How Can You Engage Patients in De‐Implementation Activities?
Bibliographic record
Abstract
Patients, families, and caregivers are directly affected by decisions to de-implement low-value care. Yet, to date, they have rarely been engaged in the creation of recommendations or de-implementation activities. This comes despite evidence that involving patients, families, and caregivers in the design and rollout of service innovations (including de-implementation programmes) can enhance their impact. In this chapter, we provide suggestions for how to engage your patients in all phases of the de-implementation process described in Chapter 4; from the prioritisation of topics, the design of activities, through to the spread of findings from activities to de-implement low-value care. In doing this, we provide examples that demonstrate the feasibility of involving patients as well as resources to assist healthcare professionals, researchers, and other stakeholders who wish to engage patients in their work to reduce low-value care.
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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 | 0.018 | 0.049 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.007 | 0.006 |
| Scholarly communication | 0.010 | 0.012 |
| Open science | 0.002 | 0.011 |
| Research integrity | 0.006 | 0.008 |
| Insufficient payload (model declined to judge) | 0.021 | 0.011 |
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".