Intégrer les soins de santé et les services sociaux du Québec : la réforme Couillard de 2003
Bibliographic record
Abstract
En dcembre 2003, le gouvernement qubcois sous la gouverne du parti Libral de Jean Charest, adopte sous billon, le projet de loi 25. La Loi sur les agences de dveloppement de rseaux locaux de sant et de services sociaux vise rformer la structure du systme de sant du Qubec. L'ide principale de cette rforme est de crer des Centres de sant et de services sociaux (CSSS), qui, sous la responsabilit des Agences de sant et de services sociaux (ASSS), seront responsables de dvelopper des soins de sant adapts la sant de la population des territoires qu'ils doivent couvrir. L'approche de la sant des populations propose depuis la Commission Rochon est applique plus de 20 ans plus tard. Cette transformation se ralisera toutefois dans le contexte du plan de modernisation de l'tat du gouvernement Charest qui vise alors la rduction de la taille et des dpenses de l'tat. Ceci teintera la rforme du systme de sant qui se verra imposer de manire plus marque qu'auparavant des mesures issues de la nouvelle gestion publique telle que la gestion par rsultats ainsi que la reddition de compte.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
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 | 0.009 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.000 | 0.002 |
| Science and technology studies | 0.005 | 0.003 |
| Scholarly communication | 0.001 | 0.002 |
| Open science | 0.002 | 0.000 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 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; both teacher heads agree on what is shown here.
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".