{"id":"W4410515828","doi":"10.1007/s10728-025-00524-3","title":"Shared Decision-Making with the “Professionally-Driven Zone of Patient or Surrogate Discretion” Model and its Application in Acute Care","year":2025,"lang":"en","type":"article","venue":"Health Care Analysis","topic":"Patient Dignity and Privacy","field":"Medicine","cited_by":1,"is_retracted":false,"has_abstract":false,"ca_institutions":"Southlake Regional Health Center","funders":"","keywords":"Philosophy of medicine; Discretion; Health informatics; Medical decision making; Medicine; Surrogate model; Surrogate endpoint; Public health; Nursing; Alternative medicine; Family medicine; Computer science; Political science; Law","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":[],"consensus_categories":[],"category_scores_codex":[0.0001101408,0.0001070625,0.0003902105,0.0003375877,0.0001557365,0.000007188532,0.00008831731,0.00005732117,0.00001482038],"category_scores_gemma":[0.00004135948,0.00006275441,0.00007586258,0.00131862,0.00002753874,0.00006093086,0.00006227688,0.0001430361,8.49896e-7],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0001538187,"about_ca_system_score_gemma":0.0004213959,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0001677629,"about_ca_topic_score_gemma":0.003588408,"domain_scores_codex":[0.9988747,0.00008274494,0.0003411372,0.0002547646,0.0002950128,0.0001516566],"domain_scores_gemma":[0.9989391,0.0001741619,0.0001909793,0.0003071724,0.0003239384,0.00006464688],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"design_other","study_design_gemma":"observational","study_design_scores_codex":[0.009579763,0.0005593756,0.3423245,0.003900282,0.003511313,0.00004716865,0.1553801,0.07815424,0.0002342752,0.001101698,0.0006449797,0.4045622],"study_design_scores_gemma":[0.005980888,0.001521055,0.527312,0.006487974,0.006449805,0.00000666254,0.07101519,0.3790464,0.0002516436,0.000298777,0.001027314,0.0006023073],"study_design_candidate":"observational","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.972051,0.002476108,0.02205804,0.002356221,0.00001378541,0.0007722239,0.0001298581,0.00001505604,0.0001277745],"genre_scores_gemma":[0.9968004,0.0001591456,0.00164488,0.001020362,0.00000475742,0.00007938853,0.0002473925,0.000006471832,0.00003723239],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.4039599,"threshold_uncertainty_score":0.2559051,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01805356863959028,"score_gpt":0.3600312417022637,"score_spread":0.3419776730626734,"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."}}