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Record W4406125896 · doi:10.11124/jbies-24-00138

Equitable health care delivery for adult Nova Scotians: a scoping review protocol

2025· review· en· W4406125896 on OpenAlexaff
Jennifer Searle, Brittany Barber, Holly McCulloch, Helen Wong, Neil Forbes, Neda Alizadeh Takhtehchoobi, Marwa Kuri, Kelly Lackie, Christine Cassidy, Lori Wozney, Janet Curran, Kendra MacEachern, H.C. Thompson, C. D. O’Brien, Elizabeth Obeng Nkrumah, C.E. Pennell, DN Sheppard, Drew Burchell, Marilyn Macdonald

Bibliographic record

VenueJBI Evidence Synthesis · 2025
Typereview
Languageen
FieldHealth Professions
TopicHealth Policy Implementation Science
Canadian institutionsUniversity of Prince Edward IslandIzaak Walton Killam Health CentreNova Scotia Health AuthorityDalhousie University
Fundersnot available
KeywordsEquity (law)Health careGrey literatureHealth equityMEDLINEPolitical scienceMedicine

Abstract

fetched live from OpenAlex

OBJECTIVE: The objective of this review is to identify international and Nova Scotian standards of care, clinical practice guidelines (CPGs), and policies informing equitable health care. INTRODUCTION: The lack of attention given to intersectional health care needs of diverse populations perpetuates health inequities among underserved groups, creating an urgent need for health care reform globally. INCLUSION CRITERIA: This scoping review will include standards of care, CPGs, and policies focusing on equity-related health indicators. Academic and gray literature sources, published from 2014 to present, will be considered if they relate to one or more defined equity-related health indicators. Sources will be excluded if they do not explicitly relate to standards of care, CPGs, or policies for equitable health care delivery. METHODS: This scoping review will be guided by intersectionality theory and conducted in accordance with the JBI methodology for scoping reviews. Academic databases MEDLINE ALL (Ovid) and Embase will be searched using identified search terms. An advanced Google search will be undertaken to identify gray literature sources. A 2-phased approach will be conducted to identify sources that will be synthesized and presented in tabular format using equity-related health indicators, providing an inventory of health equity standards of care, CPGs, or policies to be disseminated to health care providers in Nova Scotia. REVIEW REGISTRATION: Open Science Framework https://osf.io/6rnx2.

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 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)0.011
metaresearch head score (Gemma)0.082
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch, Meta-epidemiology (narrow), Science and technology studies, Insufficient payload (model declined to judge)
Consensus categoriesInsufficient payload (model declined to judge)
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Systematic review · Consensus signal: Systematic review
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.397
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0110.082
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0050.001
Bibliometrics0.0010.002
Science and technology studies0.0020.000
Scholarly communication0.0000.001
Open science0.0020.001
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0010.001

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 head0.476
GPT teacher head0.699
Teacher spread0.223 · 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; both teacher heads agree on what is shown here.

Study designSystematic review
Domainnot available
GenreReview

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

Citations1
Published2025
Admission routes1
Has abstractyes

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