{"id":"W4406865645","doi":"10.1101/2025.01.26.25321135","title":"Understanding health innovation adoption: A realist evaluation of pulse oximeter implementation in primary care for children under five in four West African countries","year":2025,"lang":"en","type":"preprint","venue":"medRxiv","topic":"Global Maternal and Child Health","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"Université de Montréal","funders":"Institut National de la Santé et de la Recherche Médicale","keywords":"Pulse (music); Primary health care; Primary care; Business; Medicine; Health care; Economic growth; Family medicine; Computer science; Economics; Telecommunications","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":[0.04016852,0.0006819242,0.0007613871,0.001925329,0.003312882,0.003978001,0.001705857,0.001574498,0.001619395],"category_scores_gemma":[0.04564278,0.0007862307,0.001081942,0.001779978,0.003851293,0.003564521,0.005410843,0.001995333,0.0001805759],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.01248408,"about_ca_system_score_gemma":0.01219694,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.01566674,"about_ca_topic_score_gemma":0.02728315,"domain_scores_codex":[0.9730935,0.0193435,0.001139493,0.001074528,0.001694761,0.003654195],"domain_scores_gemma":[0.953182,0.03313607,0.005039712,0.001736511,0.00447886,0.002426721],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"qualitative","study_design_gemma":"qualitative","study_design_scores_codex":[0.001076268,0.005687626,0.308869,0.001685733,0.0002097692,0.001080128,0.6108203,0.0009142511,0.001044353,0.001006234,0.0009834949,0.06662273],"study_design_scores_gemma":[0.0003018597,0.006835116,0.3482826,0.0008277884,0.0001750444,0.0001605023,0.6355197,0.001500052,0.001166791,0.0005173945,0.004640719,0.00007230918],"study_design_candidate":"qualitative","study_design_consensus":"qualitative","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9984548,0.00006652004,0.0001894253,0.0002542679,0.000004432879,0.000388875,0.00006716258,0.000003342923,0.0005712438],"genre_scores_gemma":[0.9975494,0.0001839595,0.0011027,0.0001360755,0.000007016931,0.0007459351,0.0000930794,0.000004668208,0.000177144],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.04016852,"threshold_uncertainty_score":0.212434,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.103987892349406,"score_gpt":0.3818106546468242,"score_spread":0.2778227622974182,"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."}}