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Record W2110069948 · doi:10.3917/seve.028.0039

Hôpital public : le grand virage

2010· article· fr· W2110069948 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueLes Tribunes de la santé · 2010
Typearticle
Languagefr
FieldHealth Professions
TopicHealthcare Systems and Practices
Canadian institutionsMusée de la Civilisation
Fundersnot available
KeywordsHumanitiesPolitical scienceArt

Abstract

fetched live from OpenAlex

Résumé Les réformes qui font entrer l’hôpital dans le XXI e siècle (plan « Hôpital 2007 » et loi HPST) mettent en place une série de mesures d’inspiration libérale qui peuvent remettre en cause le secteur public hospitalier en France. La convergence des tarifs publics et privés dans le système de financement à l’activité et les effets de marchandisation qu’elle entraîne, les contrats de partenariat public-privé (PPP) pour la réalisation d’investissements et l’exploitation de services hospitaliers, enfin la suppression du service public hospitalier et l’avènement d’une gouvernance pour un hôpital-entreprise sont autant de signaux d’une rupture avec les valeurs qui fondent les missions de l’hôpital public et donnent sens à l’action de ses personnels. Cette rupture s’accompagne d’un retour en force de l’État central, la politique contractuelle étant biaisée par l’institution d’une ligne hiérarchique pyramidale qui va jusqu’aux services de proximité. L’article s’efforce d’analyser ce processus simultané de « privatisation » et de « nationalisation » qui se met en place dans un contexte économique et financier dont la gravité exige effort de solidarité et rigueur de la part de tous les acteurs.

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.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.008
metaresearch head score (Gemma)0.004
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Science and technology studies, Research integrity, Insufficient payload (model declined to judge)
Consensus categoriesResearch integrity, Insufficient payload (model declined to judge)
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.873
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0080.004
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0020.000
Scholarly communication0.0000.001
Open science0.0000.000
Research integrity0.0020.005
Insufficient payload (model declined to judge)0.0050.001

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 head0.050
GPT teacher head0.453
Teacher spread0.404 · 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