Paramedics Have Untapped Potential to Address Social Determinants of Health in Canada
Bibliographic record
Abstract
The role of paramedics, including select paramedics providing primary and preventive care in homes and community settings, is evolving in health systems around the world.These developments are associated with improvements in health outcomes, improved access to services and reduced emergency department use.Building on these existing trends in paramedicine, and because social conditions contribute to illness and are strong predictors of future health service use, addressing patients' social needs should be integrated into core paramedic practice in Canada.We discuss how paramedic education, culture and governance could better enable paramedics to address the social determinants of health. RésuméLe rôle des ambulanciers paramédicaux, notamment ceux qui fournissent des soins primaires et préventifs à domicile ou en milieu communautaire, est en pleine évolution dans les systèmes de santé du monde entier.Ces changements sont associés à une amélioration des résultats cliniques, à un meilleur accès aux services et à une utilisation réduite des services d' urgence.Dans la foulée des tendances actuelles en matière de services paramédicaux -et puisque les conditions sociales influent sur l'état de santé et constituent de forts prédicteurs de l' utilisation des services de santé -il faudrait intégrer les besoins sociaux des patients dans la pratique paramédicale de base au Canada.Nous discutons de la façon dont l'éducation, la culture et la gouvernance paramédicales pourraient mieux permettre aux ambulanciparamédicaux de tenir compte des déterminants sociaux de la santé.
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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 | 0.010 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.007 | 0.002 |
| Scholarly communication | 0.003 | 0.001 |
| Open science | 0.001 | 0.003 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.004 | 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".