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Record W2519980398 · doi:10.4000/ethiquepublique.2166

Éthique et allocation des ressources dans le système de santé

2003· article· fr· W2519980398 on OpenAlexaffvenueabout
David K. Levine

Bibliographic record

VenueÉthique Publique · 2003
Typearticle
Languagefr
FieldHealth Professions
TopicHealth, Medicine and Society
Canadian institutionsNunavik Regional Board of Health and Social Services
Fundersnot available
KeywordsPolitical scienceHumanitiesPhilosophy

Abstract

fetched live from OpenAlex

Le système de santé au Canada doit composer avec une pénurie de ressources principalement tributaire de l’insuffisance du financement. Le contexte de pénurie implique que l’on doive faire face à des choix difficiles en ce qui a trait à l’allocation de ces ressources limitées que nous déciderons d’investir (ou non) dans tel domaine de soins, tel établissement, tel traitement ou tel patient. En vue de mieux saisir la nature de ces questions d’allocation, il s’agit dans un premier temps de bien comprendre que la gestion du système de santé implique trois paliers décisionnels : gestionnaires d’hôpitaux, administrateurs des régies régionales et ministres provinciaux. En second lieu, en raison de la portée sociale de ces décisions, de la nature éminemment éthique des enjeux et de la complexité structurelle du système, il importe de favoriser une plus grande transparence au sein des processus décisionnels et de promouvoir la discussion publique afin d’établir des normes cohérentes et rigoureuses en ce qui a trait aux critères de l’allocation des ressources.

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)0.025
metaresearch head score (Gemma)0.027
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Theoretical or conceptual · Consensus signal: Theoretical or conceptual
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.579
Threshold uncertainty score0.847

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0250.027
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0020.003
Science and technology studies0.0070.018
Scholarly communication0.0120.004
Open science0.0020.004
Research integrity0.0030.004
Insufficient payload (model declined to judge)0.0080.000

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 head0.031
GPT teacher head0.362
Teacher spread0.331 · 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 designTheoretical or conceptual
Domainnot available
GenreEmpirical

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
Published2003
Admission routes3
Has abstractyes

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