{"id":"W4417457491","doi":"10.1080/17482631.2025.2598719","title":"Fragmentation of healthcare systems: challenges through patients’ eyes","year":2025,"lang":"en","type":"article","venue":"International Journal of Qualitative Studies on Health and Well-Being","topic":"Health, Nursing, Elderly Care","field":"Health Professions","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"Université de Sherbrooke","funders":"","keywords":"Bureaucracy; Fragmentation (computing); Health care; Distress; Reification (Marxism); Healthcare system; Psychodynamics","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":[0.00955749,0.0003349319,0.0004370417,0.0009796745,0.0103819,0.009119288,0.001347973,0.002261755,0.006687046],"category_scores_gemma":[0.01936943,0.0003875517,0.0004696684,0.001108834,0.01671346,0.007933872,0.01120779,0.003951712,0.000518323],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.005924258,"about_ca_system_score_gemma":0.006827078,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.003270182,"about_ca_topic_score_gemma":0.00321544,"domain_scores_codex":[0.9850632,0.01126829,0.0005047201,0.0006583368,0.001402373,0.001103173],"domain_scores_gemma":[0.9820588,0.01128487,0.002903206,0.0009042119,0.00145695,0.001391901],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"qualitative","study_design_gemma":"qualitative","study_design_scores_codex":[0.00004741646,0.00003412135,0.0134582,0.0004235063,0.00002901156,0.002475317,0.9130442,0.0001632049,0.0007361447,0.03048919,0.006690033,0.03240963],"study_design_scores_gemma":[0.000007745898,0.00005711323,0.002565143,0.0005353088,0.00001294034,0.003536784,0.9135569,0.0001287728,0.0002883892,0.01262873,0.06665076,0.00003134322],"study_design_candidate":"qualitative","study_design_consensus":"qualitative","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.8021817,0.009670161,0.01641996,0.1065966,0.0007958292,0.0001670357,0.0002431899,0.0001455705,0.06377991],"genre_scores_gemma":[0.9928169,0.001297777,0.001429367,0.002791797,0.00007389127,0.00003819095,0.00002406581,0.00002264842,0.001505435],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.0103819,"threshold_uncertainty_score":0.05054539,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.1755816965398898,"score_gpt":0.5623191674269796,"score_spread":0.3867374708870899,"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."}}