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End-of-life PSP module in BC

2011· article· en· W2126895544 on OpenAlexaff
C Clelland, D McGregor

Bibliographic record

VenueBMJ Supportive & Palliative Care · 2011
Typearticle
Languageen
FieldMedicine
TopicPalliative Care and End-of-Life Issues
Canadian institutionsVancouver Coastal Health
Fundersnot available
KeywordsMandatePalliative careAdvance care planningSpecialtyHealth careLegislationNursingMedicineEnd-of-life careFamily medicinePolitical science

Abstract

fetched live from OpenAlex

The GP Services Committee (GPSC) is a joint Ministry of Health – BC Medical Association committee with the mandate of improving Primary Care in British Columbia. The Practice Support Program (PSP) was developed to encourage and support Family Physicians to undertake QI initiatives. While the initial modules targeted family practice, in December 2010, the PSP expanded to a broader program designed to integrate Family Practice, Palliative Care, Specialty Care and Home and Community Care around improving the provision of end-of-life services for patients and their families. Two major components of this module are: (1) Advance Care Planning using the ‘My Voice’ tool developed by BC Fraser Health Authority (2) Foundational concepts for identification, assessment and planning taken from the UK Gold Standards Framework. Provincial legislation on ‘Advance Directives’ is to be implemented in BC later in 2011. Family physicians, specialists, their staff and front line health care providers are being trained and supported by Regional Support Teams to facilitate colleagues undertaking the End-of-Life PSP module across BC. The goal is to improve the use of ACP, communications, collaboration of care provided by the full healthcare. Tools have been developed to assist family physicians in shifting to a palliative approach to care and increase their comfort in undertaking advanced care planning with patients identified on their registry. This poster board will highlight both the PSP process as it promotes Advance Care Planning in BC as well as demonstrate some of the electronic tools that have been developed to support End-of-Life Care.

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.

How this classification was reachedexpand

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)0.000
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Insufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.111
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0020.000

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 head0.206
GPT teacher head0.433
Teacher spread0.228 · 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

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

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".

Quick stats

Citations1
Published2011
Admission routes1
Has abstractyes

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