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Record W1759305487 · doi:10.1016/s0840-4704(10)60776-4

Information Systems for Healthcare: Why We Haven't Had More Success

2000· article· en· W1759305487 on OpenAlexaff
Kevin J. Leonard

Bibliographic record

VenueHealthcare Management Forum · 2000
Typearticle
Languageen
FieldHealth Professions
TopicElectronic Health Records Systems
Canadian institutionsUniversity of Toronto
Fundersnot available
KeywordsHavenHealth careHealthcare systemSafe havenBusinessKnowledge managementInternet privacyComputer scienceEconomicsEconomic growth

Abstract

fetched live from OpenAlex

Over the last number of years, I have often been asked: "Why haven't we had more success in implementing Information Technology (IT) in Healthcare?" Unfortunately, there is no simple answer to this question. The answer is usually heavily dependent on several factors that "define" the specific implementation in question--consequently, the answer is one comprised of a number of interrelated factors or components. In order to facilitate this answer process, this paper attempts to identify these individual answer components. At the very least, this will help simplify the process of answering future questions by referring to the components outlined herein. At most, in addition to providing a reference compendium for others, it will assist in increasing the solution implementation success rate by exploring the problem definition in detail: The first step in solving a problem is to have it fully articulated.

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)0.044
metaresearch head score (Gemma)0.059
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: none
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.044
Threshold uncertainty score0.233

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0440.059
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0040.008
Science and technology studies0.0080.021
Scholarly communication0.0260.029
Open science0.0020.008
Research integrity0.0120.011
Insufficient payload (model declined to judge)0.0130.005

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 head0.040
GPT teacher head0.395
Teacher spread0.356 · 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
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

Citations19
Published2000
Admission routes1
Has abstractyes

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