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Record W4396612284 · doi:10.1177/107937391704000203

Community Health Evaluations Completed Using Paramedic Service (Checups): Design and Implementation of A New Community-Based Health Program

2017· article· en· W4396612284 on OpenAlexaboutno aff
Michel Ruest, Chris W. Ashton, Jeffrey Millar

Bibliographic record

VenueJournal of Health and Human Services Administration · 2017
Typearticle
Languageen
FieldMedicine
TopicEmergency and Acute Care Studies
Canadian institutionsnot available
Fundersnot available
KeywordsCommunity healthHealth servicesService (business)Community serviceMedical emergencyNursingOperations managementBusinessMedical educationComputer scienceMedicineEngineeringPublic healthPublic relationsEnvironmental healthPolitical scienceMarketing

Abstract

fetched live from OpenAlex

The Government of Ontario established a one-time funding program intended to create a Community Paramedicine best practice in support of its Action Plan for Health Care. The County of Renfrew Community Resilience Program responded with the creation of the CHECUPS program. The study was conducted in the County of Renfrew, Ontario, Canada where a Community Resilience Program expanded to include the CHECUPS Program. The evaluation of the CHECUPS program has addressed impacts to three domains: 1) patient overall health and satisfaction; 2) primary care integration; and 3) paramedic resource utilization. The results included a total of 222 patients that demonstrated a 24% reduction in 911 activation; 20% reduction in repeat ED visits; 55% decrease in patients that were admitted post ED visits; and all patients indicated that they were either “satisfied” or “very satisfied” with the care provide by community paramedics. The CHECUPS Community Paramedic Program is in an excellent position to support the Province of Ontario Action Plan for Health Care by responding to the increasing emergency response demands, chronic pressures within the health care system, and need to provide a more sustainable, integrated, patient-centred system.

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)0.015
metaresearch head score (Gemma)0.011
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: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.309
Threshold uncertainty score0.615

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0150.011
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.001
Science and technology studies0.0050.002
Scholarly communication0.0020.001
Open science0.0030.004
Research integrity0.0010.002
Insufficient payload (model declined to judge)0.0040.000

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 head0.262
GPT teacher head0.526
Teacher spread0.264 · 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

Citations8
Published2017
Admission routes1
Has abstractyes

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