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Record W7038796859

Innovations and opportunities for primary health care after hospital discharge: an application of causal inference methods in health services research

2017· dissertation· en· W7038796859 on OpenAlexaboutno aff

Bibliographic record

VenueeScholarship@McGill (McGill) · 2017
Typedissertation
Languageen
FieldHealth Professions
TopicMedical Coding and Health Information
Canadian institutionsnot available
Fundersnot available
KeywordsCausal inferencePropensity score matchingPsychological interventionCovariatePrimary careHealth careNull hypothesisSample (material)
DOInot available

Abstract

fetched live from OpenAlex

Based on Clinical Classification Software (CCS) for ICD-9CM and for ICD-10-CM.** ICD-9-CM and ICD-10-CMCodes for AMI, COPD and CHF were checked manually to match Quebec definitions.*** Includes encounters for follow-up after medical or surgical interventions (e.g., aftercare following organ transplant), encounters for palliative care, long-term and current use of specific medications (e.g.long-term use of opiate analgesic).* We interpreted as evidence of positivity or propensity score model misspecification if the mean of the stabilized weight was far from one or if there were extreme values.** Clustered standard errors.*** Calculated for each day after discharge.Corresponds to the difference between groups divided by the pooled standard error.We interpreted a value greater than 10% as a meaningful difference between the groups.Standardized differences are less sensitive to sample size.* Based on Clinical Classification Software (CCS) and Canadian Institute for Health Information; ICD-9-CM and ICD-10-CM codes were checked manually to match Quebec diagnosis codes.Notes: Horizontal lines represent clustered 95% CIs.Vertical line represents null association.* Covariates and two-way interactions adjusted for are listed in Appendix 6.3.A negative number favors team-based primary care models.

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 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)0.011
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Science and technology studies, Research integrity
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Other design · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.832
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0110.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.000
Science and technology studies0.0040.000
Scholarly communication0.0000.001
Open science0.0010.000
Research integrity0.0010.003
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 head0.226
GPT teacher head0.525
Teacher spread0.300 · 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 teacher head, not a consensus.

Study designOther design
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
Published2017
Admission routes1
Has abstractyes

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