“Open Door” to Community Connected Pathways for Integrated Care
Notice bibliographique
Résumé
Introduction/Background: During the height of the pandemic, social and health service partners of the Mid-West Toronto Ontario Health Team (MWT-OHT) rallied in response to low vaccine uptake in four high priority neighbourhoods. Building on the success of this community connected and partner driven strategy, we present our expanded model "Open-Door/ Porte Ouverte as both a concept and service delivery model which serves to strengthen pathways to connect people to the care they need. Approach: Leveraging existing partnerships, the MWT-OHT was able to rapidly come together with community partners, community health ambassadors, social and health service providers to plan, develop, and implement an expanded model Open Door; that is embedded in the MWT-OHT identified high priority neighbourhoods.The Advisory Committee chose the name "Open-Door;'' to connect people to the care that they need in ways that are accessible, acceptable, and relevant to them. Open Door is designed to be a community-connected and located resource for everyone, including newcomers, the uninsured, and those with language barriers with a focus on health promotion, health education, and connections to services.The model is intended to serve as a multifunctional resource to communities with the goal of encouraging community members to learn, empower, and be supported to advocate for themselves and take charge of their health while bringing social and health services across OHT partners around the community.Post-pandemic,the Open Door program sought to expand supports to include goals addressing the following three primary areas:) Increase access to preventive and primary care2) Deliver education material and raise awareness of chronic disease prevention/management as a health promotion focus that is accessible and acceptable to the community.3) Connect community members/specific priority populations to services with a focus on social determinants of health (shelter, food, etc.) to prevent early deterioration of health and increase social support to remain in their home environment or the community. Results: The Open Door/ implementation process has become a hub for the development and strengthening of pathways between and across the MWT-OHT and partners from multiple sectors (community, CHC, hospitals, mental health/substance services) to come together to solution around the identified system barriers and navigation needs in a way that is agile, pragmatic, and connected to the Open Door program. Year to Date Program Highlights Include:* 5,977 Community engagement, education, and information sharing interactions.* ,408 individuals referred to Cancer screening (mammograms, pap tests, FITs)* ,392 individuals referred for health and social supports (i.e., housing, food security, social services, transportation, dental) * 660 individuals connected to primary care providers* 256 individuals referred for mental health services and substance use services* 5 MWT-OHT partners actively engaged to support Open Door* Strengthened connection to UHN Connected Care led Lower Limb Preservation Program to prevent lower limb complications for people with Diabetes through homeless shelter and community outreach with ,38 clients reached from October 2023 to March 2024Implications: Working closely with community partners, the Open Door program has strengthened the capacity of collaborators to identify additional needs and supports that are directly community related, such as specific educational sessions on health and wellness of relevance to community residents as well as identifying access to dental care as an area of need. The program has proven to be a blueprint for the MWT-OHT as an Open Door that connects partners to come around the needs of community members in ways that are relevant and accessible to them that builds community strengths.
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 | 0,010 | 0,020 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,001 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,004 | 0,005 |
| Communication savante | 0,008 | 0,007 |
| Science ouverte | 0,003 | 0,019 |
| Intégrité de la recherche | 0,003 | 0,004 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,031 | 0,003 |
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 ».