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Record W4253165123 · doi:10.32920/ryerson.14652033.v1

Challenges in accessing health care services : Canadian children living in mixed-status families

2021· preprint· en· W4253165123 on OpenAlexafffundabout
Rachel Ayla Caplan

Bibliographic record

Venuenot available
Typepreprint
Languageen
FieldPsychology
TopicMigration, Health and Trauma
Canadian institutionsToronto Metropolitan UniversityEducation and Early Childhood DevelopmentYork University
FundersHospital for Sick Children
KeywordsImmigrationHealth careMedicineFamily medicineNursingPolitical science

Abstract

fetched live from OpenAlex

Few studies have explored the prevalence of Canadian children with family members that have precarious legal status and the impact of parental immigration status on a child's access to health care in Canada. This quantitative research study uses a rights-based approach to discuss secondary data collected retrospectively between 2005-2009 at a medical clinic for uninsured patients in eastern Toronto, Ontario (n=128). Demographic, immigration, and health-related factors are presented, and parental immigration status and health-seeking behaviours are explored. Findings indicate that: many Canadian children (Canadian-born and naturalized Canadians) are uninsured; Canadian children who attend the clinic are sick, as opposed to accessing well-child check-ups; and, a group of Canadian children living in mixed-status families are accessing health care facilities for medically uninsured patients. This study highlights mixed-status families, and the potential impact on children's access to health care. This study helps fill the research gap regarding uninsured Canadian children. It is intended to increase community and professional awareness about impingements made in fulfilling Canadian children's right to access the "universal" health care services they have been promised. In turn, this research could inform future policy, practice, and research within health care, educational, and governmental domains.

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)0.005
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.043
Threshold uncertainty score0.315

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.005
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0020.004
Science and technology studies0.0100.003
Scholarly communication0.0030.001
Open science0.0020.003
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0030.000

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.

Opus teacher head0.045
GPT teacher head0.350
Teacher spread0.305 · 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 designQualitative
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 routes3
Has abstractyes

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