Meeting the Needs of Uninsured Women: Informed Choice, Choice of Birthplace and the Work of Midwives in Ontario
Why this work is in the frame
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
Bibliographic record
Abstract
<p>This paper focuses on the work of a small group of Ontario midwives who provide care to women without health insurance. Specifically, we explore how midwives support uninsured clients as they navigate the decision over where to birth their babies. Informed choice and choice of birthplace are both core and fundamental tenants of the model of midwifery care in the province. For the small but growing number of women in midwifery care in Ontario who do not have health care coverage, the decision about where to deliver their baby is complicated by the need to consider the significant hospital bed fees which are associated with hospital birth. Our research explores how midwives navigate the complex issues which arise for women and their care providers when economic considerations enter into the decision making process with regards to birth place options. Based on interviews conducted with midwives who care for uninsured women in Ontario, the paper focuses on the provision of care in this unique context. Issues explored include; the provision of informed choice, inter- professional work, pushing boundaries and the advocacy work of midwives.</p>
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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 | 0.004 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.000 | 0.002 |
| 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 it