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Record W2113837123 · doi:10.1007/bf03405029

“Cost-effectiveness” Estimates Result in Flawed Decisionmaking in Listing Drugs for Reimbursement

2002· article· en· W2113837123 on OpenAlexaffvenue
E. Keith Borden, Jean‐Paul Collet, Nigel S. B. Rawson, R. S. Tonks

Bibliographic record

VenueCanadian Journal of Public Health · 2002
Typearticle
Languageen
FieldEconomics, Econometrics and Finance
TopicHealth Systems, Economic Evaluations, Quality of Life
Canadian institutionsDalhousie UniversityMcGill UniversityHealth Sciences CentreMemorial University of Newfoundland
Fundersnot available
KeywordsReimbursementListing (finance)Actuarial scienceCost effectivenessBusinessPublic economicsEconomicsRisk analysis (engineering)FinanceHealth careEconomic growth

Abstract

fetched live from OpenAlex
No abstract in any covered source. Its absence is recorded, not treated as a negative.

No abstract. This is not a gap in this database; OpenAlex has none either. 23.3% of the frame is in this state, and the screen finds HALF as much metaresearch here, so the absence is a measured bias rather than a missing field.

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)0.276
metaresearch head score (Gemma)0.698
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.276
Threshold uncertainty score0.893

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.2760.698
Meta-epidemiology (narrow)0.0020.002
Meta-epidemiology (broad)0.0030.003
Bibliometrics0.0070.005
Science and technology studies0.0020.006
Scholarly communication0.0090.009
Open science0.0030.003
Research integrity0.0070.009
Insufficient payload (model declined to judge)0.0030.001

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 head0.706
GPT teacher head0.486
Teacher spread0.220 · 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 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

Citations25
Published2002
Admission routes2
Has abstractno

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Same venueCanadian Journal of Public HealthSame topicHealth Systems, Economic Evaluations, Quality of LifeFrench-language works237,207