The use of skill mix in home-care occupational therapy with patients with bathing difficulties
Bibliographic record
Abstract
Aims Occupational therapists working in Canada have to deal with a shortage of human resources. In the case of bathing-equipment recommendations, a proposed solution, albeit controversial, is to use skill mix. The purpose of this article is to describe the use of skill mix in home-care occupational therapy in Quebec,Canada, with patients with bathing diffi culties. Methods All provincial Health and Social Services Centres (N = 95) were contacted by phone and surveyed on their setting and use of skill mix. Findings Findings: The participation rate was 91%, with results indicating that 89% of the protocols for determining the need for technical assistance with bathing in home-care services involve skill mix. Generally, occupational therapists collaborate with physical therapists or with home-health aides; substitution occurs by task assignment. Clinical occupational therapists provide informal training, lasting 1–40 hours (mean of 8 hours), and have developed 63 ‘in-house’ tools to assist those involved in the task. Conclusions This article provides a portrait of the use of skill mix in home-care occupational therapy in Quebec with clients with bathing diffi culties, looking at a proposed solution to human resource shortages, a problem experienced worldwide.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot 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.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
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.
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 teacher head, 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".