L’évaluation des technologies de la santé: comment l’introduire dans les hôpitaux universitaires du Québec?
Bibliographic record
Abstract
Abstract: This article describes the level of implementation of health technology assessment in Quebec university teaching health centres and examines structures that may facilitate its development. The data are from a mail survey sent to respondents in all university teaching health centres (response rate of 83/149 = 56%). Interviews with key actors (n = 4) were also conducted to document the broader context in which health technology assessment is implemented. The main obstacles identified are the lack of human, material, and financial resources. Respondents prefer structures where the health technology assessment unit is under either the CEO or the Chief of Medical Staff, both closely linked to the research centre. The results reveal three key challenges: the need to clarify expectations about the role of health technology assessment, the need to seek consensus around health technology assessment, and the need for broad commitment to the selected structure.
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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 | 0.037 | 0.064 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.004 |
| Science and technology studies | 0.005 | 0.005 |
| Scholarly communication | 0.009 | 0.004 |
| Open science | 0.002 | 0.002 |
| Research integrity | 0.005 | 0.005 |
| Insufficient payload (model declined to judge) | 0.007 | 0.001 |
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".