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Record W2422736439

Did GPs Ever Spare the ER

2008· article· en· W2422736439 on OpenAlexaboutno aff
Jackie Duffin

Bibliographic record

Venuenot available
Typearticle
Languageen
FieldHealth Professions
TopicPrimary Care and Health Outcomes
Canadian institutionsnot available
Fundersnot available
KeywordsOvercrowdingGlobal Positioning SystemDemographyEconomic shortagePopulationGeographyHistoryMedicineSociologyPolitical scienceGovernment (linguistics)Computer scienceLaw
DOInot available

Abstract

fetched live from OpenAlex

In Canada there has recently been increased public and political debate surrounding the reasons for the continued overcrowding seen in hospital emergency rooms (ERs) around the country. One theory is that ER overcrowding is due to a shortage of family physicians (GP). The theory goes that if patients have medical problems and no GP, they will go to an ER in order to receive treatment contributing to overcrowding. The question then is whether or not ERs have become substitute GPs? Only a historical analysis can answer this question. While many opinions exist on the subject no attempts have actually been made to correlate the number of GPs with ER use through time. Data was obtained from: hospital archives, Kingston Public Library Special Collections, Statistics Canada and the Ontario Physicians Human Resource Database on the number of ER visits and the number of GPs in the city of Kingston, Ontario, from 1961 to 2006. Regression analysis was used to look for a correlation between the number of GPs in Kingston and the number of ER visits over the past fourty-five years. The population of Kingston during this time period was used as a controlling variable. Regression analysis showed that there was a historical correlation between the number of ER visits and the number of GPs in Kingston. Therefore, it appears that GPs have spared the ER from overcrowding.

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 imitation

Not 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.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.014
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.932
Threshold uncertainty score0.183

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.014
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.002
Science and technology studies0.0030.002
Scholarly communication0.0020.002
Open science0.0020.001
Research integrity0.0020.002
Insufficient payload (model declined to judge)0.0080.001

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 head0.128
GPT teacher head0.444
Teacher spread0.315 · 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 source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
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

Citations0
Published2008
Admission routes1
Has abstractyes

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