{"id":"W4417123681","doi":"10.1186/s12913-025-13822-2","title":"Moral distress among health care workers and decision-makers undermines tuberculosis infection screening and treatment programs for migrants in Canada: a reflexive thematic analysis","year":2025,"lang":"en","type":"article","venue":"BMC Health Services Research","topic":"Tuberculosis Research and Epidemiology","field":"Medicine","cited_by":1,"is_retracted":false,"has_abstract":true,"ca_institutions":"McGill University; Stornoway Diamond (Canada); BC Centre for Disease Control; University of Toronto; Humber Polytechnic; McGill University Health Centre","funders":"Canadian Institutes of Health Research; Fonds de recherche du Québec","keywords":"Public health; Thematic analysis; Health care; Tuberculosis; Qualitative research; Reflexivity; Health policy; Immigration","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":[0.02899718,0.001176403,0.001056534,0.003098661,0.03527901,0.008803129,0.004707966,0.002884896,0.001816425],"category_scores_gemma":[0.03884752,0.0006432879,0.0008036324,0.004394869,0.02161511,0.003451972,0.01168351,0.00537996,0.0001183746],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.1024633,"about_ca_system_score_gemma":0.1499694,"about_ca_topic_candidate":true,"about_ca_topic_consensus":true,"about_ca_topic_score_codex":0.7476213,"about_ca_topic_score_gemma":0.8201179,"domain_scores_codex":[0.9786736,0.01274802,0.0005916984,0.001130527,0.002438178,0.004417927],"domain_scores_gemma":[0.9679023,0.01986532,0.002383313,0.0008251176,0.006087182,0.002936736],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"qualitative","study_design_gemma":"qualitative","study_design_scores_codex":[0.00001851942,0.00001000348,0.001938875,0.0001300598,0.000003991722,0.0002856591,0.9937616,0.00002552385,0.0001065442,0.001131016,0.0006714585,0.00191673],"study_design_scores_gemma":[0.000001852438,0.000004891063,0.001101371,0.0001418287,0.000004131296,0.00002470475,0.9950162,0.00004436575,0.00005496122,0.0001523717,0.003446589,0.000006727227],"study_design_candidate":"qualitative","study_design_consensus":"qualitative","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9744689,0.001241592,0.00181494,0.01024703,0.0002320471,0.0006300202,0.0002765718,0.00002267667,0.01106604],"genre_scores_gemma":[0.9926655,0.0009079187,0.001329094,0.001661062,0.00003366748,0.0004570508,0.0001189981,0.00003093299,0.002795765],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.2523787,"threshold_uncertainty_score":0.7434272,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.08217749023664639,"score_gpt":0.4554628761445145,"score_spread":0.3732853859078681,"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."}}