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Record W1977273862 · doi:10.12927/hcpap.2011.22441

Evidence Over Barriers: Important But Not Enough

2011· letter· en· W1977273862 on OpenAlexaffvenue
Duncan Sinclair

Bibliographic record

VenueA Nudge Too Far? A Nudge at All? On Paying People to Be Healthy · 2011
Typeletter
Languageen
FieldEconomics, Econometrics and Finance
TopicHealthcare Policy and Management
Canadian institutionsMental Health Commission of Canada
Fundersnot available
KeywordsAdministration (probate law)Health careBusinessBest practicePublic relationsPolitical scienceManagementMedical educationMedicineEconomicsLaw

Abstract

fetched live from OpenAlex

Overcoming the boundary conditions that impede the flow of evidence derived from research from academia to healthcare decision-makers in government and their agencies continues to be a challenge. But even the reduction/elimination of all such barriers and perfect collaboration are unlikely to yield what those of us in the "real world" yearn for, doing the right things right - policy and other decisions perfectly informed by evidence of what works and what doesn't to achieve a defined outcome. For that to happen, the calculus of decision-makers would have to exclude or evidence would have to trump political considerations, both large P and small p, an unlikely accomplishment in British Columbia or anywhere in our so-called healthcare system. That's reality!

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)0.154
metaresearch head score (Gemma)0.414
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 score0.154
Threshold uncertainty score0.814

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.1540.414
Meta-epidemiology (narrow)0.0010.002
Meta-epidemiology (broad)0.0050.004
Bibliometrics0.0040.003
Science and technology studies0.0080.040
Scholarly communication0.0200.040
Open science0.0080.012
Research integrity0.1030.102
Insufficient payload (model declined to judge)0.0100.004

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 head0.158
GPT teacher head0.310
Teacher spread0.152 · 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

Citations2
Published2011
Admission routes2
Has abstractyes

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