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Record W4246012430 · doi:10.4324/9781315678757-18

Advance Care Planning for Older Adults at the End of Life

2017· book-chapter· en· W4246012430 on OpenAlexaboutno aff
Gary Bellamy

Bibliographic record

Venuenot available
Typebook-chapter
Languageen
FieldMedicine
TopicPalliative Care and End-of-Life Issues
Canadian institutionsnot available
Fundersnot available
KeywordsEnd-of-life careGerontologyAdvance care planningPsychologyMedicineNursingPalliative care

Abstract

fetched live from OpenAlex

Good and timely advance care planning (ACP) is widely regarded as fundamental to avoiding futile, costly and invasive treatment to enable death in the preferred place of care and, in doing so, avoid &s;over-medicalising&s; what is a natural phase of the aging life course. ACP has become increasingly important as a means of improving care for people with a life-limiting illness and a key component of end-of-life care policy in many countries of the developed world. ACP has developed within a particular cultural and professional ideology. Meeting individual &s;cultural&s; needs forms only part of the picture but can, nonetheless, inform the delivery of end-of-life care. ACP is now well established on the professional agenda in developed countries such as the United States, Canada, Australia and New Zealand and much of Europe. ACP requires healthcare staff with excellent communication skills to facilitate these conversations should they arise as a means of achieving a &s;good death&s;.

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)0.001
metaresearch head score (Gemma)0.002
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: Other · Consensus signal: Other
Teacher disagreement score0.019
Threshold uncertainty score0.063

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.002
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.001
Science and technology studies0.0010.001
Scholarly communication0.0020.002
Open science0.0010.002
Research integrity0.0010.003
Insufficient payload (model declined to judge)0.0190.007

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 head0.104
GPT teacher head0.404
Teacher spread0.301 · 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
GenreOther

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

Citations1
Published2017
Admission routes1
Has abstractyes

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