{"id":"W7125919905","doi":"10.12927/hcpap.2025.27765","title":"Are Canada’s health systems capable of innovation? Plus ça change, plus c’est la même chose","year":2025,"lang":"en","type":"article","venue":"A Nudge Too Far? A Nudge at All? On Paying People to Be Healthy","topic":"Health Policy Implementation Science","field":"Health Professions","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"Public Health Ontario","funders":"","keywords":"Healthcare system; Chose; Interoperability; Health care; Digital health; Information system; Health policy","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":[0.02247896,0.0007762834,0.0009725374,0.002028177,0.02008179,0.02940445,0.003291989,0.01471896,0.01223275],"category_scores_gemma":[0.06403945,0.0004866129,0.001199446,0.003529048,0.02666414,0.01402828,0.004322305,0.01975592,0.002318812],"about_ca_system_candidate":true,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.1156059,"about_ca_system_score_gemma":0.2800027,"about_ca_topic_candidate":true,"about_ca_topic_consensus":true,"about_ca_topic_score_codex":0.9323323,"about_ca_topic_score_gemma":0.9552079,"domain_scores_codex":[0.9679625,0.005953246,0.0007764756,0.002505717,0.01598701,0.00681516],"domain_scores_gemma":[0.9346365,0.01947449,0.002003063,0.002659632,0.03002203,0.01120427],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"not_applicable","study_design_gemma":"theoretical_or_conceptual","study_design_scores_codex":[0.000036173,0.00001945422,0.001332635,0.0003456793,0.00004924198,0.00008692269,0.00350402,0.0001480575,0.000138903,0.1413158,0.8245978,0.02842525],"study_design_scores_gemma":[0.00001917048,0.00001504197,0.001922099,0.0006474027,0.00003903575,0.00005455186,0.005709848,0.0001539028,0.0002319868,0.02379112,0.9673327,0.00008324641],"study_design_candidate":"theoretical_or_conceptual","study_design_consensus":null,"genre_codex":"commentary","genre_gemma":"commentary","genre_scores_codex":[0.0005405053,0.005112637,0.0005182705,0.9781568,0.003871133,0.000009350442,0.0001621913,0.0000272818,0.0116018],"genre_scores_gemma":[0.1063961,0.0244958,0.004084556,0.8110856,0.006955509,0.00007349522,0.0003874916,0.0001563857,0.046365],"genre_candidate":"commentary","genre_consensus":"commentary","teacher_disagreement_score":0.8843941,"threshold_uncertainty_score":0.8387832,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.424771228720293,"score_gpt":0.5648060763127454,"score_spread":0.1400348475924524,"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."}}