{"id":"W4415056388","doi":"10.12927/hcq.2025.27677","title":"Polypharmacy: Institutional approaches to Support Patients, Systems and the Climate","year":2025,"lang":"en","type":"article","venue":"Healthcare Quarterly","topic":"Health and Medical Research Impacts","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"Hamilton Health Sciences; Trillium Health Centre; University of Waterloo","funders":"","keywords":"Workload; Polypharmacy; Health care; Healthcare system; Stewardship (theology); Best practice; Environmental stewardship","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":true,"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":[0.006683373,0.0005914797,0.0003727478,0.001400706,0.009112186,0.01392984,0.002717887,0.003391499,0.0134595],"category_scores_gemma":[0.007725512,0.0002773881,0.0005542178,0.001568181,0.01089669,0.006996364,0.01709701,0.004566874,0.001710372],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.01267385,"about_ca_system_score_gemma":0.06136311,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.01846561,"about_ca_topic_score_gemma":0.04971075,"domain_scores_codex":[0.9933142,0.003683832,0.0001787096,0.0003267591,0.001084947,0.00141158],"domain_scores_gemma":[0.9897204,0.0008874101,0.0007596004,0.0006361353,0.001484737,0.006511746],"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":[0.00009743016,0.001116988,0.01521474,0.001071127,0.0001570232,0.000603317,0.02708171,0.002143272,0.001556804,0.3617848,0.1504418,0.4387311],"study_design_scores_gemma":[0.00005964779,0.0004806759,0.01390493,0.001342227,0.00006908464,0.000478672,0.05878641,0.001301243,0.0008474253,0.1647302,0.7579206,0.00007881284],"study_design_candidate":"not_applicable","study_design_consensus":null,"genre_codex":"commentary","genre_gemma":"empirical","genre_scores_codex":[0.04906112,0.01449371,0.04484354,0.5281883,0.003642789,0.0005768753,0.0001369982,0.000859227,0.3581975],"genre_scores_gemma":[0.8575372,0.01319215,0.04150768,0.04228842,0.001495502,0.0005402555,0.0001033287,0.0001799517,0.04315546],"genre_candidate":"empirical","genre_consensus":null,"teacher_disagreement_score":0.01846561,"threshold_uncertainty_score":0.09195566,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.1869484077282849,"score_gpt":0.4105267789191793,"score_spread":0.2235783711908944,"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."}}