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Record W4381322562 · doi:10.18192/uojm.v12is1.6574

Canada’s Healthcare System Needs a Paradigm Shift to Meet Current and Future Medical Needs

2023· article· en· W4381322562 on OpenAlexaffvenueabout
Jocelyn Nguyen

Bibliographic record

VenueUniversity of Ottawa Journal of Medicine · 2023
Typearticle
Languageen
FieldHealth Professions
TopicPrimary Care and Health Outcomes
Canadian institutionsUniversity of Ottawa
Fundersnot available
KeywordsParadigm shiftHealth careHealthcare systemEngineering managementMedicineBusinessPolitical scienceEngineeringLaw

Abstract

fetched live from OpenAlex

UPS Canada's healthcare system was already under immense pressure before the COVID-19 pandemic.Hallway medicine, weeks-long wait times, overcrowded emergency departments, and exhausted healthcare professionals were the norm.The COVID-19 pandemic has only further exacerbated the problems in our healthcare system.The structure of today's healthcare system was first established in the 1960s 1 and operates in a treatment-focused manner, comprised mostly of doctors and hospitals.2 Healthcare needs of the past were predominantly for the treatment of acute diseases and injuries.However, an increasingly aging population and the prevalence of chronic diseases, often associated with functional impairment or disability, are changing the types of health services requested.Reforming the structure of Canada's healthcare system is imperative to address the evolving needs of the population.What Canadians need the most is a reformed healthcare system that will improve access and provide the most cost-efficient and appropriate care for all, by investing in the distribution of healthcare services through primary care, virtual care, and long-term and home 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)0.014
metaresearch head score (Gemma)0.022
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 score0.156
Threshold uncertainty score0.979

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0140.022
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.003
Bibliometrics0.0040.004
Science and technology studies0.0160.009
Scholarly communication0.0180.005
Open science0.0060.006
Research integrity0.0160.015
Insufficient payload (model declined to judge)0.0270.003

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 head0.029
GPT teacher head0.338
Teacher spread0.309 · 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

Citations0
Published2023
Admission routes3
Has abstractno

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