SSM - Health Systems最新文献

{"title":"A formative evaluation of potential barriers and facilitators to inform effective implementation of a community-based hypertension care program in rural South Africa: The IMPACT-BP trial","authors":"Shafika Abrahams-Gessel ,&nbsp;Thabang Manyaapelo ,&nbsp;Nsika Sithole ,&nbsp;Siphephelo Dlamini ,&nbsp;Nondumiso Mpanza ,&nbsp;Samukelisiwe Nxumalo ,&nbsp;Thabisile Mjilo ,&nbsp;Joanna Orne-Gliemann ,&nbsp;Max Bachmann ,&nbsp;Nombulelo Magula ,&nbsp;Alison Castle ,&nbsp;Mark J. Siedner ,&nbsp;Thomas Gaziano","doi":"10.1016/j.ssmhs.2025.100086","DOIUrl":"10.1016/j.ssmhs.2025.100086","url":null,"abstract":"<div><h3>Background</h3><div>In rural KwaZulu-Natal Province, South Africa, less than 25 % of persons with hypertension have controlled blood pressure. We conducted a formative evaluation of current clinic-based care to identify barriers and facilitators that could impact effective implementation of a community-based hypertension intervention (IMPACT-BP).</div></div><div><h3>Methods</h3><div>We conducted individual interviews and group discussions with clinic managers, nurses, community health workers (CHWs), community leaders, and patients to identify barriers and facilitators experienced in clinic-based hypertension care, which could affect the acceptability, feasibility, and implementation of the IMPACT-BP intervention. The Conceptual Model of Implementation Research and the Theoretical Framework of Acceptability guided the design of data collection instruments and analysis. Qualitative data collection was performed by trained social science research assistants, recorded, transcribed, translated, and analyzed using thematic analysis.</div></div><div><h3>Results</h3><div>Forty-one participants (92 % women) participated in group discussions (n = 32) or individual interviews (n = 9). Barriers to intervention acceptability and feasibility included inadequate levels of staffing, high patient volumes, distrust of CHWs’ work at clinics and in the community, and insufficient training and equipment for CHWs. Facilitators included home delivery of medications by CHWs.</div></div><div><h3>Conclusions</h3><div>Our findings allowed us to identify specific adaptations to the intervention implementation strategy to make the proposed community-based intervention acceptable and feasible in this setting. Adaptations included employing dedicated CHWs and nurses for trial-related activities, developing an expanded CHW training module on hypertension knowledge, teaching CHWs to measure blood pressure and subsequently train patients to do the same, and training CHWs to educate patients about hypertension management.</div></div>","PeriodicalId":101183,"journal":{"name":"SSM - Health Systems","volume":"5 ","pages":"Article 100086"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143946783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges of implementing mobile phone text messages in reminding parents to get their children immunized in Nigeria: A narrative inquiry of mothers’ experience","authors":"Umar Yunusa ,&nbsp;Hussaini Muhammad Aikawa ,&nbsp;Khadija Nuhu Nasidi ,&nbsp;Chioma Judith Mba ,&nbsp;Aisha Suleiman Abdullahi ,&nbsp;Amina Suleiman Rajah ,&nbsp;Sumayya Kabir Dandago ,&nbsp;Usman Yahaya ,&nbsp;Umar Abdullahi Musa ,&nbsp;Rahma Balarabe","doi":"10.1016/j.ssmhs.2025.100088","DOIUrl":"10.1016/j.ssmhs.2025.100088","url":null,"abstract":"<div><h3>Background</h3><div>Evidence suggests that mobile phone reminders improve the uptake, completeness and timeliness of routine childhood immunization. However, the implementation of the reminder system in resource limited settings is affected by challenges. Some of the challenges of the reminder interventions in Low- and Middle-Income Countries (LMICs) include: the non-ownership of mobile phones and language barrier. There is however a paucity of evidence on the challenges that may affect such intervention in Nigeria.</div></div><div><h3>Aim</h3><div>This study explored the challenges experienced by mothers who were reminded about the immunization of their children in Nigeria.</div></div><div><h3>Method</h3><div>Using a qualitative narrative inquiry, in-depth interviews were conducted with eligible participants. The participants were purposively selected from mothers who earlier received mobile phone text message reminders on the immunization of their children in Kano State, Nigeria. The recorded interviews were transcribed, translated to English and analysed using thematic analysis.</div></div><div><h3>Results</h3><div>A total of thirteen in-depth interviews were conducted. The themes that emerged are: benefits of the mobile phone reminders, mobile phone ownership, network issues, parental ability to read, and spousal support.</div></div><div><h3>Conclusion</h3><div>While the reminder system was found to be helpful, not owning a mobile phone and the inability to read messages were among the challenges experienced. The active involvement of male spouses/fathers in the reminder system, use of local languages, and phone call reminders are hereby recommended. Deliberate actions towards improving the level of literacy, mobile phone network and infrastructure by policy makers is also recommended to facilitate future implementation of mobile phone reminder interventions.