Giving patients a louder voice in the health care system?: a critical evaluation of the Ontario Health Services Appeal and Review Board
Bibliographic record
Abstract
The Romanow Report concluded that Canadians are pleased with the health care system, but dissatisfied with the government's management of it. This dissatisfaction is partly caused by a lack of public participation at the policy-making level, and is exacerbated by the limits of what legal mechanisms there are to challenge resulting government decisions. It is against this backdrop that this thesis seeks to determine whether a specialized appeal mechanism, the Ontario Health Services Appeal and Review Board, can provide patients with an accessible and effective way to challenge government decisions about the availability of health care services. It evaluates the Board's practices through an examination of relevant statutes and regulations, as well as the Board's Rules of Practice and Procedure, Annual Reports and unreported decisions. As it concludes, the Board has the potential to provide patients with a louder voice in the health care system, but to fulfill this potential it must be made more accessible and, especially, more responsive to patients and their complaints.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot 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.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.021 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.002 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.002 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.000 | 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 teacher head, 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".