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Record W2094898787 · doi:10.1016/s0840-4704(10)60322-5

Understanding Accountability in the Canadian Health System

2004· article· en· W2094898787 on OpenAlexaffabout
Christine Penney

Bibliographic record

VenueHealthcare Management Forum · 2004
Typearticle
Languageen
FieldHealth Professions
TopicHealthcare Quality and Management
Canadian institutionsIsland Health
Fundersnot available
KeywordsAccountabilityCorporate governancePublic healthPublic sectorPublic administrationHealthcare systemPolitical scienceHealth carePublic relationsWork (physics)BusinessMedicineNursingEngineeringLaw

Abstract

fetched live from OpenAlex

As the public sector in general and the health sector in particular undergo reform throughout the Western world to find systems that work better and cost less, the phenomenon of accountability becomes increasingly important to policy makers. In Canada, the most recent healthcare commissions, conducted by Romanow and Kirby, point to the need for improved accountability within the Canadian health system. Yet, although accountability is an ancient concept embedded in public administration and health system governance, its meaning is confused and its implementation is fraught with issues. This article aims to summarize the findings of a doctoral dissertation that was undertaken to clarify the concept of accountability within the health field, and to examine the issues related to improving health system accountability in Canada.

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)0.008
metaresearch head score (Gemma)0.016
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.686
Threshold uncertainty score0.795

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0080.016
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0050.007
Science and technology studies0.0310.028
Scholarly communication0.0170.007
Open science0.0020.005
Research integrity0.0040.005
Insufficient payload (model declined to judge)0.0030.000

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 head0.332
GPT teacher head0.465
Teacher spread0.133 · 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 designObservational
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

Citations2
Published2004
Admission routes2
Has abstractyes

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