Improving Access to Endocrinologists through Provider-to-Provider eConsultations
Bibliographic record
Abstract
Access to specialty healthcare care remains a major issue for many Canadians. Not only are wait times long, but other barriers contribute to inequitable access. These include the patient’s ability to attend appointments (e.g. related to transportation difficulties and/or cost), and the ability of some patients to participate in an appointment (e.g. due to cognitive impairment, mobility challenges, loss of wages, or degree of comfort with a new provider). Informal consultations between healthcare providers have always played a role in healthcare access. The “call a colleague” approach works well when a practitioner is able to contact a colleague by telephone and an established network of specialists exists; however, it is inefficient, does not facilitate record-keeping for medico-legal purposes and follow-up, and is not remunerated. One way to help address these obstacles is through inter-provider electronic consultations (eConsults).
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.002 | 0.003 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.007 |
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.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
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".