Impacts of the COVID-19 Pandemic on Primary Care Delivery: A Case Study
Bibliographic record
Abstract
The COVID-19 pandemic led to significant changes in healthcare globally. These changes occurred in the primary care setting and affected the healthcare teams and patients within. Adaptations to practice changed how people provided and received care. As few details were known about the changes that occurred in primary care, it was essential to explore the changes and how they affected health professionals, staff, and patients. This qualitative case study delved into a Primary Care Network in Alberta to capture how the care in clinics changed by observing onsite practices and engaging with those who were directly impacted. The findings of the project were four themes that highlighted the changes, which included individual, team, and system level factors. Interestingly, patients were impacted most positively, whereas staff and health professionals benefited while balancing new challenges. This study concludes with a discussion of suggestions of the practical implications of findings as well as offers next steps for researchers, policy makers, and clinicians.
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 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 | 0.005 | 0.007 |
| Meta-epidemiology (narrow) | 0.000 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.016 | 0.003 |
| Scholarly communication | 0.003 | 0.001 |
| Open science | 0.002 | 0.004 |
| Research integrity | 0.003 | 0.003 |
| Insufficient payload (model declined to judge) | 0.003 | 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".