Des services de soutien à domicile fragiles pour une clientèle vulnérable
Bibliographic record
Abstract
Les services à domicile offerts par les CLSC constituent le maillon stratégique des services socio-sanitaires de soutien à domicile. Cet article met en évidence le grave sous-financement de ces services et montre quelles stratégies d'adaptation sont déjà à l'œuvre. L'approche communautaire et un réalignement de l'ensemble des services socio-sanitaires apparaissent à cet égard les seules voies capables de réconcilier les nouvelles contraintes et les valeurs de base. Dans la mesure où, à l'avenir, la nécessité d'améliorer les services offerts va s'imposer, de même que celle de répondre de manière plus diversifiée aux besoins, l'alliance avec le milieu communautaire apparaît incontournable. La promotion des conditions politiques favorisant l'émergence d'une politique intersectorielle de soutien à domicile devrait mobiliser les CLSC.
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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 | 0.003 | 0.008 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.007 | 0.003 |
| Scholarly communication | 0.004 | 0.003 |
| Open science | 0.001 | 0.008 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.023 | 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".