The Value Matrix: a communication tool to support shared decision-making and the practice of Spectrum of Care
Bibliographic record
Abstract
OBJECTIVE: To provide a video tutorial on use of the Value Matrix in clinical practice. ANIMALS: Any animal for which a preference-sensitive decision can be made regarding their care. METHODS: The veterinary professional gathers a comprehensive history from the veterinary client and uses this information, in further discussion with the client, to develop 2 or more evidence-informed options for the veterinary patient's care. With the use of the Value Matrix, options are captured on a whiteboard or piece of paper, and the advantages and disadvantages of each option as well as financial cost are visually presented and discussed. RESULTS: The Value Matrix is a clinical-communication tool for supporting shared decision-making between veterinary professionals and clients and for delivering the Spectrum of Care. CLINICAL RELEVANCE: The Value Matrix is a practical tool that can assist veterinary professionals in collaborating with clients on making preference-sensitive decisions, providing contextualized care, and achieving informed-client consent.
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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 | 0.023 | 0.097 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.004 | 0.002 |
| Science and technology studies | 0.003 | 0.003 |
| Scholarly communication | 0.006 | 0.009 |
| Open science | 0.002 | 0.008 |
| Research integrity | 0.002 | 0.003 |
| Insufficient payload (model declined to judge) | 0.033 | 0.007 |
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".