Community, equity, access: core geographic concepts in primary health care
Bibliographic record
Abstract
While the use of appropriate technologies, an opposition to medical elitism, and achieving health for social development have been repeatedly cited as ideas important to both the Declaration of Alma-Ata and primary health care more generally, we believe that key geographic concepts are equally as foundational. More specifically, notions of ‘community’, ‘equity’, and ‘access’ are consistent definitional elements of primary health care across systems; each of these possesses inherently geographic components and, thus, to truly effectuate the most relevant primary health care research and practice, we must think geographically about them. Our objective in this short paper is to introduce readers to the geographic nature of primary health care and to encourage researchers and clinicians alike to engage with applying a ‘geographic lens’ to relevant enquiry and practice. To achieve this, we overview the geographic nature of community, equity, and access as these concepts relate to primary health care and also outline the fundamental geographic concepts of scale, space, and place.
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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 | 0.009 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.002 | 0.004 |
| Science and technology studies | 0.004 | 0.038 |
| Scholarly communication | 0.008 | 0.010 |
| Open science | 0.001 | 0.009 |
| Research integrity | 0.003 | 0.003 |
| Insufficient payload (model declined to judge) | 0.003 | 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".