Review of salaried physician visits in a rural remote community - Bella Coola Valley.
Bibliographic record
Abstract
INTRODUCTION: The current study quantifies visits to salaried physicians working in a geographically remote health care facility in British Columbia in 2001. METHODS: A retrospective chart review was conducted of patients residing in the Bella Coola Valley and attending the Bella Coola General Hospital/Medical Clinic (BCGH/Medical Clinic) in 2001. Visits to family physicians at this clinic, visits to the BCGH emergency department, hospital admissions, smoking rates and chronic disease prevalence rates were quantified. RESULTS: An estimated 2378 patients made 7747 BCGH/Medical Clinic family physician visits, and 4474 "other" visits in 2001. These "other" visits included emergency department visits (n = 1736), hospital admissions (n = 245) and prescription visits (n = 2252). Twenty-six percent (n = 622) of the population did not see a family physician at all in 2001, and 15% of the population accounted for 52% of all visits. Women had a higher number of visits than men; pregnant women had a higher number of visits than non-pregnant women, and the Aboriginal population saw family physicians more often than did non-Aboriginal people (p < 0.001). Those who had a chronic illness (e.g., diabetes) saw family physicians more frequently than did people who did not have that particular chronic illness (p < 0.01). The Aboriginal population used the BCGH/Medical Clinic and emergency department more frequently than did the non-Aboriginal population. BCGH/Medical Clinic physicians had an average of 75 patient visits per week. An additional 22 "visits" per week were for writing prescription refills with the patient not present. CONCLUSION: Older people, people with chronic disease, women and Aboriginal peoples more frequently visited the family physicians. Salaried physicians working in geographically isolated communities appeared to behave in ways that minimized contact (e.g., used the phone, wrote prescriptions without patient being present) and maximized time efficiency for both themselves and their patients.
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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 | 0.001 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.006 | 0.011 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.003 | 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".