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Record W1994222970 · doi:10.12927/hcq.2012.23125

Bringing Evidence to Healthcare Decision Making

2012· article· en· W1994222970 on OpenAlexaboutno aff
Charles Wright, Brian O’Rourke

Bibliographic record

VenueHealthcare Quarterly · 2012
Typearticle
Languageen
FieldEconomics, Econometrics and Finance
TopicHealth Systems, Economic Evaluations, Quality of Life
Canadian institutionsnot available
Fundersnot available
KeywordsHealth careBest practiceHealth administrationClinical decision makingBusinessNursingPublic relationsMedicinePolitical scienceFamily medicinePublic healthManagementEconomics

Abstract

fetched live from OpenAlex

key principle underlying the Excellent Care for All Act was the importance of evidence in guiding decisions across the healthcare system. The Canadian Agency for Drugs and Technologies in Health (CADTH) has led pan-Canadian efforts for several years to bring evidence to decisions about what will be covered and what will not be covered in Canadian healthcare. In this interview, the CEO of CADTH – Brian O’Rourke (BO) – speaks with Charles Wright (CW) about a number of the challenges and opportunities inherent in bringing evidence to healthcare decision-making. A key point throughout the interview is the range of efforts necessary to support decision-makers as they try to bring evidence into coverage and other potentially controversial decisions. CW: Let me start by asking how you would describe the general purpose of your organization – The Canadian Agency for Drugs and Technology and Health? BO: More affectionately known in this country as CADTH – that’s the acronym to get out of your lips! We’re a health technology assessment agency. In its broadest sense, that means we inform; we provide information to policy makers in Canada regarding health technology. It can include pharmaceuticals, medical devices, medical/surgical procedures and diagnostic tests. A Bringing Evidence to Healthcare Decision Making liNKiNG eViDeNce aND Quality

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)0.334
metaresearch head score (Gemma)0.498
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
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 score0.334
Threshold uncertainty score0.821

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.3340.498
Meta-epidemiology (narrow)0.0020.002
Meta-epidemiology (broad)0.0050.003
Bibliometrics0.0120.006
Science and technology studies0.0110.053
Scholarly communication0.0440.042
Open science0.0060.029
Research integrity0.0270.054
Insufficient payload (model declined to judge)0.0080.002

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 head0.414
GPT teacher head0.491
Teacher spread0.077 · 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.

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

Citations0
Published2012
Admission routes1
Has abstractyes

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