{"id":"W4409602156","doi":"10.18192/aporia.v17i1.7046","title":"Pour des systèmes de soins de santé viables : privilégier la robustesse plutôt que l’optimisation","year":2025,"lang":"fr","type":"article","venue":"Aporia","topic":"Healthcare Systems and Practices","field":"Health Professions","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"","funders":"Université du Luxembourg; Fédération Wallonie-Bruxelles; University of Ottawa","keywords":"Medicine","routes":{"ca_aff":false,"ca_fund":true,"ca_venue":true,"about_ca":false,"invisible_to_affiliation_only":true},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.01241865,0.001473648,0.001011645,0.001427359,0.002193194,0.01072178,0.001971972,0.005408064,0.01032895],"category_scores_gemma":[0.0293992,0.0006981395,0.001524924,0.001424487,0.01197459,0.01131002,0.005740874,0.005144512,0.001539676],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.006872052,"about_ca_system_score_gemma":0.008005187,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.005108957,"about_ca_topic_score_gemma":0.002950724,"domain_scores_codex":[0.9875967,0.005871601,0.000623334,0.002047102,0.002963441,0.0008977581],"domain_scores_gemma":[0.9839011,0.009713705,0.002015543,0.002032873,0.001734025,0.0006027722],"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":[0.00004514084,0.00005100767,0.001272851,0.0004520449,0.0000964236,0.0001106966,0.001917902,0.02519429,0.00164145,0.9398422,0.001407449,0.02796856],"study_design_scores_gemma":[0.00004087853,0.0002502388,0.002109889,0.0006280715,0.00007445071,0.0002201982,0.002087807,0.03563824,0.001845455,0.9095702,0.04744805,0.00008647559],"study_design_candidate":"theoretical_or_conceptual","study_design_consensus":"theoretical_or_conceptual","genre_codex":"methods","genre_gemma":"empirical","genre_scores_codex":[0.04973627,0.008223518,0.7364221,0.04836396,0.000565141,0.0003608953,0.0002775406,0.0003851428,0.1556654],"genre_scores_gemma":[0.8499955,0.004815141,0.1232484,0.002035335,0.0003849661,0.0006233537,0.0001333957,0.0001959094,0.01856791],"genre_candidate":"empirical","genre_consensus":null,"teacher_disagreement_score":0.01241865,"threshold_uncertainty_score":0.06567693,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.06734100622294624,"score_gpt":0.4435356293031546,"score_spread":0.3761946230802083,"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."}}