Le droit aux services d’ergothérapie en CLSC entre légalité et légitimité
Bibliographic record
Abstract
Article 5 of the Act respecting health services and social services specifies that every person is entitled to receive health services, and that includes occupational therapy (OT) services in the community. The discrepancy between requests for OT services and OT resources results in significant waiting lists, which raise questions about implementation of people's right to services. This essay is a legal and ethical analysis of Québec's reality regarding access to OT services in the community. lt is shown, among other things, that the use of sometimes random criteria to prioritize requests due in part to the pressure of the waiting list, the partial response to the complex needs of some users and the long waiting period before receiving the sought-after services are all elements which affect equal access and compromise right to services. The writer explores the use of professional guidelines has a mean to ensure balance between distributive justice and quality of OT services and therefore, optimization of health resources allocation.
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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 | 0.012 | 0.051 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.004 | 0.004 |
| Science and technology studies | 0.005 | 0.013 |
| Scholarly communication | 0.011 | 0.006 |
| Open science | 0.002 | 0.009 |
| Research integrity | 0.003 | 0.003 |
| Insufficient payload (model declined to judge) | 0.029 | 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".