{"id":"W4406721568","doi":"10.1002/jhm.13593","title":"Improving healthcare value: Choosing Wisely Canada's hospital designation program","year":2025,"lang":"en","type":"article","venue":"Journal of Hospital Medicine","topic":"Healthcare cost, quality, practices","field":"Health Professions","cited_by":2,"is_retracted":false,"has_abstract":true,"ca_institutions":"Sinai Health System; Women in Science and Engineering Newfoundland and Labrador; University of Toronto","funders":"","keywords":"Medicine; Hospital medicine; Health care; Value (mathematics); MEDLINE; Value-Based Purchasing; Family medicine; Medical emergency; Statistics","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":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.01362728,0.0006580186,0.000479151,0.002325443,0.01143681,0.007361908,0.003273616,0.004092386,0.01099369],"category_scores_gemma":[0.0347325,0.0004436105,0.0008631554,0.002608615,0.006004726,0.002352244,0.009432342,0.005354891,0.001023197],"about_ca_system_candidate":true,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.07530472,"about_ca_system_score_gemma":0.3713142,"about_ca_topic_candidate":true,"about_ca_topic_consensus":true,"about_ca_topic_score_codex":0.6604579,"about_ca_topic_score_gemma":0.9073978,"domain_scores_codex":[0.981237,0.00617319,0.0003178995,0.0007461283,0.006503423,0.005022347],"domain_scores_gemma":[0.9270196,0.009005385,0.00213774,0.001574613,0.009721582,0.05054102],"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":[0.000244836,0.001377461,0.0387678,0.0003709521,0.00008660076,0.0005432688,0.003637788,0.001108492,0.0005095638,0.03694693,0.5857936,0.3306127],"study_design_scores_gemma":[0.0008797977,0.001299505,0.1174457,0.001609797,0.0001479719,0.0004491513,0.006361189,0.003207101,0.001441353,0.02709818,0.8397044,0.0003558802],"study_design_candidate":"not_applicable","study_design_consensus":"not_applicable","genre_codex":"commentary","genre_gemma":"empirical","genre_scores_codex":[0.07259881,0.00393328,0.01017748,0.7383775,0.003749632,0.00234462,0.001063947,0.0009386591,0.1668161],"genre_scores_gemma":[0.5623178,0.004720176,0.06179948,0.2951999,0.00160726,0.002450316,0.001522436,0.0002840189,0.07009863],"genre_candidate":"empirical","genre_consensus":null,"teacher_disagreement_score":0.9246953,"threshold_uncertainty_score":0.6830834,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.2171790049668006,"score_gpt":0.5047886929285207,"score_spread":0.2876096879617201,"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."}}