Continuity of Care across age transitions: Understanding the systemic barriers in healthcare service sector for adolescents and young adults (AYA) transitioning from paediatric to adult health care system
Bibliographic record
Abstract
Continuity of care (CoC) is a well-recognized principle of the primary care discipline critical for Adolescents and Young adults (AYAs) with complex care needs transitioning from paediatric to adult care in Ontario Healthcare system.The objective of this study was to investigate the care practices employed by family physicians and general practitioners when providing continuous care across levels of care. This study sought to develop an understanding of healthcare practitioners experience of providing age transitional care for the AYAs. Five participants with a background in family practice and sub-speciality care in Ontario were recruited for this study. Data analysis was conducted through open inductive coding applied to transcripts from interviews. Themes related to Adolescents and Young Adults (AYA) continuity transition journeys were identified as (1) Systemic Barriers to Care, (2) Local and regional care provision, and (3) Characteristics of care practices. Brenda Dervin’s Sense Making Methodology was fundamental for the study inquiry to understand critical incidents experienced by the practitioners when providing continuous care for AYA’s.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot 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.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.003 | 0.004 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.002 | 0.001 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
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.
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 teacher head, 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".