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MODEL OF MOTIVATION FOR PROFESSIONAL DEVELOPMENT OF SPECIALISTS INVOLVED IN PROVIDING PRIMARY HEALTH CARE

2025· article· ru· W4416072682 on OpenAlexaboutno aff
A. V. Smyshlyaev

Bibliographic record

VenueProblems of Social Hygiene Public Health and History of Medicine · 2025
Typearticle
Languageru
FieldMedicine
TopicHealthcare Systems and Public Health
Canadian institutionsnot available
Fundersnot available
KeywordsProfessionalizationIncentiveProfessional developmentHealth carePaymentChinaState (computer science)Sustainable developmentBurnout

Abstract

fetched live from OpenAlex

The article presents a qualitative study of existing tools and models of motivation for professional development of specialists involved in the provision of primary health care in the global USA Canada Great Britain China and domestic practice. For more than a quarter of a century the countries of the Organization for Economic Cooperation and Development have been actively implementing motivational tools to develop the professionalization of primary health care specialists. Many countries have already formed full fledged motivational models at the state level which allows us to consider this phenomenon as an object of scientific research. The motivation model is a necessary element of all modern health care systems. For sustainable development it must be effective. The global trend is continuous education additional payments for qualifications and burnout prevention. Models of different countries have both common features and national differences. The global trend is continuous education additional payments for qualifications and burnout prevention. At the same time North American models have a pronounced decentralized nature. European countries gravitate towards centralization but strive to introduce valid performance indicators. Asian models are characterized by the presence of ultra strict state regulation with market mechanisms and digital assessment tools. The modern Russian model combines formal centralization with weak material incentives for professional development.

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)0.010
metaresearch head score (Gemma)0.002
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.697
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0100.002
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0030.000
Bibliometrics0.0020.001
Science and technology studies0.0000.001
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

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 head0.117
GPT teacher head0.352
Teacher spread0.235 · 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 designNot applicable
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

Citations0
Published2025
Admission routes1
Has abstractyes

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