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Meaning and measurement: an inclusive model of evidence in health care

2001· article· en· W1750200648 on OpenAlexafffund
Ross Upshur, Elizabeth G. VanDenKerkhof, Vivek Goel

Bibliographic record

VenueJournal of Evaluation in Clinical Practice · 2001
Typearticle
Languageen
FieldHealth Professions
TopicPrimary Care and Health Outcomes
Canadian institutionsKingston General HospitalWomen's College HospitalQueen's UniversityHealth Sciences CentreUniversity of TorontoSunnybrook Health Science Centre
FundersHealth Canada
KeywordsMeaning (existential)Qualitative researchHealth careEvidence-based medicineClinical epidemiologyPsychologyEpistemologyEpidemiologyMedicineAlternative medicineSociologySocial sciencePsychotherapistPathology

Abstract

fetched live from OpenAlex

Evidence-based approaches are assuming prominence in many health-care fields. The core ideas of evidence-based health care derive from clinical epidemiology and general internal medicine. The concept of evidence has yet to be analysed systematically; what counts as evidence may vary across disciplines. Furthermore, the contribution of the social sciences, particularly qualitative methodology, has received scant attention. This paper outlines a model of evidence that describes four distinct but related types of evidence: qualitative-personal; qualitative-general; quantitative-general and quantitative-personal. The rationale for these distinctions and the implications of these for a theory of evidence are discussed.

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)0.143
metaresearch head score (Gemma)0.179
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Theoretical or conceptual · Consensus signal: Theoretical or conceptual
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.143
Threshold uncertainty score0.755

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.1430.179
Meta-epidemiology (narrow)0.0030.002
Meta-epidemiology (broad)0.0040.004
Bibliometrics0.0230.016
Science and technology studies0.0060.066
Scholarly communication0.0240.038
Open science0.0080.014
Research integrity0.0100.010
Insufficient payload (model declined to judge)0.0040.001

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 head0.683
GPT teacher head0.677
Teacher spread0.006 · 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 designTheoretical or conceptual
Domainnot available
GenreEmpirical

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

Citations179
Published2001
Admission routes2
Has abstractyes

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