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Record W2570680039 · doi:10.1016/s0140-6736(16)30946-1

Evidence for underuse of effective medical services around the world

2017· review· en· W2570680039 on OpenAlexaff
Paul Glasziou, Sharon E. Straus, Shannon Brownlee, Lyndal Trevena, Leonila F. Dans, Gordon Guyatt, Adam G. Elshaug, Robert S. Janett, Vikas Saini

Bibliographic record

VenueThe Lancet · 2017
Typereview
Languageen
FieldHealth Professions
TopicHealthcare cost, quality, practices
Canadian institutionsMcMaster UniversityUniversity of TorontoSt. Michael's Hospital
FundersCommonwealth Fund
KeywordsPsychological interventionPaymentMedicineWork (physics)Health careBusinessDeveloping countryMedical careGerontologyEnvironmental healthFamily medicineNursingEconomic growthEconomicsFinance

Abstract

fetched live from OpenAlex
No abstract in any covered source. Its absence is recorded, not treated as a negative.

No abstract. This is not a gap in this database; OpenAlex has none either. 23.3% of the frame is in this state, and the screen finds HALF as much metaresearch here, so the absence is a measured bias rather than a missing field.

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)0.013
metaresearch head score (Gemma)0.068
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: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.026
Threshold uncertainty score0.071

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0130.068
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0030.003
Bibliometrics0.0060.009
Science and technology studies0.0010.002
Scholarly communication0.0040.003
Open science0.0020.002
Research integrity0.0030.003
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 head0.911
GPT teacher head0.700
Teacher spread0.211 · 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
GenreReview

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

Citations298
Published2017
Admission routes1
Has abstractno

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