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Record W2016126857 · doi:10.1136/ebm.6.1.4

The rocky road: qualitative research as evidence

2001· editorial· en· W2016126857 on OpenAlexaff
Mita Giacomini

Bibliographic record

VenueEvidence-Based Medicine · 2001
Typeeditorial
Languageen
FieldHealth Professions
TopicHealth Policy Implementation Science
Canadian institutionsMcMaster University
Fundersnot available
KeywordsGeography

Abstract

fetched live from OpenAlex

Health research grows ever more holistic in its understanding of health and illness, more comprehensive in empirical questions, and more interdisciplinary in approaches. As we investigate social and personal aspects of health, we become drawn to social science knowledge in addition to biomedical and epidemiological perspectives. With this multidisciplinary basis for clinical knowledge comes “qualitative” research, an empirical method seemingly at odds with traditional rules of evidence and with the hierarchy of research designs propounded by evidence-based medicine.1, 2 The philosophy of evidence-based medicine suggests that as ways of knowing, induction is inferior to deduction, subjective perceptions are inferior to objective quantification, and description is inferior to inferential testing. Qualitative tenets invert these imperatives: investigators aim for inductive description using subjective interpretation. New readers of qualitative reports thus confront 3 issues. Firstly, does qualitative inquiry belong at the bottom of evidence-based medicine's traditional research design hierarchy? Secondly, if familiar rules of evidence do not apply, what features distinguish a noteworthy study? Thirdly, what is the clinical usefulness of qualitative research information compared with that of quantitative information? “Qualitative” health research is best characterised not by its qualitative data but by several assumptions about what social reality is like (ontology) and how we can best learn the truth about this reality (epistemology). These premises differ from those required to conduct, analyse, and believe in the results of quantitative research, such as a randomised controlled trial. Quantitative clinical research typically addresses biomedical questions. It tests hypothesised causal relations between quantified variables. (These include, of course, statistically “qualitative” variables, which are those that can be categorised and counted.) Quantitative research questions require key ingredients. Firstly, they require variables that describe natural phenomena coupled with a belief that these variables exist and can be measured objectively. Secondly, they require a belief that …

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

Direct model labels (unvalidated)

Per-model category and study-design labels from the labeling rounds. They are machine output, unvalidated, and the disagreement between models ships as data. No study design here is MEDLINE-validated yet.

Model armCategoriesStudy designConfidence
gemmaMetaresearch
Domain: Methods · Genre: Editorial
About the Canadian research system: no · About a Canadian topic: no
Not applicablelow
gptMetaresearch
Domain: Methods · Genre: Editorial
About the Canadian research system: no · About a Canadian topic: no
Not applicablelow
models agreeAgreement compares identical category sets and study designs across arms.

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)0.596
metaresearch head score (Gemma)0.659
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesMetaresearch
DomainCandidate signal: Methods · Consensus signal: Methods
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Editorial · Consensus signal: none
Teacher disagreement score0.404
Threshold uncertainty score0.499

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.5960.659
Meta-epidemiology (narrow)0.0030.004
Meta-epidemiology (broad)0.0090.003
Bibliometrics0.0150.014
Science and technology studies0.0110.106
Scholarly communication0.0430.066
Open science0.0130.041
Research integrity0.0210.040
Insufficient payload (model declined to judge)0.0140.005

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 head0.900
GPT teacher head0.818
Teacher spread0.083 · 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

Labeled directly by 2 models reading the full record.

Study designNot applicable
DomainMethods
GenreEditorial

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

Citations53
Published2001
Admission routes1
Has abstractyes

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