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Record W1477651685 · doi:10.12927/hcpap.2015.24256

Breaking the Deadlock: Lessons from Pan-Canadian Organizations

2014· letter· en· W1477651685 on OpenAlexaffvenueabout
Jennifer Zelmer

Bibliographic record

VenueA Nudge Too Far? A Nudge at All? On Paying People to Be Healthy · 2014
Typeletter
Languageen
FieldEconomics, Econometrics and Finance
TopicHealthcare Policy and Management
Canadian institutionsCanada Health Infoway
Fundersnot available
KeywordsDeadlockHealth carePublic relationsInformation sharingKnowledge managementBusinessPolitical scienceComputer scienceWorld Wide WebLaw

Abstract

fetched live from OpenAlex

The authors of the lead essay in this issue propose a set of fiscal and other levers for accelerating Canadian healthcare reform. Among the mechanisms they endorse is the concept of a learning health system, which would encourage collaboration and information sharing between jurisdictions. From health system performance measurement to exchange of best practices, a number of the foundational elements of learning health systems have parallels or antecedents in functions undertaken by pan-Canadian organizations that address healthcare issues relevant to multiple jurisdictions. Experiences and outcomes of these organizations may therefore be instructive when considering proposals for healthcare reform, such as those made by Gardner, Fierlbeck, and Levy.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.019
metaresearch head score (Gemma)0.043
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.954
Threshold uncertainty score0.779

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0190.043
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.003
Science and technology studies0.0310.019
Scholarly communication0.0150.008
Open science0.0050.006
Research integrity0.0320.029
Insufficient payload (model declined to judge)0.0100.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.090
GPT teacher head0.297
Teacher spread0.207 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreCommentary

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2014
Admission routes3
Has abstractyes

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