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Record W4410916126 · doi:10.4103/jfmpc.jfmpc_1800_24

Kerala’s public healthcare services: Bihar’s blueprint for post–COVID-19 resilience

2025· article· en· W4410916126 on OpenAlexaff
Rajani Mol, Bawa Singh, Vijay Kumar Chattu

Bibliographic record

VenueJournal of Family Medicine and Primary Care · 2025
Typearticle
Languageen
FieldSocial Sciences
TopicSocial and Economic Development in India
Canadian institutionsUniversity of Toronto
Fundersnot available
KeywordsBlueprintMedicineCoronavirus disease 2019 (COVID-19)Resilience (materials science)2019-20 coronavirus outbreakSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)PandemicHealth careCoronavirus InfectionsPublic healthEconomic growthNursingVirologyOutbreakInternal medicine

Abstract

fetched live from OpenAlex

Background and Aim: The COVID-19 pandemic has exposed the vulnerability of the healthcare system in the Indian states. The pandemic has revealed the appalling lack of preparedness of the Indian states, as well as their inadequate public health systems, structural weaknesses, and gaps in the implementation of welfare programs. States like Kerala have well-managed healthcare services during COVID-19, and Kerala has a decentralized health model that provides affordable, accessible, and responsive healthcare to its population. On the other hand, Bihar has been struggling to provide basic health facilities to the state population and exposed the lackluster performance of the health sector. The paper primarily focuses on analyzing Bihar's health issues and suggesting ways the state might improve its health while implementing Kerala's healthcare model. Methods: A detailed search and analysis of health status and health care in these two states was done using major databases, such as Web of Science, Medicine/PubMed, Scopus, OVID, and Google Scholar search engines. Results: Bihar has been facing structural and functional deficiencies in the public health system, making it inadequate for handling the future healthcare needs of the people. However, Bihar can ensure no one is left behind by the law, which will help to maintain equality among the people. Conclusion: Therefore, Kerala's healthcare service and public policies, such as the public health Act, are role models for Bihar. The paper concludes that Kerala's public healthcare system offers strong health sector infrastructure and policy frameworks, effectively demonstrated by its impressive health indicators.

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)0.001
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: Empirical · Consensus signal: Empirical
Teacher disagreement score0.614
Threshold uncertainty score0.591

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 communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
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 head0.079
GPT teacher head0.379
Teacher spread0.300 · 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.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
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

Citations0
Published2025
Admission routes1
Has abstractyes

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