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Record W2150976874 · doi:10.12927/hcpap..17140

Turning Evidence into Wisdom

2003· letter· en· W2150976874 on OpenAlexvenueno aff
Sandra G. Leggat

Bibliographic record

VenueA Nudge Too Far? A Nudge at All? On Paying People to Be Healthy · 2003
Typeletter
Languageen
FieldHealth Professions
TopicHealth Sciences Research and Education
Canadian institutionsnot available
Fundersnot available
KeywordsEvidence-based medicineHealthcare systemHealth careScientific evidenceReal world evidenceEvidence-based practiceKnowledge managementPsychologyManagement scienceMEDLINEMedicineComputer sciencePolitical scienceEngineeringAlternative medicineEpistemology

Abstract

fetched live from OpenAlex

The evidence on evidence is conclusive. Incorporating evidence in decision-making processes can improve decision-making outcomes (Davies and Nutley 1999), but few healthcare systems have embraced the use of evidence to the extent needed to achieve the potential benefits. Throughout the world, health systems have "not delivered the desired health outcomes that are possible with current professional knowledge" (Ibrahim and Majoor 2002),. Browman, Snider and Ellis have suggested that there has been a lack of systems-level uptake of evidence-based healthcare: While systems may have access to the evidence, existing structures and processes have not facilitated effective transfer to operations.

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)0.203
metaresearch head score (Gemma)0.477
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: Not applicable
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.203
Threshold uncertainty score0.983

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.2030.477
Meta-epidemiology (narrow)0.0020.003
Meta-epidemiology (broad)0.0070.004
Bibliometrics0.0100.005
Science and technology studies0.0090.066
Scholarly communication0.0330.054
Open science0.0110.025
Research integrity0.0870.136
Insufficient payload (model declined to judge)0.0140.009

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 head0.252
GPT teacher head0.489
Teacher spread0.237 · 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

Citations2
Published2003
Admission routes1
Has abstractyes

Explore more

Same venueA Nudge Too Far? A Nudge at All? On Paying People to Be Healthy→Same topicHealth Sciences Research and Education→French-language works237,207→