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Record W2123699300 · doi:10.12927/hcpap..16838

Regionalization: An Opportunity for Improving Management

2004· letter· en· W2123699300 on OpenAlexaffvenueabout
David S. Levine

Bibliographic record

VenueA Nudge Too Far? A Nudge at All? On Paying People to Be Healthy · 2004
Typeletter
Languageen
FieldSocial Sciences
TopicCanadian Policy and Governance
Canadian institutionsNunavik Regional Board of Health and Social Services
Fundersnot available
KeywordsAccountabilityPoliticsState (computer science)Political scienceFocus (optics)Health carePublic administrationPublic economicsBusinessEconomicsComputer science

Abstract

fetched live from OpenAlex

Lewis and Kouri provide an excellent review of the status of regionalization across Canada. Their paper examines the potential benefits of regionalization and the factors increasing or decreasing potential impact, the state of regionalization in each province and regionalization's contribution to health reforms. Of the six goals mentioned in the potential benefits of regionalization, four focus on effectiveness and efficiency and two on accountability and public input. The political nature of healthcare is mentioned often, and the negative impact of end-runs to political authority if patients or providers are not satisfied is underlined.

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)0.010
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: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.947
Threshold uncertainty score0.794

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0100.016
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.002
Science and technology studies0.0130.033
Scholarly communication0.0120.013
Open science0.0040.009
Research integrity0.0290.031
Insufficient payload (model declined to judge)0.0080.001

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 head0.097
GPT teacher head0.353
Teacher spread0.256 · 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

Citations7
Published2004
Admission routes3
Has abstractyes

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