Canada’s Primary Healthcare Crisis – How Can we Fix it?
Bibliographic record
Abstract
Canada's primary healthcare system is in crisis today, with over 4.6 million Canadians not having access to a consistent primary care provider. In this paper, we employed a forecasting model to examine family physician (FP) supply and demand, and the associated costs, and discuss potential solutions. Based on the forecasting model, in the most likely case scenario, the FP shortage will reach a peak of 15,354 FPs in 2037, and this deficit will persist even 28 years later in 2052. Potential solutions include multiple levels of care providers, team-based care, providing additional training opportunities and pathways, re-defining the FP role and compensation model, improving system efficiencies and increasing accountability.
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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 | 0.006 | 0.021 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.003 |
| Science and technology studies | 0.011 | 0.005 |
| Scholarly communication | 0.012 | 0.006 |
| Open science | 0.003 | 0.004 |
| Research integrity | 0.005 | 0.009 |
| Insufficient payload (model declined to judge) | 0.007 | 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".