Canadian health care reform : critically and globally considered
Bibliographic record
Abstract
This thesis critically considers Canadian health care relorm lrom a broad perspective in light ofthe myriad offorces that shape health policy conversations.Informed by the political economy perspective, the analysis draws attention to the broader political, economic, social and historic context ofCanadian health care, and conternplates the power structures and interest groups at play in health care policy processes.This includes an examination ofgeneral Canadian health care reform initiatives and specifìc primary health care reform recommendations in the 2002 Romanow Report.Methodologically, a series ofcritical questions were answered through literature review and in application to specific text.Proposed health care reforms have also been assessed in relation to equity, in terms oftheir expected potential contributions to fairness and social justice.Findings indicated that health care reform recommendatiorls tend to be interpreted through, shaped by, and reflective ofthe language and intent ofeconomic globalization, a trend that has detrimental effects orr equity.Future directions for health care policy are briefly considered.
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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 | 0.014 | 0.045 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.002 | 0.001 |
| Bibliometrics | 0.006 | 0.014 |
| Science and technology studies | 0.020 | 0.019 |
| Scholarly communication | 0.025 | 0.009 |
| Open science | 0.005 | 0.007 |
| Research integrity | 0.017 | 0.017 |
| Insufficient payload (model declined to judge) | 0.016 | 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".