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Record W7099585885

Published by Sciedu Press 61 ORIGINAL ARTICLE

2016· article· en· W7099585885 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

Venuenot available
Typearticle
Languageen
FieldBusiness, Management and Accounting
TopicEducational and Organizational Development
Canadian institutionsnot available
Fundersnot available
KeywordsMinor (academic)Socioeconomic statusService (business)Health careEmergency departmentHealth servicesPrimary careHealthcare service
DOInot available

Abstract

fetched live from OpenAlex

Non-urgent use of Emergency Departments throughout Canada has long presented a conundrum for hospital admini-strators and health service planners. On the one hand, perceptions persist that those non-urgent users contribute to overcrowding, higher costs of care and longer wait times. On the other hand, non-urgent users do not appear to increase wait times for high-acuity patients; they perceive their condition to be acute, or claim not having convenient access to primary medical services. The objective of this study is to investigate factors associated with emergency demand for minor conditions using administrative data as well as geographical and socioeconomic characteristics as captured by Pampalon’s deprivation indexes. We reviewed 42 months of administrative data (2006 – 2009) of minor emergency visits in two hospitals in Sherbrooke, QC, Canada. Data mining algorithms were applied to classify the visits and detect major utilization patterns of Sherbrooke residents. Lower priority visits (CTAS 5) continued to increase in the city hospital following a remodel. Adult residents tend to choose the closest ED, and children mainly go to the regional hospital ED. The use of ED for minor conditions (CTAS level 4 and 5) was higher in the most deprived communities, whether materially or socially. The most common diagnostic codes were injuries and poisoning, ill-defined conditions, respiratory

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)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesInsufficient payload (model declined to judge)
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.331
Threshold uncertainty score0.999

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.001
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0080.002

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 head0.010
GPT teacher head0.201
Teacher spread0.192 · 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