Expanding Kidney Care: How Nonphysician Health Workers Can Address the Global CKD Crisis
Bibliographic record
Abstract
The current global nephrology workforce is insufficient to meet the increasing burden of chronic kidney disease (CKD) and kidney failure. Nonphysician health workers (NPHWs) may be well-placed to fill the gap and deliver guideline-aligned care. We review the range of NPHW categories and care models that could be enlisted in different health care settings; the range of contributions that could be made for CKD prevention, education, screening, management, and monitoring; the existing and required resources to support NPHWs; and technological advancements that can help alleviate the workload. Through analysis of collaborative approaches and existing alternative care delivery models, we aimed to provide insights into how such programs can be successfully implemented to augment the existing health workforce to deliver effective care and improve outcomes of people with and at risk of developing kidney disease worldwide.
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 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 | 0.013 | 0.027 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.002 |
| Science and technology studies | 0.002 | 0.003 |
| Scholarly communication | 0.008 | 0.011 |
| Open science | 0.002 | 0.007 |
| Research integrity | 0.006 | 0.005 |
| Insufficient payload (model declined to judge) | 0.011 | 0.001 |
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.
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".