Creating Data Systems to Promote Health Equity
Bibliographic record
Abstract
Health equity is an increasing focus for health services research as well as in ongoing refinements of health care delivery. However, the process of collecting and incorporating patient-level data into models and then translating these findings into the health care delivery processes is fraught with a multitude of potential mechanisms of compounding systematic disparities. Structural discrimination and human biases affect equity in collection of data, which ultimately impacts modeling and resultant findings. Similar factors that influence data gathering may also impact subsequent implementation of derived algorithms and care processes. This paper aims to review mechanisms that introduce disparities in data and modeling and propose potential first steps in addressing these disparities.
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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 | 0.157 | 0.293 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.003 | 0.003 |
| Bibliometrics | 0.013 | 0.013 |
| Science and technology studies | 0.002 | 0.008 |
| Scholarly communication | 0.011 | 0.023 |
| Open science | 0.006 | 0.018 |
| Research integrity | 0.007 | 0.011 |
| Insufficient payload (model declined to judge) | 0.010 | 0.002 |
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".