Alcohol-Related Harm and Primary Health Care in British Columbia, Canada
Notice bibliographique
Résumé
In recent years there has been a renewed focus on reducing the harms of addictive substances such as alcohol while at the same time restraining or reducing health care costs. To address these issues, and many of the existing limitations in the literature, the purpose of this dissertation was to improve our understanding of the geography of alcohol-related harm, and use of primary health care services for alcohol-attributed diseases in British Columbia (BC). To achieve this purpose, there were three research objectives that guided the research that comprises this dissertation: Objective 1: Measure regional variations and trends in primary health care utilization in BC for alcohol-attributed diseases across time (2001-2011) and space (Health Service Delivery Areas) (Studies A & D); Objective 2: Describe primary health care physician experiences treating persons with alcohol-attributed diseases in rural communities that are isolated and sparsely populated with minimal access to secondary or tertiary level services (Study B), and Objective 3: Develop a methodology to describe the geography of alcohol-related harm in BC to identify regions that have populations who may have elevated risk for the development of alcohol-attributed diseases (Study C). Administrative health data were used in Studies A and D to examine trends in health care utilization by persons with alcohol-attributed diseases from 2001-2011 based on disease type and geography (Health Services Delivery Areas). Building on these results, Study B examines family physician experiences treating persons with alcohol-related issues in rural places. To further understand regional variations in alcohol-related issues, an index of alcohol-related harm (Study C) was created using a variety of data that are correlated to alcohol-related problems at the population level, including morbidity, mortality, and alcohol consumption data. The results of this dissertation research highlight regional variations in alcohol-related harm and primary health care use for alcohol-related illnesses – as well as significant growth in alcohol-attributed disease cases in BC since 2001. These findings demonstrate the importance of where we live to risk of developing alcohol-attributed diseases and access to treatment. The results of this dissertation suggest that less populated areas of BC are disproportionately affected by alcohol-related problems and there are additional barriers to care for persons from rural areas. Based on the increasing number of alcohol-attributed disease cases, and the large regional variations in alcohol-related harm found in this project, alcohol-related health problems are an emerging and significant population health challenge for BC.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,004 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,002 | 0,006 |
| Études des sciences et des technologies | 0,008 | 0,001 |
| Communication savante | 0,003 | 0,001 |
| Science ouverte | 0,002 | 0,002 |
| Intégrité de la recherche | 0,001 | 0,003 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,010 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».