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Record W6982278166

How experiences affect decision-making: Exploring the phenomenon of access to healthcare through the stories of Indigenous women in British Columbia.

2023· dissertation· en· W6982278166 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

aboutThe title or abstract carries a Canadian signal from the geographic lexicon.
no affNo Canadian affiliation: this work is invisible to an affiliation-only frame.
No Canadian affiliation. An affiliation-only frame, the usual design, would never have seen this work. It is one of the works that make the case for inverting the frame.

Bibliographic record

VenueUVic’s Research and Learning Repository (University of Victoria) · 2023
Typedissertation
Languageen
FieldSocial Sciences
TopicSociopolitical Dynamics in Nepal
Canadian institutionsnot available
Fundersnot available
KeywordsIndigenousHealth carePhenomenonLived experienceActive listeningQualitative researchCorporate governanceHealthcare system
DOInot available

Abstract

fetched live from OpenAlex

This thesis explores how Indigenous women experience barriers to accessing healthcare in British Columbia (B.C.) and how their experiences influence their health-related decisions. The intention was to explore how lived experiences with the provincially funded healthcare system affect if at all, Indigenous women’s decision to access healthcare and consider the potential future implications. The phenomenon of access to healthcare for Indigenous women was explored by analyzing pre-existing literature and conducting in-depth qualitative interviews with Indigenous women. The data collected from the interviews were analyzed through Interpretative Phenomenological Analysis. By listening to and amplifying the realities of Indigenous women’s experiences, this research is contributing toward reconciliation. As a non-Indigenous researcher conducting research with Indigenous Peoples, applying and honouring Indigenous research methods and principles of data governance was equally important. Indigenous Researchers at the University of Victoria guided this work along with the CARE principles for Indigenous Data Governance and the Four R’s of Indigenous Research. The analysis indicated the significance of relationality and connection with providers and the system through which Indigenous women access care. It established that these were critical factors affecting their decision-making. Further, this study demonstrates the need for increased understanding and appreciation of Indigeneity within the healthcare systems and the unwavering perseverance that Indigenous women embody to advocate for their and others’ equitable care. This thesis could enrich the development and application of services supporting Indigenous communities and strengthen current healthcare practices and policies by accepting alternative forms of care outside Western healthcare.

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.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.002
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesScience and technology studies
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: Qualitative
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.149
Threshold uncertainty score0.999

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.002
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0030.001
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

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 head0.069
GPT teacher head0.367
Teacher spread0.299 · 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