{"id":"W4410433303","doi":"10.1001/jamahealthforum.2025.0746","title":"Global Adoption of Value-Based Health Care Initiatives Within Health Systems","year":2025,"lang":"en","type":"article","venue":"JAMA Health Forum","topic":"Healthcare cost, quality, practices","field":"Health Professions","cited_by":27,"is_retracted":false,"has_abstract":true,"ca_institutions":"Toronto General Hospital; University of Toronto; University Health Network","funders":"","keywords":"Health care; Workforce; Observational study; MEDLINE; Medicine; Global health; Business; Nursing; Political science; Economic growth; Economics","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":"codex-gemma-dda1882f352a","candidate_categories":["metaepi_narrow","sts"],"consensus_categories":[],"category_scores_codex":[0.01259979,0.0005652416,0.001925986,0.0005430212,0.002969261,0.00005292275,0.0006032691,0.0006531564,0.00002942711],"category_scores_gemma":[0.001793401,0.000554718,0.0002094278,0.001878501,0.0002246066,0.0007445705,0.0002584153,0.00194373,0.0001064226],"about_ca_system_candidate":true,"about_ca_system_consensus":true,"about_ca_system_score_codex":0.007975258,"about_ca_system_score_gemma":0.04570347,"about_ca_topic_candidate":true,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.06999961,"about_ca_topic_score_gemma":0.0177543,"domain_scores_codex":[0.9737979,0.0164836,0.004851555,0.001044626,0.001193553,0.002628744],"domain_scores_gemma":[0.9888425,0.002077914,0.005325199,0.001295078,0.001238924,0.001220413],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"theoretical_or_conceptual","study_design_gemma":"observational","study_design_scores_codex":[0.001190688,0.0006496055,0.3333142,0.09345558,0.0001523303,0.000005990682,0.02968633,0.0008348403,0.000001798353,0.4238002,0.08200799,0.03490039],"study_design_scores_gemma":[0.0103736,0.00519019,0.3870226,0.030152,0.00005112572,0.000008406338,0.3330483,0.003252857,0.000009784466,0.002768931,0.2270153,0.001106941],"study_design_candidate":"observational","study_design_consensus":null,"genre_codex":"commentary","genre_gemma":"empirical","genre_scores_codex":[0.05258806,0.06823032,0.02402412,0.8077726,0.01395039,0.01610919,0.003659067,0.001197041,0.01246922],"genre_scores_gemma":[0.8066698,0.001122988,0.003507635,0.1868878,0.0003839688,0.0005085238,0.0006631578,0.00006794745,0.00018814],"genre_candidate":"commentary","genre_consensus":null,"teacher_disagreement_score":0.7540818,"threshold_uncertainty_score":0.9996904,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.3344880844287976,"score_gpt":0.5493987080336791,"score_spread":0.2149106236048815,"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."}}