Improving Care for British Columbians: The Critical Role of Physician Engagement
Bibliographic record
Abstract
Canadian provinces are addressing quality of care and patient safety in a systemic way, but obtaining physician involvement in system improvement continues to be a challenge.To address this issue, individual physicians, physician groups, the British Columbia Medical Association, the health authorities, the BC Patient Safety & Quality Council (BCPSQC) and the Ministry of Health have come together to support physician involvement and foster physician satisfaction.Building on earlier work on patient safety, in 2010 the ministry developed a comprehensive strategy for system-wide improvement, focusing on achieving critical population, patient and sustainability outcomes.Central to this plan is the acknowledged need to involve healthcare providers of all disciplines, in particular physicians.Today, BC physicians are leading large-scale provincial clinical improvement in three interdependent areas: Clinical Care Management, Integrated Primary and Community Care, and the National Surgical Quality Improvement Program.To further physicians' key contributions to BC's healthcare system, the BCPSQC, physician-ministry committees, health authorities and the Ministry will continue to engage physicians through practice support, feedback, financial recognition and information exchange, and by supporting improvements in the care provided to patients. Organizations that are highly successful in achieving local and system-wide improvement in patient care and health service delivery have achieved their successes in large part because clinicians (most notably physicians) played an integral part in shaping clinical services (Mountford and Web 2009;Snell et al. 2011).Canadian provinces are addressing quality of care and patient safety in a systemic way, but obtaining physician involvement in system improvement, whether at the level of their clinical practice, healthcare facility or health authority, continues to be a challenge.To address this issue, individual physicians, physician groups, the British Columbia Medical Association (BCMA), the health authorities, the BC Patient Safety & Quality Council (BCPSQC) and the Ministry of Health have come together to support physician involvement and foster physician satisfaction.Efforts to date have been based on a renewed provincial focus on individual and population health.To achieve improvements in care, physician leaders are needed in health system design as well as delivery, and impediments to their participation must be resolved.Neither strategy is sufficient in itself; individual and population health are interdependent, and both must be addressed to achieve the quality of care that British Columbians deserve.
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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 | 0.010 | 0.024 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.023 | 0.007 |
| Scholarly communication | 0.011 | 0.003 |
| Open science | 0.002 | 0.009 |
| Research integrity | 0.003 | 0.008 |
| Insufficient payload (model declined to judge) | 0.008 | 0.001 |
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".