Costs and stewardship of laboratory tests in the Capital Health District
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
Responsible use of diagnostic resources benefits the Canadian healthcare system. Educating clinicians about the costs of laboratory tests can reduce corresponding resource use, both by encouraging substitutions with appro- priate and less-expensive alternatives, and by reducing overall diagnostic workup loads where warranted. To that end, this paper presents the costs of commonly used laboratory tests, and of some less-expensive alternatives, for the Capital District Health Authority of Nova Scotia, Canada. It then compares the aggregate costs of representa- tive brief and elaborate workups for six common patient presentations. When used appropriately, initial workups composed of fewer test alternatives can save between $11.27 (abdominal pain) and $103.63 (shortness of breath) per workup without affecting patient care. Making judicious test substitutions can also provide savings. Clinicians are encouraged to consider these costs and alternatives when providing future patient 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.
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 | 0.008 | 0.011 |
| 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 it