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Record W4408759276 · doi:10.1177/08404704251327095

A “code-switching” model for healthcare communication

2025· article· en· W4408759276 on OpenAlexafffund
Stacy S. Chen

Bibliographic record

VenueHealthcare Management Forum · 2025
Typearticle
Languageen
FieldHealth Professions
TopicInterpreting and Communication in Healthcare
Canadian institutionsUniversity of Toronto
FundersSocial Sciences and Humanities Research Council of Canada
KeywordsTerminologyBridging (networking)Health careMulticulturalismPublic relationsContext (archaeology)Medical terminologyCode-switchingCode (set theory)PhenomenonKnowledge managementComputer scienceSociologyInternet privacyPolitical scienceMedicineLinguisticsNursingComputer securityEpistemology

Abstract

fetched live from OpenAlex

This article examines how technical terminology in public-facing communication creates epistemic barriers that undermine trust between experts and the public-especially in multilingual, multicultural healthcare systems. It argues that health leaders can foster trust by employing a "code-switching" model within institutions and in patient- or public-facing communications. Code-switching is a linguistic phenomenon in which individuals switch between languages, dialects, or language varieties based on the social context. Recognizing "public-speak" and "medical-speak" as distinct codes would facilitate patient understanding of information relevant to their care and promote trust. Health leaders play a crucial role in ensuring that complex medical information is translated into accessible language, bridging the gap between experts and the public.

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)0.002
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Science and technology studies
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Theoretical or conceptual · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.892
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.001
Science and technology studies0.0040.000
Scholarly communication0.0000.000
Open science0.0010.001
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 head0.077
GPT teacher head0.467
Teacher spread0.391 · 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 teacher head, not a consensus.

Study designTheoretical or conceptual
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

Citations2
Published2025
Admission routes2
Has abstractyes

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