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Record W3216722125 · doi:10.7202/1078374ar

Le système de santé sous l’empire du management

2021· article· fr· W3216722125 on OpenAlexvenueno aff
Danielle Moyse

Bibliographic record

VenueAequitas Revue de développement humain handicap et changement social · 2021
Typearticle
Languagefr
FieldHealth Professions
TopicHealthcare Systems and Practices
Canadian institutionsnot available
Fundersnot available
KeywordsPolitical scienceHumanitiesPhilosophy

Abstract

fetched live from OpenAlex

Le 12 mars 2020, le Président de la République française, annonçant, à la télévision, la nécessité du confinement face à la pandémie de COVID-19, affirmait que la « priorité absolue » était la protection des personnes vulnérables. Cette priorité devait malheureusement se mettre en oeuvre dans un contexte de pénurie des personnels soignants et du matériel de protection, engendré par des politiques néolibérales de restrictions des dépenses publiques. Très rapidement, les personnels soignants se sont donc vus dans l’obligation de sélectionner les malades dans l’accès aux soins intensifs. Malgré la réaffirmation, par le Comité Consultatif National d’Éthique, de la dignité absolue de la personne humaine, et de l’impossibilité de distinguer les patients en fonction de leur utilité sociale, les soignants ont, sur recommandation des Agences Régionales de Santé, pourtant dû établir des critères d’admission en réanimation. Les témoignages de personnels soignants et textes officiels montrent que, en cas de crise, la prise en charge de tous, sans distinction d’âge, ou d’état de santé antérieur, n’est guère compatible avec la conception managériale du système de soin.

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)0.007
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.060
Threshold uncertainty score0.140

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0070.007
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.002
Science and technology studies0.0050.010
Scholarly communication0.0100.005
Open science0.0010.004
Research integrity0.0030.005
Insufficient payload (model declined to judge)0.0200.003

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 head0.105
GPT teacher head0.449
Teacher spread0.344 · 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 designQualitative
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

Citations1
Published2021
Admission routes1
Has abstractyes

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