A49 INNOVATIVE GROUP EDUCATION FOR A COMMON LIVER DISEASE - INCREASING ACCESS TO CARE
Notice bibliographique
Résumé
Non Alcoholic Fatty Liver Disease (NAFLD) is the most common type of liver disease among Canadians that affects 20–40% of Nova Scotians with liver disease. Unfortunately, the current wait time in Nova Scotia to be seen by a hepatology specialist for NAFLD is greater than 18 months. To address this issue a group education program – The Fatty Liver Public Forum (FLPF) was developed to provide information to patients through a panel of experts. The current evidence suggests that diet and exercise are the most effective means of controlling NAFLD treatment should center on weight loss. The FLPF seeks to educate patients about fatty liver disease and provide the opportunity to institute the necessary life style changes while awaiting their clinic appointment. To determine the effectiveness of the forum in increasing patient awareness of NAFLD and options for self treatment, as well as its effectiveness in decreasing patient wait times. Patients appropriate for the forum were those with prior diagnosis of fatty liver disease by gastroenterologist or by ultrasound. All patients with fatty liver disease were invited to attend the FLPF as incentive to reduce their wait time to see a hepatologist. Patients with cirrhosis, hepatic decompensation, hepatocellular carcinoma were not included as these patients were not felt to benefit from the forum. The FLPF started in February 2014 and has been provided on a quarterly basis. The average wait time from referral to invitation for the FLPF is under 6 months. Furthermore, the average wait time to see the specialist is 10 months for those who have attended the forum. To date 355 individuals have been invited and 135 (38%) have attended, all of whom were asked to complete an evaluation at the end of the clinic visit. Of the 126 attendees who completed the evaluation, 120 (95.2%) reported an increased understanding of what constitutes a fatty liver, 120 (95.2%) reported improved knowledge about healthy diet choices, and 117 (92.8%) reported a greater understanding about weight loss and how to begin an exercise regimen. Preliminary follow up of these patients has shown that 65.9% of patients selected for the forum were deemed appropriate following confirmation through fibroscan or a biopsy. Of the patients that attended, many patients found the forum educationally beneficial and an appropriate way to begin to manage disease prior to meeting with a specialist. The FLPF is providing improved access to healthcare, a decrease in waitlist times, and increased feelings of self-efficacy in patients with respect to self management of NAFLD. None
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 | 0,003 | 0,007 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,001 |
| Bibliométrie | 0,001 | 0,000 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,001 | 0,004 |
| Intégrité de la recherche | 0,001 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,029 | 0,002 |
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 ».