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Record W4413358519 · doi:10.5334/ijic.nacic24092

Improving access to primary care through coordinated access and attachment

2025· article· en· W4413358519 on OpenAlexaboutno aff
Joe Kwan

Bibliographic record

VenueInternational Journal of Integrated Care · 2025
Typearticle
Languageen
FieldHealth Professions
TopicPrimary Care and Health Outcomes
Canadian institutionsnot available
Fundersnot available
KeywordsPrimary careNursingMedicineProcess managementBusinessFamily medicine

Abstract

fetched live from OpenAlex

The Coordinated Access Attachment Hub (Hub) supports connecting people in the community and post-hospital discharge to health and wellness services in the health neighborhood. Calgary and area primary care networks (Calgary Zone) refers to seven primary care networks that operate within a healthcare region called Calgary Zone in Alberta, Canada. Home to approximately .8 million residents, Calgary Zone is the fastest growing health zone in Alberta. The City of Calgary grew by 6% in the last eight years, with 30% of its residents being visible minorities, and is also home to more than 600,000 temporary residents, from seasonal farm workers, work permit holders, and international students. The service is open to all persons living and working in the Calgary Zone. The Hub collaborates with PCNs and their community partners and leverages these relationships in the formation, maintenance, and growth of a coordinated network of services in the health neighbourhood, including the Patient Medical Home. The Coordinated Access Attachment Hub (Hub) supports connecting people in the community and post-hospital discharge to health and wellness services in the health neighbourhood. This includes attachment to a primary care provider (PCP) such as a family doctor, nurse practitioner, or a clinic, in addition to other allied health and social support services. The networking and information gathered through the Hub contribute to its ability to provide people with options and connections to health services they want when they need it. The Hub currently has two workstreams:. Navigation Coordinator program: supporting patients to navigate the community and primary care system for follow up post discharge2. Coordinated attachment program: utilizing the Alberta Find A Doctor website Help Me function to provide a more tailored approach to support people with attachment across PCN geographical bordersResults Established Calgary Zone working group community of practice. Addressed Help Me backlog of over 8000 people looking for a PCP Leveraged technology to improve efficiencies and workflow. Optimized quality assurance of Calgary Zone Alberta Find A Doctor website This presentation will focus on the rationale behind the Hub formation, how it has supported the primary care networks in Calgary Zone to address patient requests for attachment, and the successes and challenges faced during this process. Participants will be able to learn about the use of innovative virtual solutions to create points of access to primary care resources, and how that can be balanced with shared human supports to address the needs of rapidly growing populations. The poster and presentation will also outline the importance of clinical personnel as part of the Hub to triage requests and prioritize responses. The Hub will continue to provide a shared service in Calgary Zone and work with patients and community partners to facilitate patient access to primary care

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)0.004
metaresearch head score (Gemma)0.012
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: Empirical · Consensus signal: none
Teacher disagreement score0.032
Threshold uncertainty score0.108

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0040.012
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.001
Bibliometrics0.0010.001
Science and technology studies0.0020.001
Scholarly communication0.0030.003
Open science0.0020.015
Research integrity0.0010.002
Insufficient payload (model declined to judge)0.0320.004

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 head0.043
GPT teacher head0.469
Teacher spread0.426 · 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
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".

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Citations0
Published2025
Admission routes1
Has abstractyes

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