{"id":"W4409558845","doi":"10.1002/lrh2.70008","title":"The surprising politics of learning health systems","year":2025,"lang":"en","type":"article","venue":"Learning Health Systems","topic":"Primary Care and Health Outcomes","field":"Health Professions","cited_by":2,"is_retracted":false,"has_abstract":true,"ca_institutions":"Trillium Health Centre; Public Health Ontario; University of Toronto","funders":"Trillium Health Partners Foundation","keywords":"Transparency (behavior); Politics; Attractiveness; Public relations; Health care; Political science; Government (linguistics); Work (physics); Public economics; Business; Economics; Psychology; Engineering; Law","routes":{"ca_aff":true,"ca_fund":true,"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":[0.02062214,0.0003663515,0.0005158625,0.0007334502,0.007615388,0.0105727,0.002432019,0.01651532,0.003277567],"category_scores_gemma":[0.04049773,0.0003343838,0.000884603,0.0006825569,0.04213927,0.01455145,0.004776956,0.0303173,0.0007054906],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.01136011,"about_ca_system_score_gemma":0.008634785,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.008250748,"about_ca_topic_score_gemma":0.01189341,"domain_scores_codex":[0.9747248,0.01611835,0.000573552,0.002179547,0.004413144,0.001990703],"domain_scores_gemma":[0.9464651,0.04597327,0.001486941,0.001708459,0.002833579,0.001532695],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"theoretical_or_conceptual","study_design_gemma":"theoretical_or_conceptual","study_design_scores_codex":[0.00001178058,0.00000796485,0.0001454891,0.0001310178,0.000009221685,0.0001000442,0.004038323,0.0002764691,0.0000541414,0.8798535,0.1064181,0.00895382],"study_design_scores_gemma":[0.00002381805,0.00001748479,0.0004926865,0.0005020511,0.0000108424,0.0001203595,0.003369547,0.0005398022,0.0001869484,0.499795,0.4949117,0.00002982676],"study_design_candidate":"theoretical_or_conceptual","study_design_consensus":"theoretical_or_conceptual","genre_codex":"commentary","genre_gemma":"empirical","genre_scores_codex":[0.000798801,0.004734787,0.001259452,0.9820644,0.002442944,0.000003694389,0.000009977744,0.00001106331,0.008674963],"genre_scores_gemma":[0.1853003,0.01304209,0.002526572,0.7604449,0.02700065,0.00007957583,0.00002947644,0.00008610511,0.01149034],"genre_candidate":"empirical","genre_consensus":null,"teacher_disagreement_score":0.02062214,"threshold_uncertainty_score":0.1090616,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.05116942125554195,"score_gpt":0.4477582163824169,"score_spread":0.3965887951268749,"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."}}