Access to family physicians in southwestern ontario.
Bibliographic record
Abstract
OBJECTIVE: Shortages of family physicians (FPs) have been reported, but accurate data on the scope of this problem are sparse. The study objective was to determine the proportion of the population in southwestern Ontario without access to a regular FP and sources of usual medical care for individuals with and without a regular FP. METHOD: Random-digit dialling was used to obtain a stratified, random sample of households from 10 counties in southwestern Ontario, which resulted in 1,387 participants (60.5% cooperation rate). Adults reported on themselves, while a random selection of parents reported on their children, yielding data on individuals ranging from 0 to 95 years of age. RESULTS: 9.1% (95% CI = 7.8% to 10.6%) of individuals did not have a regular FP. Most individuals without a regular FP used walk-in clinics (55%) or emergency rooms (13%) as their usual source of care, while 5.9% reported not receiving medical care. Lack of physicians accepting new patients was the most common reason for not having a regular FP (27%), although some individuals chose not to have one (9.9%) or had alternative access to care (13.2%). CONCLUSIONS: Based on the assumption that the individuals who chose not to have a FP, or who had access to alternative care, would continue not to want a FP if one were available, we estimate that 5.1% of the population of southwestern Ontario requires a FP. The health implications of not having a regular FP in Canada need to be examined.
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 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 | 0.000 | 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".