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Record W4415393635 · doi:10.1139/apnm-2025-0171

Towards equitable eating disorder treatment: addressing disparities in access to higher-level care across Canada

2025· article· en· W4415393635 on OpenAlexafffundvenueabout
Rhea Lewandoski, Lesley L. Moisey, Em Jun Eng Mittertreiner, Jennifer Couturier, Phillip Joy, Emilie Lacroix

Bibliographic record

VenueApplied Physiology Nutrition and Metabolism · 2025
Typearticle
Languageen
FieldPsychology
TopicEating Disorders and Behaviors
Canadian institutionsMount Saint Vincent UniversityMcMaster UniversitySaskatchewan PolytechnicUniversity of FrederictonUniversity of New BrunswickUniversity of SaskatchewanKelowna General Hospital
FundersSocial Sciences and Humanities Research Council of CanadaHarrison McCain FoundationCanadian Nutrition Society
KeywordsHealth equityHealth careTransparency (behavior)Thematic analysisDisordered eatingEating disordersMEDLINEHealthy eating

Abstract

fetched live from OpenAlex

Clinicians and researchers invited to speak at the Canadian Nutrition Society's Thematic Conference 2023 emphasized disparities that exist within Canada's universal healthcare system for individuals with disordered eating or eating disorders (ED). To further characterize the severity and impact of these disparities on patients' access to appropriate healthcare services, we conducted an online environmental scan of Canadian higher-level ED treatment programs. In this article, we describe the geographic availability, offerings, and transparency of patient-facing materials for 48 treatment programs; identify barriers to care and provide actionable recommendations for clinicians, program administrators, and stakeholders; and call for efforts to dismantle the identified disparities and increase accessibility to essential health services.

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)0.008
metaresearch head score (Gemma)0.019
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.916
Threshold uncertainty score0.613

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0080.019
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0020.005
Science and technology studies0.0120.003
Scholarly communication0.0050.002
Open science0.0020.006
Research integrity0.0010.002
Insufficient payload (model declined to judge)0.0050.000

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 head0.048
GPT teacher head0.360
Teacher spread0.313 · 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 designObservational
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 routes4
Has abstractyes

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