Lifting the Burden of Chronic Disease: What Has Worked? What Hasn't? What's Next?
Bibliographic record
Abstract
There is emerging consensus that the growing problem of chronic disease demands major health system changes, as envisioned in the Chronic Care Model (original and expanded). Yet implementation research has documented the pitfalls of trying to implement the whole model at once; it is more effective to focus on one highly important change at a time. This article responds to decision-makers' need to set priorities by comparing the strength of evidence for different interventions. It synthesizes a broad range of literature, including numerous systematic reviews and meta-analyses, into practical guidance on optimal system design for chronic disease management and prevention.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot 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.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.084 | 0.168 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.006 | 0.003 |
| Bibliometrics | 0.005 | 0.006 |
| Science and technology studies | 0.003 | 0.012 |
| Scholarly communication | 0.016 | 0.024 |
| Open science | 0.003 | 0.005 |
| Research integrity | 0.007 | 0.011 |
| Insufficient payload (model declined to judge) | 0.006 | 0.001 |
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.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
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".