</div></div>","PeriodicalId":101183,"journal":{"name":"SSM - Health Systems","volume":"5 ","pages":"Article 100088"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144089666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rural digital social innovation for health and social care: A systematic review","authors":"Eric Ping Hung Li ,&nbsp;Trina Kushnerik ,&nbsp;Cherisse L. Seaton ,&nbsp;Kathy L. Rush ,&nbsp;Puneet Aulakh ,&nbsp;Mike Zajko ,&nbsp;Khalad Hasan ,&nbsp;Rajeev Manhas ,&nbsp;Vida Nyagre Yakong ,&nbsp;Robert Janke","doi":"10.1016/j.ssmhs.2025.100143","DOIUrl":"10.1016/j.ssmhs.2025.100143","url":null,"abstract":"<div><div>Digitalization in the health sector has created numerous opportunities for social innovators and change-makers. However, there is a lack of integrated knowledge of how the latest technological changes have impacted social innovators from marginalized populations living in rural contexts who are often considered the “left-behind” segment in the age of digitalization. The purpose of this systematic review was to synthesize evidence for rural digital social innovations for health and social care. Drawing on searches from multiple databases we adopted a Context-Process-Outcomes Model to evaluate 25 empirical studies focused on innovations within the healthcare sector (18 studies) and general community level innovations (7 studies). Geographical distance between providers and rural patients was often the context for healthcare innovations, necessitating processes with multiple levels of collaboration, whereas diverse community-specific challenges were usually addressed through grassroots initiatives. Most healthcare and community level innovations had evidence of positive outcomes (e.g., positive impacts on health service utilization or community health). Although digitalization accelerated the scope and reach of social innovations, substantial human investment and rural community engagement remained crucial for success. In conclusion, our application of the Context-Process-Outcomes framework enabled us to aggregate diverse findings and unpack the role of digitalization in rural social innovations.</div></div>","PeriodicalId":101183,"journal":{"name":"SSM - Health Systems","volume":"5 ","pages":"Article 100143"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145415483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adolescent preferences for health services delivery in Uasin Gishu county Kenya: A mixed methods analysis","authors":"L. Embleton ,&nbsp;C. Ashimosi ,&nbsp;S. Kirwa ,&nbsp;A. Boal ,&nbsp;A. Chory ,&nbsp;M.A. Ott ,&nbsp;R.C. Vreeman ,&nbsp;I. Marete","doi":"10.1016/j.ssmhs.2025.100150","DOIUrl":"10.1016/j.ssmhs.2025.100150","url":null,"abstract":"<div><div>To ensure adolescent and young adult (AYA) perspectives are centered in efforts to improve adolescent and youth-friendly health services (AYFHS) in Uasin Gishu (UG) county, Kenya, we sought to identify and explore AYA preferences for models of health services delivery in this context, taking into consideration age, sex, and geographic location. This mixed methods analysis draws on cross-sectional survey and focus group discussion (FGD) from AYA aged 10–24 years collected from January to June 2024. The data were collected in parallel, analyzed separately, then merged for interpretation. In total, there were 127 AYA participants, with a median age of 17 years (IQR: 14–19 years). Most AYA (87 %) reported that they would most prefer to access health services at a public health facility, and this did not differ substantially by age or sex. AYA expanded upon these findings in FGDs, where preference for dedicated space and a standalone AYA clinic were favored. Participants were divided about using school-based health services (79 %); with 91 % of females and 67 % of males supporting this model. Lower proportions of AYA indicated they would be very likely/likely to use health services delivered via mobile bus (42 %) or virtual services (31 %). Ultimately, AYA are a heterogenous and diverse population who need tailored AYFHS with multiple service delivery models to improve access to care. Despite this, the present analysis demonstrates a strong preference among AYA for accessing AYFHS in public health facilities with dedicated space or a standalone building.</div></div>","PeriodicalId":101183,"journal":{"name":"SSM - Health Systems","volume":"5 ","pages":"Article 100150"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145464869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ethical dilemmas in international medical health tourism: A critical commentary","authors":"Adanze Nge Cynthia","doi":"10.1016/j.ssmhs.2025.100111","DOIUrl":"10.1016/j.ssmhs.2025.100111","url":null,"abstract":"<div><div>International medical tourism represents a rapidly expanding healthcare sector that raises complex ethical challenges requiring urgent attention from policymakers and healthcare professionals. This commentary critically examines four primary ethical domains in medical tourism: informed consent and patient vulnerability, legal accountability across jurisdictions, healthcare resource allocation inequities, and post-treatment continuity of care gaps. Drawing on recent literature and policy developments, we synthesize current understanding of these challenges and their implications for patient safety and global health equity. The analysis reveals significant regulatory gaps that compromise patient protection while potentially exacerbating healthcare disparities in destination countries. This commentary aims to inform policy discussions and highlight priorities for future research in medical tourism ethics. To address these challenges, we recommend strengthening international regulations, enhancing legal protections, and improving post-operative care coordination between home and destination countries.