Comparing Health Professional Work Orientation in French and Canadian Hospitals: Structural Influence of Patients in Open and Closed Units
Bibliographic record
Abstract
Abstract In this paper we present comparative qualitative data on the influence of patients on the relationship between health professionals and hospitals in France and Canada. We elaborate specifically on a typology that depicts the structural influence of patients in terms of open and closed communities. Our analysis reveals some key differences between the open and closed communities across the two countries. Health professionals in open communities in France were able to establish a stronger relationship with patients than those in Canada. Professionals in France described a weaker connection with their colleagues than in Canada, and this may be one of the triggers of stress, burnout and high turnover. There were more similarities among closed communities in Canada and France. Conceptualizing the structural influence of patients in terms of open and closed community ideal types is a useful heuristic device that moves the implicit and explicit influence of patients to the foreground of the analysis of the relations between health professions and organizations.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.006 | 0.017 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.003 | 0.002 |
| Science and technology studies | 0.013 | 0.011 |
| Scholarly communication | 0.006 | 0.001 |
| Open science | 0.001 | 0.005 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.004 | 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 source (direct Gemma or distilled Codex), 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".