{"id":"W4414833686","doi":"10.1136/bmjqs-2025-019042","title":"Barriers and facilitators to reducing overuse of thyroid function testing: a mixed-methods study","year":2025,"lang":"en","type":"article","venue":"BMJ Quality & Safety","topic":"Thyroid Disorders and Treatments","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"Ministry of Health; University of Calgary; Memorial University of Newfoundland; iCo Therapeutics (Canada); University of British Columbia","funders":"Faculty of Medicine, University of British Columbia","keywords":"Psychological intervention; Thyroid function; Intervention (counseling); Thyroid function tests; MEDLINE; Quality management; Patient education","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":[0.02052139,0.0007563792,0.00125202,0.002437684,0.003277153,0.002707957,0.001582231,0.001302355,0.002483426],"category_scores_gemma":[0.01827595,0.001088825,0.001221081,0.002770351,0.001345853,0.001904247,0.002365883,0.001113422,0.0004118971],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.006953979,"about_ca_system_score_gemma":0.01274866,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.05249889,"about_ca_topic_score_gemma":0.09026944,"domain_scores_codex":[0.9916761,0.004511206,0.000847992,0.000672847,0.0009998416,0.001292032],"domain_scores_gemma":[0.9824818,0.01101586,0.002130248,0.0005873039,0.002783624,0.001001143],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"qualitative","study_design_gemma":"observational","study_design_scores_codex":[0.001393188,0.005780961,0.3501719,0.005238471,0.0005130369,0.001312102,0.5313352,0.000302344,0.001780182,0.0008889973,0.001684765,0.09959885],"study_design_scores_gemma":[0.0007174101,0.01009493,0.3476224,0.004695629,0.0007168739,0.0008163773,0.6208446,0.002295082,0.001527637,0.001086469,0.00937956,0.0002030112],"study_design_candidate":"observational","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9950423,0.0006418106,0.001022392,0.0003108447,0.00001335584,0.001968938,0.0002466273,0.0000104087,0.000743302],"genre_scores_gemma":[0.9808226,0.001427595,0.00693108,0.0009261185,0.00002653984,0.008108642,0.0002699476,0.00001478705,0.001472696],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.05249889,"threshold_uncertainty_score":0.1085288,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.03475341673673406,"score_gpt":0.4274242051698077,"score_spread":0.3926707884330737,"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."}}