Understanding the circle of care: Indigenous service providers’ perspectives on health and well-being
Bibliographic record
Abstract
There is a need for broadening understandings of health and well-being to fill the critical and persistent gap in culturally safe health and social service provision for Indigenous populations. While the importance of Indigenous cultural interventions in healthcare is increasingly recognized and the perspective of Indigenous patients increasingly sought, there has been little research on the views of Indigenous service providers themselves. Our study explores the views of Indigenous service providers and how they conceptualize and deliver health and social services, including how these services link to the principles of harm reduction. We conducted one-on-one semi-structured interviews and socio-demographic questionnaires with eight Indigenous emergency service providers from Thunder Bay, Ontario, in the Fall of 2021. The results reveal broad conceptions of health and well-being with a particular focus on harm reduction principles in delivering a wide range of services that address physical, mental, and spiritual health needs.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot 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.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.009 | 0.011 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.018 | 0.026 |
| Scholarly communication | 0.006 | 0.005 |
| Open science | 0.001 | 0.007 |
| Research integrity | 0.003 | 0.006 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
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.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
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".