{"id":"W4416920987","doi":"10.1080/0142159x.2025.2582647","title":"ASPIRE to excellence: Making health systems socially accountable","year":2025,"lang":"en","type":"article","venue":"Medical Teacher","topic":"Innovations in Medical Education","field":"Medicine","cited_by":1,"is_retracted":false,"has_abstract":true,"ca_institutions":"NOSM University; University of British Columbia","funders":"","keywords":"Accountability; Social accounting; Excellence; Equity (law); Social responsibility; Curriculum; Quality (philosophy)","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"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":[0.08690646,0.001165447,0.0009872166,0.003725544,0.01411156,0.02898855,0.003258196,0.008952907,0.004404612],"category_scores_gemma":[0.08217384,0.0007318224,0.001308203,0.001977248,0.05325501,0.02366856,0.04891518,0.01064075,0.001723729],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.01261109,"about_ca_system_score_gemma":0.05330262,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.003563406,"about_ca_topic_score_gemma":0.004836536,"domain_scores_codex":[0.9062493,0.06265886,0.00315496,0.004551296,0.01402208,0.009363418],"domain_scores_gemma":[0.9350217,0.02070929,0.006633502,0.009754959,0.007644346,0.02023621],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"theoretical_or_conceptual","study_design_gemma":"theoretical_or_conceptual","study_design_scores_codex":[0.00003071866,0.0001054776,0.003137683,0.0003337838,0.00007341302,0.0002473938,0.03064505,0.002077357,0.0005328747,0.8668198,0.0233068,0.07268961],"study_design_scores_gemma":[0.00003123618,0.0001513788,0.001748087,0.0005312027,0.00003208503,0.0001491044,0.01219184,0.001264889,0.0006193893,0.7556762,0.2275215,0.00008326654],"study_design_candidate":"theoretical_or_conceptual","study_design_consensus":"theoretical_or_conceptual","genre_codex":"commentary","genre_gemma":"commentary","genre_scores_codex":[0.03989356,0.003492139,0.1898216,0.5226219,0.003656043,0.0006808806,0.0001017052,0.001036861,0.2386953],"genre_scores_gemma":[0.8727853,0.003255061,0.07828613,0.02622996,0.002123398,0.0007157311,0.0001175848,0.0003694715,0.01611739],"genre_candidate":"commentary","genre_consensus":"commentary","teacher_disagreement_score":0.08690646,"threshold_uncertainty_score":0.4596108,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.02625412913524404,"score_gpt":0.4204700533855524,"score_spread":0.3942159242503083,"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."}}