Regional Health Boards in Prince Edward Island: Negotiating Authority, Credibility and Accountability
Bibliographic record
Abstract
In October 1993, the Prince Edward Island government proclaimed a new Health and Community Services Act which radically altered the structure of health service delivery and governance across the province. This research examines the extent to which the principles of health regionalization have been achieved in the 8 years following the restructuring. Based on a survey of present board members and CEOs, interviews of board chairs, vice chairs and CEOs and an extensive review of the literature, this research provides the framework and background against which to analyze regional health governance in Prince Edward Island. Governance issues including: credibility, role, responsibility, authority and accountability of regional health boards in this province have been examined. 3 ACKNOWLEDGMENTS This thesis would not have been possible without the co-operation of regional health board members and CEOs across Prince Edward Island. Thank you to board members for completing the survey, and especially to the board chairs, vice-chairs, and CEOs, for their honest and open answers in the interviews. The support and interest of the Minister and Deputy Minister
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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 | 0.019 | 0.032 |
| Meta-epidemiology (narrow) | 0.000 | 0.001 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.012 | 0.013 |
| Scholarly communication | 0.008 | 0.003 |
| Open science | 0.001 | 0.007 |
| Research integrity | 0.003 | 0.003 |
| Insufficient payload (model declined to judge) | 0.004 | 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 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".