Health Outcomes and the Association with Primary Care Use Following Transfer to Adult Healthcare Services among Young People with Neurologic Impairment and Technology Assistance in Ontario
Bibliographic record
Abstract
Objectives: Among persons with Neurologic Impairment and Technology Assistance (NI+TA), to describe mortality, acute and primary care use during transfer to adult healthcare, and to determine the association between primary and subsequent acute care use during this period.Methods: Population-based cohort study using linked health administrative data of young adults with NI+TA. Kaplan Meier curves were used to describe mortality. An algorithm to assign Usual Provider of Care was used to evaluate primary care. Associations were assessed using Generalized Estimating Equations. Results: 859 individuals were included. Mortality was higher in progressive neurological disease vs. static and multiple technologies vs. one. Most had at least one primary care visit before and after transfer but frequency of visits declined. There was no association between primary care following transfer and subsequent acute care use. Conclusions: Further work is required to understand optimal primary care and other supports during transition for this population.
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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 | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.002 | 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".