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Record W2154995727 · doi:10.12927/hcpap..18315

Improving Healthcare - One Slice at a Time

2006· letter· en· W2154995727 on OpenAlexaffvenueabout
Ida Goodreau

Bibliographic record

VenueA Nudge Too Far? A Nudge at All? On Paying People to Be Healthy · 2006
Typeletter
Languageen
FieldHealth Professions
TopicPrimary Care and Health Outcomes
Canadian institutionsVancouver Coastal Health
Fundersnot available
KeywordsAccountabilityProcess managementKey (lock)BusinessHealth carePlan (archaeology)Healthcare systemOperations managementRisk analysis (engineering)Public relationsComputer sciencePolitical scienceEngineeringComputer security

Abstract

fetched live from OpenAlex

The Ontario Wait Time Strategy is a focused initiative to reduce wait times in five key areas. The plan includes key components of successful change management including targets, funding and driving a culture of accountability. Successfully "redesigning" this slice of the healthcare system will, it is anticipated, act as a catalyst for sustainable change throughout the system. In the mind of this observer "from the trenches," the Wait Time Strategy must quickly be followed by a framework that addresses demand pressures from other parts of the system, but more importantly must be clearly aligned with the overall goals of the system--to improve health outcomes and support healthy lives--across the entire continuum of health services, including prevention, primary, community, long-term and acute care. Accountability for appropriateness and evidence-based care must be as significant as accountability for efficiency and volumes.

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)0.007
metaresearch head score (Gemma)0.025
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 score0.040
Threshold uncertainty score0.076

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0070.025
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.001
Science and technology studies0.0080.008
Scholarly communication0.0070.012
Open science0.0020.005
Research integrity0.0400.026
Insufficient payload (model declined to judge)0.0130.004

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 head0.074
GPT teacher head0.375
Teacher spread0.301 · 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

Citations0
Published2006
Admission routes3
Has abstractyes

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