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Record W2097877779 · doi:10.12927/hcpap..18320

Some Ethical Reflections on Accountability

2006· letter· en· W2097877779 on OpenAlexaffvenue
Nuala Kenny

Bibliographic record

VenueA Nudge Too Far? A Nudge at All? On Paying People to Be Healthy · 2006
Typeletter
Languageen
FieldHealth Professions
TopicPrimary Care and Health Outcomes
Canadian institutionsDalhousie University
Fundersnot available
KeywordsHealth careAccountabilityPublic healthEquity (law)Population healthPublic policySociologyHealth policyPolitical sciencePublic administrationMedicineNursing

Abstract

fetched live from OpenAlex

Wait times have come to dominate the health reform agenda and have captured the public imagination. Waiting for any service--from fast food to e-mail--is difficult for contemporary Canadians; this is especially true for healthcare. Addressing wait times is part of a much larger initiative essential for the health system and dependent on a culture shift from the "blame game" to a sustained, meaningful accountability. Achieving this goal in such a value-laden endeavour as healthcare will be no small task. Accountability for the fair provision of access to and quality of services in healthcare is complex and demanding, in large part because of the nature of health need and the social meaning of healthcare. Failure of progress on this issue is related to a lack of clarity about the locus, meaning and scope of accountability. Without such clarity the term runs the risk of becoming useless or dangerous. Ethically, the key lies in understanding the profoundly value-laden nature of both healthcare and public policy.

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)0.047
metaresearch head score (Gemma)0.110
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 score0.089
Threshold uncertainty score0.249

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0470.110
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.002
Bibliometrics0.0010.001
Science and technology studies0.0220.037
Scholarly communication0.0180.018
Open science0.0040.009
Research integrity0.0890.079
Insufficient payload (model declined to judge)0.0050.002

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 head0.164
GPT teacher head0.478
Teacher spread0.314 · 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

Citations1
Published2006
Admission routes2
Has abstractyes

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