{"id":"W4411840466","doi":"10.1002/wmh3.70035","title":"Evidence Use at the Regional Health Agency of Ile‐de‐France: Analysis of Practices, Obstacles, and Needs","year":2025,"lang":"en","type":"article","venue":"World Medical & Health Policy","topic":"Health Policy Implementation Science","field":"Health Professions","cited_by":1,"is_retracted":false,"has_abstract":true,"ca_institutions":"Université de Montréal","funders":"","keywords":"Agency (philosophy); Sociology; Nursing; Medicine; Social science","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":["metaresearch","sts","insufficient_payload"],"consensus_categories":[],"category_scores_codex":[0.01476217,0.000223447,0.001016525,0.00190481,0.001359097,0.00001116379,0.0006202519,0.0001638319,0.001173194],"category_scores_gemma":[0.02753886,0.000168452,0.000137861,0.009664875,0.0008728241,0.0002862746,0.0004148337,0.001020381,0.00001691984],"about_ca_system_candidate":true,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.001254061,"about_ca_system_score_gemma":0.03289175,"about_ca_topic_candidate":true,"about_ca_topic_consensus":true,"about_ca_topic_score_codex":0.1167835,"about_ca_topic_score_gemma":0.03090939,"domain_scores_codex":[0.9888349,0.004854138,0.002834294,0.0004610686,0.001548423,0.001467209],"domain_scores_gemma":[0.9731674,0.02041307,0.00368148,0.0009171158,0.0003908573,0.00143009],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"not_applicable","study_design_gemma":"not_applicable","study_design_scores_codex":[0.0001587883,0.0001398844,0.413057,0.00457518,0.0002712395,0.000002197987,0.04773005,0.00001789633,0.00003157696,0.05366034,0.4317038,0.04865205],"study_design_scores_gemma":[0.000676396,0.0001088261,0.4592339,0.001639443,0.00008325272,0.000002124049,0.001389067,0.0003784608,0.000003859047,0.0002997729,0.5360859,0.00009903371],"study_design_candidate":"not_applicable","study_design_consensus":"not_applicable","genre_codex":"commentary","genre_gemma":"commentary","genre_scores_codex":[0.1503022,0.005778026,0.0004979164,0.8401049,0.0003144448,0.001607215,0.000182419,0.00004859274,0.001164319],"genre_scores_gemma":[0.3936694,0.02020734,0.001252296,0.5656559,0.0003945836,0.0002463529,0.00002831502,0.0000246131,0.01852121],"genre_candidate":"commentary","genre_consensus":"commentary","teacher_disagreement_score":0.274449,"threshold_uncertainty_score":0.999941,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.5682733440359642,"score_gpt":0.6935672489291359,"score_spread":0.1252939048931717,"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."}}