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Record W4390940449 · doi:10.1101/2024.01.16.24301360

Characteristics of Walk-In Clinic Physicians and Patients in Ontario, Canada: A Cross-Sectional Study

2024· preprint· en· W4390940449 on OpenAlexafffundabout
Lauren Lapointe‐Shaw, Christine Salahub, Peter C. Austin, Li Bai, Sundeep Banwatt, Simon Berthelot, R. Sacha Bhatia, Cherryl Bird, Laura Desveaux, Tara Kiran, Aïsha Lofters, Malcolm Maclure, Danielle Martin, Kerry McBrien, Rita McCracken, J. Michael Paterson, Bahram Rahman, Jennifer Shuldiner, Mina Tadrous, Braeden A. Terpou, Niels Thakkar, Ruoxi Wang, Noah Ivers

Bibliographic record

VenuemedRxiv · 2024
Typepreprint
Languageen
FieldHealth Professions
TopicPrimary Care and Health Outcomes
Canadian institutionsRegistered Nurses' Association of OntarioMinistry of Health and Long Term CareMcMaster UniversityUniversity of British ColumbiaSt. Michael's HospitalTrillium Health CentreUniversité LavalSunnybrook HospitalUniversity of CalgaryInstitute for Clinical Evaluative SciencesSinai Health SystemImpactWomen's College HospitalUniversity of TorontoUniversity Health Network
FundersCanadian Institutes of Health Research
KeywordsFamily medicineMedicineCross-sectional studyHealth careLongitudinal studyWalk-inAlternative medicine

Abstract

fetched live from OpenAlex

ABSTRACT Objective We aimed to describe family physicians who primarily practice in a walk-in clinic setting and compare them to family physicians who provide longitudinal care. Design A cross-sectional study that linked results from an annual physician survey (2019) to administrative healthcare data from Ontario, Canada. We compared the characteristics, practice patterns, and patients of physicians primarily working in a walk-in clinic setting, with family physicians providing longitudinal care. Setting Ontario, Canada. Participants Physicians who primarily worked in a walk-in clinic setting in 2019, as indicated by an annual physician survey. Exposure Whether the physician was a walk-in clinic physician or a family physician who provided longitudinal care. Main Measures Physician demographic and practice characteristics, as well as their patients’ demographic and healthcare utilization characteristics. Results Compared to the 9,137 family physicians practicing longitudinal care, the 597 physicians who self-identified as practicing primarily in walk-in clinics were more frequently male (67% vs. 49%) and could speak a language other than English or French (43% vs. 32%). Walk-in clinic physicians had more encounters with patients who were younger ( M 37 vs. 47 years), had lower levels of prior healthcare utilization (15% vs. 19% in highest band), who resided in large urban areas (87% vs. 77%), and in highly ethnically diverse neighborhoods (45% vs. 35%). Walk-in clinic physicians had more encounters with unattached patients (32% vs. 17%) and with patients attached to another physician outside their group (54% vs. 18%). Conclusion Physicians who primarily work in walk-in clinics saw many patients from historically underserved groups, and many patients who were attached to another family physician.

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: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.065
Threshold uncertainty score0.130

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.002
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.002
Science and technology studies0.0020.001
Scholarly communication0.0010.001
Open science0.0010.001
Research integrity0.0010.000
Insufficient payload (model declined to judge)0.0020.000

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 head0.058
GPT teacher head0.406
Teacher spread0.347 · 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 designObservational
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
Published2024
Admission routes3
Has abstractyes

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