Diabetes education centre attendance and the effect on medication utilization in the elderly in Ontario
Bibliographic record
Abstract
Diabetes education centres (DECs) provide patients with self-management skills to control diabetes and manage complications. To evaluate the effect of DEC attendance on prescriptions for diabetes treatments, prescriptions for cardiovascular risk reduction, and visits for retinopathy screening, a population based cohort study of residents of Ontario, Canada with diagnosed diabetes aged ≥65 years was performed using administrative databases. DEC attendance was identified using a registry of visits to all DECs in the province in 2006. Demographic and clinical confounders and pre-index utilization were used to adjust the logistic regression and also to construct a propensity score matched cohort. Patients attending DECs had greater filling of prescriptions for statins than non-attendees in both analyses. DEC attendance was also associated with greater drug dispensation of glucose lowering medications, glucose monitoring strips and ACE inhibitors/ARBs, and visits to ophthalmology/optometry in both analyses. Diabetes self-management education at DECs is associated with better quality of care in the elderly in Ontario.
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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 | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.002 | 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 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".