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Record W2114581994 · doi:10.1016/j.jphys.2014.08.004

A seven-day physiotherapy service

2014· editorial· en· W2114581994 on OpenAlex
Nicholas F. Taylor, Nora Shields

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

aboutThe title or abstract carries a Canadian signal from the geographic lexicon.
no affNo Canadian affiliation: this work is invisible to an affiliation-only frame.
No Canadian affiliation. An affiliation-only frame, the usual design, would never have seen this work. It is one of the works that make the case for inverting the frame.

Bibliographic record

VenueJournal of physiotherapy · 2014
Typeeditorial
Languageen
FieldMedicine
TopicHospital Admissions and Outcomes
Canadian institutionsnot available
Fundersnot available
KeywordsMedicinePhysical therapyService (business)Exercise therapyPhysical medicine and rehabilitationSurgeryRandomized controlled trial

Abstract

fetched live from OpenAlex

Hospitals and primary healthcare services operate around the clock, 7 days a week. Traditionally, physiotherapy services have operated within business hours from Monday to Friday or, if an out-of-hours service has been provided, it has been a reduced service. However, the health problems of some of our patients can deteriorate if not addressed immediately. In addition, many people with less urgent problems may find it difficult to attend physiotherapy appointments during business hours due to their own commitments or work. Consistent with the principles of patient-centred and family-centred care, we have an obligation to provide care for people when they need it and when they are available. This situation, together with the fact that other services and professions in the healthcare system provide care 7 days a week, provides a rationale for a discussion on providing a 7-day physiotherapy service. Some areas of physiotherapy practice have a long tradition of providing services outside of business hours, for example, weekend physiotherapy services for patients with high acuity such as in intensive care units. In the United Kingdom, 97% of intensive care units provide 24-hour access to physiotherapy, and in Canada, 97% of intensive care units haveweekend physiotherapy services. A recent Australian survey found that 80% of acute wards provided physiotherapy on a Saturday. Also, physiotherapists working in private practice, often with a focus on treating musculoskeletal problems, have long provided, at least in Australia, services outside of business hours including weekends. Although we were not able to locate data about the extent of the out-of-hours services provided by private practitioners, information about the number of hours worked by physiotherapists in excess of 40 hours a week suggests that these services may be widespread. In other areas of physiotherapy practice, out-of-hours services are either much reduced or absent. For example, only 30% of rehabilitation services in Australia, and approximately 69% of community hospitals in Canada, provide physiotherapy services at weekends. Although 97% of tertiary care hospitals in Canada provide physiotherapy services at weekends, the service is 88% less than during the week, suggesting that only a skeleton staff is employed to address themost urgent cases. Furthermore, in some centres, night rosters are covered by the most junior staff, who have the least experience at dealing with unexpected or complex changes in a patient’s clinical condition. The case for advocating increased out-of-hours physiotherapy services would be more compelling if its provision was supported by evidence. Such evidence is starting to emerge. A randomised controlled trial from Australia, for example, found that the provision of additional Saturday physiotherapy and occupational therapy helped adults receiving inpatient rehabilitation to get

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.

Full frame distilled prediction

Teacher imitation

Not 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.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Editorial · Consensus signal: Editorial
Teacher disagreement score0.018
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0020.001
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0010.002
Insufficient payload (model declined to judge)0.0010.000

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.

Opus teacher head0.007
GPT teacher head0.331
Teacher spread0.324 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it