Examining physician-patient-caregiver encounters: the case of Alzheimer's disease patients and family physicians in Israel
Bibliographic record
Abstract
This study examines the characteristics of physician-patient-caregiver encounters in the presence of dementia and how sociodemographic and professional characteristics of family physicians, and severity of symptoms in patients with dementia affect these encounters. Phone interviews were conducted with 141 Israeli-Jewish family physicians (representing a 66% response rate), who were presented with one of two vignettes describing a 76-year old women with dementia. The two vignettes were identical, except that in the first it was stated that the woman sits quietly and cooperates during the examination whereas in the second she is agitated and uncooperative. Participants were asked to what extent they would ask questions to, inform and involve the patient and caregiver respectively when presented with one of the two vignettes. Findings showed that physicians would address the caregiver more than the patient (both with respect to questions, information and involvement). Moreover, it was found that physicians, who were older and had a higher number of years in the profession, would address the caregiver to a higher degree (compared to the patient) than younger and less experienced physicians. Findings provide direction for understanding medical encounters in the presence of dementia. Theoretical implications for dementia care, for medical encounters, and practical implications are discussed.
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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 | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 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".