Chapter 21 Access to Primary Health Care in Rural and Remote Aboriginal Communities: Progress, Challenges, and Policy Directions
Bibliographic record
Abstract
and that strengthen community capacity, mitigate the impact of nurs-ing staff turnover and improve continuity of care.• The impact of these innovations is constrained, however, by juris-dictional confusion. Although some provinces and territories have embedded provisions in legislation and policies to address and clarify roles and responsibilities, these responses have been partial and fail to add up to a comprehensive approach.• A national Aboriginal health policy framework must be created to guide current and emerging initiatives while entrenching common minimal standards.Reports continue to show that Aboriginal peoples bear a dispropor-tionate burden of physical and emotional illness (Adelson 2005; Can-adian Institute for Health Information [CIHI] 2004; First Nations and Inuit Regional Health Survey [FNIRHS] National Steering Committee 1999; First Nations Regional Health Survey [FNRHS] National Committee 2005; Health Canada 2002, 2003; Health Council of Canada 2005). As discussed in the previous chapter, many of the social
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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 | 0.003 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.004 | 0.003 |
| Scholarly communication | 0.007 | 0.003 |
| Open science | 0.001 | 0.004 |
| Research integrity | 0.003 | 0.003 |
| Insufficient payload (model declined to judge) | 0.014 | 0.001 |
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.
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".