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Record W3138908540 · doi:10.5206/uwomj.v89is1.10655

Restructuring of Healthcare System in Italy during COVID-19

2021· article· en· W3138908540 on OpenAlexvenueno aff
Ziad Sabaa-Ayoun

Bibliographic record

VenueUniversity of Western Ontario Medical Journal · 2021
Typearticle
Languageen
FieldHealth Professions
TopicHealthcare Systems and Challenges
Canadian institutionsnot available
Fundersnot available
KeywordsRestructuringHealth carePandemicPublic healthBusinessMedicineDilemmaUnintended consequencesMedical emergencyDiseaseCoronavirus disease 2019 (COVID-19)Economic growthNursingPolitical scienceEconomicsInfectious disease (medical specialty)Finance

Abstract

fetched live from OpenAlex

The rise of the novel coronavirus disease 2019 (COVID-19) caused unprecedented public health responses worldwide. To prevent hospitals from oversaturating, nations are restructuring their healthcare systems to prioritize limited resources and care for the treatment of COVID-19-infected patients. The Italian healthcare system, for example, converted numerous hospital services to Intensive Care Units, redeployed physicians to short-staffed centers, and centralized medical services to a small number of hospitals to meet the pandemic’s demands. While this restructuring served the nation’s short-term healthcare needs, it impeded access to care for non-COVID-19 patients suffering from acute or chronic non-communicable diseases, such as strokes. These patients are at increased risk of long-term disability and poorer adherence to management plans and have an increased likelihood of disease recurrence. This commentary discusses the ethical dilemma surrounding the necessary healthcare restructuring and unintended impairment of care to non-infected patients. It also explores the need for national public health officials to reassess strategies employed during the pandemic and their need to focus on creating ethical frameworks for maximizing equitable care.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not 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.

metaresearch head score (Codex)0.009
metaresearch head score (Gemma)0.011
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.092
Threshold uncertainty score0.232

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0090.011
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.001
Bibliometrics0.0010.001
Science and technology studies0.0070.011
Scholarly communication0.0080.003
Open science0.0020.005
Research integrity0.0080.009
Insufficient payload (model declined to judge)0.0030.001

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.

Opus teacher head0.066
GPT teacher head0.366
Teacher spread0.300 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

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".

Quick stats

Citations0
Published2021
Admission routes1
Has abstractyes

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