The Challenges of Implementing e-Health Technology for Sustainability in Brazil
Bibliographic record
Abstract
In the field of health, the concept of sustainability is not new, but it tends to focus more on environmental health policy. There is an urgent need to assimilate the contribution of social theory into the concept and practice of both sustainability and e-health. The concept of sustainability is very complex, involving environmental, economic and social issues. In addition, in most health sustainability studies, the issue of social sustainability is neglected, despite the fact that social issues are often at the crux of sustainability. E-health is essential for the sustainability of health care, but many e-health projects have failed. Investments in e-health are very high in the whole world, but no explicit research has examined its sustainability. The aim of this paper is to initiate a discussion about sustainability in the implementation and use of e-health in Brazil, with the hope that this will provide a foundation for holistic sustainable e-health systems.
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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 | 0.029 | 0.040 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.003 | 0.005 |
| Scholarly communication | 0.007 | 0.006 |
| Open science | 0.002 | 0.007 |
| Research integrity | 0.003 | 0.002 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
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.
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".