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Record W2165094803 · doi:10.1177/1049732314523504

Are Institutional Health Policies Exclusionary?

2014· article· en· W2165094803 on OpenAlexaffabout
Naomi Rebecca Hughes

Bibliographic record

VenueQualitative Health Research · 2014
Typearticle
Languageen
FieldHealth Professions
TopicHomelessness and Social Issues
Canadian institutionsUniversity of Toronto
Fundersnot available
KeywordsMainstreamInstitutionChoseHealth careQualitative researchHealth servicesSociologyPublic relationsPolitical scienceSocial psychologyPsychologyLaw

Abstract

fetched live from OpenAlex

I examined the experiences of 27 individuals who frequented a homeless shelter in Toronto, Canada. Participants' personal accounts led to cumulative understandings of the exclusionary practices that are often perpetuated by institutional organizations. Many individuals perceived themselves as "pushed out" or excluded by the structures of health care services that purported to support and serve them. However, individuals were also perceived as active agents in a complex, mutual form of exclusion, referred to as "mutually established exclusion," in which they chose to drop out or remove themselves from institutional mainstream services. Individuals who had chosen not to seek reissuance of their health cards either implicitly or explicitly self-excluded from participation in services that might be seen to regulate, control, and thereby subordinate their interests to those of the dominant institution. I ask, How are institutional health policies evidenced in the everyday, material lives of people? Are such policies exclusionary?

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)0.030
metaresearch head score (Gemma)0.004
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch, Science and technology studies, Insufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: Qualitative
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.406
Threshold uncertainty score0.999

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0300.004
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.001
Science and technology studies0.0090.001
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.002
Insufficient payload (model declined to judge)0.0010.001

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 head0.672
GPT teacher head0.706
Teacher spread0.035 · 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 designQualitative
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

Citations6
Published2014
Admission routes2
Has abstractyes

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