Bibliographic record
Abstract
INTRODUCTION Timely integration of palliative care into caring for patients with chronic life-threatening illnesses has been shown to alleviate pain and symptoms, reduce unnecessary hospital visits and futile interventions, and facilitate early transition to home care, thus reducing the financial burden on families and health systems. The recent Lancet Oncology commissioned a team across the globe to explore palliative care interventions as a solution to mitigate the human crisis of cancer. Teams from LMICs worked to develop palliative care solutions better aligned with the local cultural needs of palliative care patients. In view of poor governmental support in low- and middle-income countries, nongovernmental organizations and community volunteers actively participated in advocacy, fund-raising, improving access to palliative care and community empowerment. This enabled continuity of care and enhanced patient autonomy, reducing out-of-pocket expenses and supporting patients in remaining at home as their preferred place of care. Furthermore, they also used innovative strategies to deliver palliative care to remote and difficult-to-reach areas. Some of these innovations included opioid dispensation to patients at home through faxed opioid prescriptions, video-based, and smartphone-based consultations. PROGRESS IN PRIMARY PALLIATIVE CARE IN INDIA Active collaboration among government, healthcare systems, policymakers, and researchers will strengthen national palliative care infrastructure, expand the workforce, and ensure the sustainability of palliative care and equitable access to essential medicines and community-based care to people with cancer in LMICs. WONCA special interest group on palliative care and cancer, where India is highlighted as a national example of primary palliative care development. In 2017, the Indian Association of Palliative Care joined hands with the Academy of Family Physicians of India to expand primary palliative care in the community. Subsequently, the associations jointly published a position paper emphasizing the importance of primary palliative care in the community. This paper was published in 2018. The paper identified gaps in palliative care provision in the country and offered recommendations for developing a community-based palliative care model. In 2019, a body of National and International experts in palliative care and primary care published a competency framework that deliberated on the competencies required for family physicians to provide primary palliative care. The National Board approved the competency framework of examinations for integrating primary palliative care into the postgraduate family medicine curriculum [Exemplar 1].Exemplar 1: Milestones achieved in developing primary palliative care in India
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 | 0.002 | 0.004 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.002 | 0.003 |
| Science and technology studies | 0.002 | 0.002 |
| Scholarly communication | 0.003 | 0.001 |
| Open science | 0.001 | 0.004 |
| Research integrity | 0.001 | 0.003 |
| Insufficient payload (model declined to judge) | 0.014 | 0.002 |
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.
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".