Development of a Multidisciplinary Osteoporosis Telehealth Program
Bibliographic record
Abstract
Osteoporosis is a disease characterized by low bone mass and changes to bone structure. The optimal treatment requires both pharmacologic and nonpharmacologic treatment including adequate levels of calcium and vitamin D, exercise, and fall prevention. There is currently a shortage of family physicians and specialists in Ontario, which can result in patients not receiving optimal osteoporosis care. In 2005, a multidisciplinary osteoporosis telehealth program, based on an existing outpatient program, was developed at Women's College Hospital in conjunction with NORTH Network (now part of the Ontario Telemedicine Network). The objectives of this study were to determine the feasibility of delivering a multidisciplinary model of care through telehealth and to improve access to specialist care for osteoporosis investigation and management. Patients were referred by family physicians (n = 20). The average length of the consultations was 2 hours. Ninety-two percent of the participants would use it again and would also recommend it to family and friends, 90% increased their knowledge about osteoporosis, and 83% felt completely comfortable discussing their health problems during their consultation. The results demonstrate that it is feasible to deliver an existing outpatient multidisciplinary osteoporosis program via telehealth. In addition, the program increased access to osteoporosis care, for complex patients in particular, highlighting an unmet need in their communities.
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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) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| 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".