{"id":"W4412455885","doi":"10.1016/s0140-6736(25)00985-7","title":"Surgical health policy 2025–35: strengthening essential services for tomorrow's needs","year":2025,"lang":"en","type":"review","venue":"The Lancet","topic":"Global Health Workforce Issues","field":"Health Professions","cited_by":27,"is_retracted":false,"has_abstract":false,"ca_institutions":"Western University; Centre for Global Health Research","funders":"National Institute for Health and Care Research","keywords":"Business; Policy development; Nursing; Medicine; Economic policy","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":[0.002325305,0.0006698223,0.004385976,0.0003756988,0.001831911,0.00005085602,0.001736929,0.0007344173,0.0003378837],"category_scores_gemma":[0.0001954381,0.0004277519,0.0005516305,0.001488652,0.00008543058,0.00007606062,0.0005999852,0.001815983,0.0003145021],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0007035636,"about_ca_system_score_gemma":0.004584855,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.003824349,"about_ca_topic_score_gemma":0.0008414524,"domain_scores_codex":[0.9928015,0.002208063,0.001856019,0.0005547176,0.0004070778,0.002172663],"domain_scores_gemma":[0.9926871,0.004063237,0.001327691,0.001452497,0.0001517732,0.0003176776],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"design_other","study_design_gemma":"not_applicable","study_design_scores_codex":[0.0001005273,0.00003400242,0.00003133446,0.2350607,0.0001317669,0.000004519002,0.001583316,0.000002346981,4.33281e-9,0.03058207,0.140882,0.5915875],"study_design_scores_gemma":[0.000826197,0.00005711903,0.000002495695,0.08490145,0.0002142697,0.000005750132,0.000804199,0.00001735153,2.330269e-8,0.0005796326,0.9123144,0.0002771018],"study_design_candidate":"not_applicable","study_design_consensus":null,"genre_codex":"review","genre_gemma":"review","genre_scores_codex":[0.000007903611,0.9586055,0.00002641473,0.01735412,0.002108819,0.004989339,0.001178213,0.0003399897,0.01538965],"genre_scores_gemma":[0.00001421371,0.9592817,0.0003490231,0.004439533,0.01472069,0.001293086,0.0008883188,0.00009005469,0.01892334],"genre_candidate":"review","genre_consensus":"review","teacher_disagreement_score":0.7714325,"threshold_uncertainty_score":0.9998174,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.1022513449369238,"score_gpt":0.5249237775672022,"score_spread":0.4226724326302784,"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."}}