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Record W4385613401 · doi:10.1177/08404704231191956

Challenges of implementing complexity in healthcare

2023· article· en· W4385613401 on OpenAlexaff
Richard Nason

Bibliographic record

VenueHealthcare Management Forum · 2023
Typearticle
Languageen
FieldHealth Professions
TopicHealthcare Quality and Management
Canadian institutionsDalhousie University
Fundersnot available
KeywordsHealth careIgnoranceRelevance (law)Healthcare systemComplexity scienceComputer scienceKnowledge managementManagement sciencePolitical scienceEngineering

Abstract

fetched live from OpenAlex

Complexity is a form of system that is relevant in virtually all aspects and levels of healthcare. The importance and relevance of the science of complexity for healthcare has been written about extensively for over two decades. The problem this article addresses is that complex systems and how to manage them still appear to be relatively unknown nor well understood by most stakeholders of healthcare. The ignorance of complexity science includes multiple dimensions of healthcare, including frontline practitioners, support staff, and healthcare administrators. An additional challenge is to also involve policy-makers, and indeed the general public in advancing their appreciation of how this still evolving field of study can improve healthcare efficiency and outcomes. A third challenge is acceptance and willingness to embrace complexity. This article discusses a framework for evaluating complexity acceptance, as well as the unique challenges that the existing healthcare infrastructure and culture exhibit that are hindering adoption of complexity. Suggestions are put forward for further exploration and consideration.

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)0.006
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Theoretical or conceptual · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.895
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0060.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.002
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0010.001
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.001

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.

Opus teacher head0.388
GPT teacher head0.521
Teacher spread0.133 · 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 designTheoretical or conceptual
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

Citations17
Published2023
Admission routes1
Has abstractyes

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