{"id":"W4406669606","doi":"10.1186/s12916-025-03863-z","title":"A realist evaluation to explain and understand the role of paramedics in primary care","year":2025,"lang":"en","type":"article","venue":"BMC Medicine","topic":"Emergency and Acute Care Studies","field":"Medicine","cited_by":5,"is_retracted":false,"has_abstract":true,"ca_institutions":"Nipissing University","funders":"National Institute for Health and Care Research","keywords":"Workforce; Medicine; Context (archaeology); Primary care; Workload; Nursing; Service (business); Family medicine","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":"codex-gemma-dda1882f352a","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.0006903406,0.0000847666,0.000264665,0.0001166044,0.00004881468,0.000001179951,0.00004971404,0.00003957751,0.00002198469],"category_scores_gemma":[0.000789477,0.00005018794,0.0000201385,0.0003319636,0.0001612243,0.00001858996,0.0000466053,0.00009153116,4.092838e-7],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0001046314,"about_ca_system_score_gemma":0.0001751035,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0002359407,"about_ca_topic_score_gemma":0.000681319,"domain_scores_codex":[0.9990845,0.00006666641,0.0002604294,0.000156671,0.000313092,0.0001186556],"domain_scores_gemma":[0.9993497,0.0002015106,0.00003990444,0.0002065108,0.0001599056,0.00004251142],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.001848296,0.0001882046,0.4939173,0.004521047,0.0003252577,0.00002367229,0.1136154,0.00005734525,0.00949648,0.02486815,0.07133183,0.2798069],"study_design_scores_gemma":[0.008703656,0.0009814149,0.584707,0.00623109,0.001001115,0.00001402424,0.3604769,0.0006372835,0.001369258,0.009211169,0.02644274,0.0002243179],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.7329097,0.1142139,0.0008955846,0.01419431,0.0004367389,0.001873946,0.00001485402,0.00002627511,0.1354347],"genre_scores_gemma":[0.9967088,0.001477415,0.0001956265,0.001295388,0.00009243183,0.00004282865,0.00004068706,0.000004975798,0.0001418457],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.2795826,"threshold_uncertainty_score":0.2046605,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.03550867942202979,"score_gpt":0.337653910615837,"score_spread":0.3021452311938073,"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."}}