{"id":"W4414428009","doi":"10.1002/lrh2.70040","title":"Navigating and reframing tensions within equity‐centered learning health systems","year":2025,"lang":"en","type":"article","venue":"Learning Health Systems","topic":"Interprofessional Education and Collaboration","field":"Health Professions","cited_by":1,"is_retracted":false,"has_abstract":true,"ca_institutions":"Thunder Bay Regional Health Sciences Centre; Thunder Bay Regional Research Institute; Public Health Ontario; Trillium Health Centre; University of Toronto","funders":"","keywords":"Cognitive reframing; Transformative learning; Healthcare system; Context (archaeology); Public health","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":true,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":["metaepi_narrow","sts","research_integrity"],"consensus_categories":[],"category_scores_codex":[0.00641309,0.0003324004,0.0008671403,0.0002153542,0.006431942,0.0001483562,0.0002100307,0.0003369115,0.00002740366],"category_scores_gemma":[0.001431967,0.0003073181,0.00005512551,0.0008614999,0.00006337263,0.0002196441,0.0002934508,0.003957842,0.000128817],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.00136504,"about_ca_system_score_gemma":0.004638372,"about_ca_topic_candidate":true,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.01160515,"about_ca_topic_score_gemma":0.0003806771,"domain_scores_codex":[0.9896438,0.00586328,0.002167029,0.0006790584,0.0005447968,0.00110201],"domain_scores_gemma":[0.9956092,0.001023193,0.0019366,0.0003562392,0.0006145604,0.0004602458],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"qualitative","study_design_scores_codex":[0.00065711,0.0004015407,0.3814896,0.04657923,0.0003377819,0.00001725891,0.2909558,0.03581147,0.001204664,0.1340995,0.06838457,0.04006147],"study_design_scores_gemma":[0.002251829,0.0006761439,0.01504793,0.06167264,0.0000286133,0.00002871735,0.5239185,0.1243535,0.000003390013,0.0001027601,0.2712472,0.0006687334],"study_design_candidate":"qualitative","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.7837042,0.03247561,0.01884867,0.09028729,0.04818114,0.01097382,0.00004758206,0.00240988,0.01307184],"genre_scores_gemma":[0.9681538,0.0002193905,0.0003933012,0.004346399,0.0005221607,0.000418662,0.0001515928,0.00006036843,0.02573438],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.3664417,"threshold_uncertainty_score":0.9999379,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.06764577332452287,"score_gpt":0.5076594513633856,"score_spread":0.4400136780388628,"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."}}