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Record W4213432054 · doi:10.1177/08404704221080882

We can do better: Addressing ageism against older adults in healthcare

2022· article· en· W4213432054 on OpenAlexaff
Leah Nemiroff

Bibliographic record

VenueHealthcare Management Forum · 2022
Typearticle
Languageen
FieldPsychology
TopicAging and Gerontology Research
Canadian institutionsQueen's University
Fundersnot available
KeywordsPaternalismHealth carePandemicPsychologyPublic relationsCoronavirus disease 2019 (COVID-19)NursingSociologyPolitical scienceMedicineLawDisease

Abstract

fetched live from OpenAlex

Ageism in healthcare is a pervasive reality that leads to negative health outcomes for older adults. While it is often implicit, the COVID-19 pandemic threw explicit age discrimination in healthcare into sharp relief globally. In medicine, ageism translates into myriad forms of age discrimination that impact the provision of ethical care and range from 'micro' individual issues like paternalistic medicine or therapeutic nihilism to 'macro' system issues including barriers to timely and effective healthcare or exclusion from research trials. The culture of ageism in medicine can be unintentionally transmitted through role-modelling and the hidden curriculum. Strategies to combat ageism and provide ethical healthcare include intergenerational learning, educational programs, and strong leadership from organizations to enact policy and practice changes.

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)0.036
metaresearch head score (Gemma)0.054
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.036
Threshold uncertainty score0.192

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0360.054
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0020.001
Science and technology studies0.0230.023
Scholarly communication0.0170.030
Open science0.0020.034
Research integrity0.0160.030
Insufficient payload (model declined to judge)0.0120.003

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 head0.044
GPT teacher head0.370
Teacher spread0.326 · 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 designNot applicable
Domainnot available
GenreCommentary

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

Citations69
Published2022
Admission routes1
Has abstractyes

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