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Record W4411981900 · doi:10.1177/13674935251355056

Standards of care for pediatric clinical service delivery: A rapid scoping review

2025· review· en· W4411981900 on OpenAlexafffundabout
Brittany Barber, Annette Elliott-Rose, Amanda Higgins, Kristy Hancock, Amy Mireault, Katie McDonald, Stacy Burgess, LeeAnn Larocque, Christine Cassidy

Bibliographic record

VenueJournal of Child Health Care · 2025
Typereview
Languageen
FieldHealth Professions
TopicChild and Adolescent Health
Canadian institutionsNova Scotia Health AuthorityIzaak Walton Killam Health CentreDalhousie University
FundersIWK Health Centre
KeywordsInterimService delivery frameworkService (business)MedicineInclusion (mineral)NursingMEDLINEBusinessPsychologyPolitical scienceMarketing

Abstract

fetched live from OpenAlex

When pediatric services are not coordinated, children, youth, and their caregivers cannot always access the right services at the right time. Guidance is needed for how pediatric services should be planned and organized to improve integrated care. The objective of this rapid scoping review was to map and characterize current evidence on standards of care for integrated pediatric levels of service. This rapid scoping review was conducted in accordance with Cochrane Rapid Reviews Interim Guidance. We searched academic databases and gray literature in 2022, published in English from Canada, United States, United Kingdom, Australia, New Zealand, with no date parameter. Fifty-three sources met inclusion criteria and were included in this review. Levels of service frameworks categorized services into three, four, or six distinct levels. Eight sources described integrated levels of service. Most pediatric standards of care frameworks defined levels of service by roles and responsibilities. Differences were defined by transitions between levels of care, planning for services across urban and rural communities, and coordinating integrated levels of service. Future research is required to build evidence base of how levels of service frameworks can be used in practice, adapted to local contexts, and evaluated.

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 machine prediction

Teacher imitation

Not 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.

metaresearch head score (Codex)0.080
metaresearch head score (Gemma)0.223
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.080
Threshold uncertainty score0.423

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0800.223
Meta-epidemiology (narrow)0.0020.002
Meta-epidemiology (broad)0.0060.007
Bibliometrics0.0300.027
Science and technology studies0.0020.002
Scholarly communication0.0100.011
Open science0.0040.008
Research integrity0.0040.005
Insufficient payload (model declined to judge)0.0060.001

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 head0.099
GPT teacher head0.558
Teacher spread0.459 · 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 source (direct Gemma or distilled Codex), not a consensus.

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

Citations0
Published2025
Admission routes3
Has abstractyes

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