Paradigm Shift: Shaping Policy to Meet the Needs of Our Aging Population
Bibliographic record
Abstract
The extent to which our aging population impacts the health system is, as Chappell and Hollander suggest, dependent on (1) how that system is defined and organized and (2) our attitudes as a society to aging and the elderly. The Canadian Home Care Association supports the policy prescription described by Chappell and Hollander and believes that a paradigm shift from a reactive and episodic system to one that is proactive and supportive is required. This article expands upon the lead essay by further discussing the role of home care and the need for its integration into the healthcare system. And the article concludes by asserting that we must change our attitude toward aging by improving our understanding of and attention to the needs of older adults.
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 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 | 0.021 | 0.045 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.002 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.023 | 0.022 |
| Scholarly communication | 0.011 | 0.017 |
| Open science | 0.004 | 0.008 |
| Research integrity | 0.095 | 0.078 |
| Insufficient payload (model declined to judge) | 0.006 | 0.003 |
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".