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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 OpenAlex
Michel Ruest, Chris W. Ashton, Jeffrey Millar

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

aboutThe title or abstract carries a Canadian signal from the geographic lexicon.
no affNo Canadian affiliation: this work is invisible to an affiliation-only frame.
No Canadian affiliation. An affiliation-only frame, the usual design, would never have seen this work. It is one of the works that make the case for inverting the frame.

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.

Full frame distilled prediction

Teacher imitation

Not 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.

metaresearch head score (Codex)0.003
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesScience and technology studies
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.559
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0030.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0030.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

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