{"id":"W4413290320","doi":"10.1186/s12913-025-13179-6","title":"How systemic racism results in poorer outcomes for First Nations, and what First Nations are doing about it: the example of kidney health","year":2025,"lang":"en","type":"article","venue":"BMC Health Services Research","topic":"Indigenous Health, Education, and Rights","field":"Social Sciences","cited_by":1,"is_retracted":false,"has_abstract":true,"ca_institutions":"Seven Oaks General Hospital; First Nations Health and Social Secretariat of Manitoba; University of Manitoba","funders":"Canadian Institutes of Health Research","keywords":"Medicine; Nursing research; Health informatics; Health administration; Public health; Quality of Life Research; Racism; Health services research; Health economics; Environmental health; Gender studies; Nursing; Sociology","routes":{"ca_aff":true,"ca_fund":true,"ca_venue":false,"about_ca":true,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.005644086,0.0003263369,0.0003271196,0.001060051,0.0025845,0.002037759,0.000533465,0.0009436093,0.002721705],"category_scores_gemma":[0.01047977,0.0001518199,0.0008637465,0.00138437,0.003629659,0.001540221,0.001876539,0.002165368,0.0001529479],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.002400074,"about_ca_system_score_gemma":0.004127427,"about_ca_topic_candidate":true,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.07544985,"about_ca_topic_score_gemma":0.1070993,"domain_scores_codex":[0.9971502,0.001951136,0.00005920225,0.0002038874,0.0001943879,0.0004411546],"domain_scores_gemma":[0.9941196,0.002438717,0.00132076,0.0004985124,0.0007323088,0.0008901198],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.0001779835,0.0001458092,0.9264477,0.0002533952,0.0004386631,0.0008296536,0.01797968,0.0005738797,0.0002607439,0.01167677,0.005969577,0.03524621],"study_design_scores_gemma":[0.00003551835,0.0001934769,0.9233211,0.001564226,0.0004978666,0.001600351,0.04036699,0.001806996,0.0004317713,0.01839286,0.01168796,0.0001008852],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9288397,0.006426032,0.001777441,0.0478117,0.0002841032,0.00003166224,0.0003943546,0.00002148838,0.01441349],"genre_scores_gemma":[0.9960265,0.001727615,0.0005810538,0.001196173,0.0000678865,0.00001069415,0.00006599601,0.000008484846,0.000315492],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.9245502,"threshold_uncertainty_score":0.1500214,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.05395065371034522,"score_gpt":0.4215495010647706,"score_spread":0.3675988473544254,"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."}}