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Record W4404278329 · doi:10.3399/bjgpo.2024.0096

Integrating public health and primary care: a framework for seamless collaboration

2024· article· en· W4404278329 on OpenAlex
Luke Allen, Bernd Rechel, Dan Alton, Luisa M Pettigrew, Martin McKee, Andrew D. Pinto, Josephine Exley, Eleanor Turner-Moss, Kathrin Thomas, Jacqueline Mallender, Dheepa Rajan, Toni Dedeu, Stephen K. Bailey, Nicholas Goodwin

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.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueBJGP Open · 2024
Typearticle
Languageen
FieldHealth Professions
TopicPrimary Care and Health Outcomes
Canadian institutionsUniversity of Toronto
FundersWorld Health Organization
KeywordsMultidisciplinary approachPublic relationsPublic healthKnowledge managementPrimary careHealth carePopulation healthPoint (geometry)BusinessPrimary health careMultidisciplinary teamPopulationProcess managementNursingMedicineComputer sciencePolitical scienceEnvironmental healthFamily medicine

Abstract

fetched live from OpenAlex

Integration between public health and primary care is rising on the health policy agenda but the terms and concepts involved can be confusing. This article reviews the relevant literature and presents a new framework to help policymakers think through what they are aiming to achieve and why. We unpack different degrees and types of integration and show how they fit together. We argue that the merger of public health and primary care into a single entity with one aim, budget, and one multidisciplinary team isn’t necessarily the desired end-point for most health systems, but that seamless collaboration will likely improve patient and health system outcomes, save resources, and improve population outcomes. We recommend that efforts to foster better collaboration should take an activity-based approach, promoting alignment of teams, training, budgets, values and culture around specific tasks, and in proportion to need.

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)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.660
Threshold uncertainty score0.993

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0010.000
Scholarly communication0.0000.001
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 head0.146
GPT teacher head0.517
Teacher spread0.371 · 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