{"id":"W4416690498","doi":"10.46747/cfp.711112686","title":"Systemic reform requires accountability","year":2025,"lang":"en","type":"article","venue":"Canadian Family Physician","topic":"Primary Care and Health Outcomes","field":"Health Professions","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"","funders":"","keywords":"Remuneration; Primary care; Accountability; Family doctors; MEDLINE","routes":{"ca_aff":false,"ca_fund":false,"ca_venue":true,"about_ca":true,"invisible_to_affiliation_only":true},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.02849545,0.0006090634,0.0007881318,0.001190876,0.01539481,0.01850223,0.002193491,0.01890577,0.0160398],"category_scores_gemma":[0.05137109,0.0003838104,0.0009847888,0.001191752,0.04706401,0.0125383,0.007446353,0.02116487,0.002212431],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.04724373,"about_ca_system_score_gemma":0.1453327,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.4850594,"about_ca_topic_score_gemma":0.5310332,"domain_scores_codex":[0.9702179,0.009207712,0.0006582149,0.002373767,0.01039884,0.007143561],"domain_scores_gemma":[0.9606521,0.01288657,0.001482976,0.00239221,0.01497461,0.007611553],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"not_applicable","study_design_gemma":"not_applicable","study_design_scores_codex":[0.00001006309,0.00001933265,0.000247943,0.00004808844,0.000008898496,0.00004875799,0.001223799,0.0001409067,0.0000543238,0.3838588,0.6066284,0.007710682],"study_design_scores_gemma":[0.00003752791,0.00001256672,0.00103663,0.0003641266,0.00001097528,0.00002956297,0.002708724,0.0002128335,0.0001178402,0.171301,0.8241287,0.0000395039],"study_design_candidate":"not_applicable","study_design_consensus":"not_applicable","genre_codex":"commentary","genre_gemma":"commentary","genre_scores_codex":[0.0003233578,0.002201115,0.0005117288,0.9712585,0.001989891,0.00001018725,0.00004216256,0.00002339991,0.02363959],"genre_scores_gemma":[0.09030899,0.00438546,0.001371428,0.862252,0.007433331,0.00007815527,0.000117365,0.00008679527,0.03396656],"genre_candidate":"commentary","genre_consensus":"commentary","teacher_disagreement_score":0.4850594,"threshold_uncertainty_score":0.9644722,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.04574772030438579,"score_gpt":0.383987425497255,"score_spread":0.3382397051928692,"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."}}