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Record W2140103522 · doi:10.12927/hcpap.2015.24105

Reflections from the NHS in England

2014· letter· en· W2140103522 on OpenAlexvenueno aff
Martin Bardsley, Geraint F. Lewis

Bibliographic record

VenueA Nudge Too Far? A Nudge at All? On Paying People to Be Healthy · 2014
Typeletter
Languageen
FieldMedicine
TopicChronic Disease Management Strategies
Canadian institutionsnot available
Fundersnot available
KeywordsRisk stratificationNew englandMedicineBusinessPolitical scienceLaw

Abstract

fetched live from OpenAlex

This paper describes the approach taken to "high-risk patients" in England. It provides an overview of the use of risk stratification to identify those at high risk and policy innovations designed to provide preventive care, including the community matron and virtual ward initiatives. We review how such initiatives have been evaluated and discuss the findings of those evaluations. We conclude with a discussion of next steps for the use of risk stratification, such as honing the focus to identify those individuals most likely to respond to preventive care, and we sound a cautionary note in favour of realistic expectations regarding the use of risk stratification and the emergence of anticipated benefits.

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)0.018
metaresearch head score (Gemma)0.057
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 score0.091
Threshold uncertainty score0.182

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0180.057
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.001
Science and technology studies0.0110.008
Scholarly communication0.0120.012
Open science0.0030.008
Research integrity0.0500.050
Insufficient payload (model declined to judge)0.0160.004

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 head0.113
GPT teacher head0.382
Teacher spread0.269 · 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

Citations3
Published2014
Admission routes1
Has abstractyes

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