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Record W4321132547 · doi:10.1016/j.eclinm.2023.101867

Breaking the cycle of neglect: building on momentum from COVID-19 to drive access to diagnostic testing

2023· article· en· W4321132547 on OpenAlexaff
Emma Hannay, Madhukar Pai

Bibliographic record

VenueEClinicalMedicine · 2023
Typearticle
Languageen
FieldMedicine
TopicCOVID-19 and healthcare impacts
Canadian institutionsMcGill University
FundersBill and Melinda Gates Foundation
KeywordsPandemicMedicinePopulationTest (biology)Coronavirus disease 2019 (COVID-19)Medical emergencyEnvironmental healthDiseasePathology

Abstract

fetched live from OpenAlex

Diagnostic testing is at the heart of quality healthcare. However, due to neglect of diagnostics, nearly half the world's population lacks access to essential tests.1 The Covid-19 pandemic has shone a harsh spotlight on inequities in access to testing. Only about 35% of tests administered worldwide have been used in low- and lower-middle- income countries (LMICs), where 75% of the global population lives.2 At the same time, the pandemic set off a boom in diagnostics.3 We have identified ten opportunities (Table) created by the pandemic that could be leveraged to drive better access to testing in general.

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 distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.135
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.293
Threshold uncertainty score0.873

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.135
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.002
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

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 head0.227
GPT teacher head0.515
Teacher spread0.289 · 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 teacher head, not a consensus.

Study designObservational
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

Citations13
Published2023
Admission routes1
Has abstractyes

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