca_aff":true,"ca_fund":true,"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":[0.008433213,0.0005847393,0.000710671,0.002118066,0.02657814,0.0128014,0.003287545,0.02056687,0.008272423],"category_scores_gemma":[0.02064708,0.0005931754,0.000746789,0.003022861,0.03148044,0.006941452,0.00441369,0.02482291,0.0005884618],"about_ca_system_candidate":true,"about_ca_system_consensus":true,"about_ca_system_score_codex":0.2098565,"about_ca_system_score_gemma":0.2852851,"about_ca_topic_candidate":true,"about_ca_topic_consensus":true,"about_ca_topic_score_codex":0.9755878,"about_ca_topic_score_gemma":0.9870472,"domain_scores_codex":[0.9902507,0.001690501,0.0003846246,0.0007026905,0.003519528,0.003451897],"domain_scores_gemma":[0.9792475,0.007926179,0.001059958,0.0003903425,0.005231909,0.006144036],"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":[0.0000776216,0.00007862313,0.0084088,0.0003469548,0.0000439814,0.00287918,0.01460501,0.0009253447,0.0003328448,0.2681821,0.6710407,0.03307889],"study_design_scores_gemma":[0.000125087,0.0000865975,0.01635273,0.001246861,0.00007094002,0.002361203,0.03795274,0.002492667,0.0003220311,0.1092431,0.8294648,0.0002812577],"study_design_candidate":"not_applicable","study_design_consensus":"not_applicable","genre_codex":"commentary","genre_gemma":"commentary","genre_scores_codex":[0.001747873,0.002873458,0.0001452763,0.9825764,0.0007866808,0.00001018116,0.00003661521,0.000006578532,0.01181703],"genre_scores_gemma":[0.1824668,0.01189378,0.001181309,0.7832599,0.004250654,0.00005153608,0.00006330895,0.00004206958,0.01679062],"genre_candidate":"commentary","genre_consensus":"commentary","teacher_disagreement_score":0.7901435,"threshold_uncertainty_score":0.9164545,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.2739467422956101,"score_gpt":0.504438021969495,"score_spread":0.230491279673885,"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."}}