Shaping the practice of home care: critical case studies of the significance of the meaning of home
Bibliographic record
Abstract
Changes in health-care service delivery have resulted in the transfer of care from formal spaces, such as hospitals and institutions, towards informal settings, such as home. As the home environment not only designates a dwelling but also represents a multitude of meanings such as personal identity, security and privacy that may vary according to the socio-economic and social demographic variables, it presents a complex site for study. This article uses two contrasting in-depth qualitative case studies to refine the application of the Health at Home Model in Home Healthcare Practice (HHMHHCP) (Roush and Cox, 2000). An addition to the original three dimensions of the model (home as familiar, home as centre and home as protector) is suggested--home as locator. Research directions to further understand the role of caregiving in contributing to the experience and meaning of the home environment by informal caregivers are discussed.
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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 | 0.016 | 0.026 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.002 |
| Science and technology studies | 0.020 | 0.022 |
| Scholarly communication | 0.007 | 0.008 |
| Open science | 0.003 | 0.010 |
| Research integrity | 0.005 | 0.005 |
| Insufficient payload (model declined to judge) | 0.003 | 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 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".