</div></div>","PeriodicalId":101183,"journal":{"name":"SSM - Health Systems","volume":"5 ","pages":"Article 100111"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144680155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using causal loop diagrams to explore the maternal and child health system response to payment for performance in Zambia, and it’s generalisability across settings","authors":"Chitalu Miriam Chama-Chiliba ,&nbsp;Nkenda Sachingongu ,&nbsp;Rachel Cassidy ,&nbsp;Peter Binyaruka ,&nbsp;Collins Chansa ,&nbsp;Agnes Rwashana Semwanga ,&nbsp;Josephine Borghi","doi":"10.1016/j.ssmhs.2025.100082","DOIUrl":"10.1016/j.ssmhs.2025.100082","url":null,"abstract":"<div><div>This study investigates the generalisability of pathways depicted by causal loop diagrams (CLDs) in payment for performance (P4P) schemes by adapting and validating the Tanzanian CLDs to the Zambian context. Specifically, it explores whether the health system pathways represented by CLDs, are consistent across different settings and how variations in programme design and local context influence these pathways. Using a five-stage approach, the study adapted the Tanzanian CLDs to reflect the Zambian P4P programme context, validating them through stakeholder interviews, workshops, and secondary qualitative data. The findings show that while the overarching pathways influencing P4P outcomes are similar, differences in programme design and contextual factors shape their intensity and impact. Notably, Zambia’s higher facility autonomy and stronger trust in the health system contributed to greater health worker motivation and service delivery compared to Tanzania. Programme design features such as safeguards for non-incentivised services and adequate funding for facility investment with provider autonomy influenced performance outcomes. Additionally, contextual factors such as trust in the system mitigated programme delays, while decentralised procurement systems enhanced P4P effectiveness. These findings highlight the need for context-specific adaptation when implementing P4P programmes. The study advances the application of CLDs for cross-country health system analysis, highlighting both their potential and limitations in comparing health interventions across diverse settings.</div></div>","PeriodicalId":101183,"journal":{"name":"SSM - Health Systems","volume":"5 ","pages":"Article 100082"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143934959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the initiation, formation, functioning, and performing of networks to change practices – Realist evaluation of a programme to improve newborn care in Kenya","authors":"Katherine Kalaris ,&nbsp;Mike English ,&nbsp;Geoff Wong","doi":"10.1016/j.ssmhs.2025.100101","DOIUrl":"10.1016/j.ssmhs.2025.100101","url":null,"abstract":"<div><div>Networks are increasingly employed to tackle health system challenges by either explicitly or implicitly targeting the relational aspects of health systems. We undertook a Realist evaluation to test a programme theory developed during a previous Realist review on network initiation, formation, and functioning. Our aim was to further develop an understanding of the processes involved in the initiation, formation, functioning, performing, and sustaining change and impact of networks that enable changes in practice to improve quality of care and services. We undertook a multiple-methods single case study of the Newborn Essential Solutions and Technologies programme in Kenya to evolve the programme theory. The revised programme theory explains how a network evolves through three phases: Initiation &amp; Formation, Functioning &amp; Performing, and Sustaining Change &amp; Impact through interrelated processes (identify a problem; collective vision; taking action to solve a problem; identity and culture), activities (knowledge and skills dissemination; cross-learning; resourcing; leadership; champions; adaptability), foundations (teamwork; psychological safe space; commitment; engaged, motivated, empowered, and confident network members; purposeful relationships, linkages, and partnerships), and cross-cutting factors (communication; trust; energy, effort, and passion). This network programme theory provides a roadmap for the relational work those employing networks should perform to promote success in changing practices to improve quality of care, service delivery, and health system functioning.</div></div>","PeriodicalId":101183,"journal":{"name":"SSM - Health Systems","volume":"5 ","pages":"Article 100101"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144604450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facilitating patient and caregiver voicing in hospital settings: A narrative synthesis of the literature and conceptual framework","authors":"Emily Cordeaux ,&nbsp;Isra Amsdr ,&nbsp;Alysha Bartsch ,&nbsp;John Easton ,&nbsp;Meena Andiappan ,&nbsp;Lesley Gotlib Conn ,&nbsp;Kerry Kuluski","doi":"10.1016/j.ssmhs.2025.100116","DOIUrl":"10.1016/j.ssmhs.2025.100116","url":null,"abstract":"<div><h3>Purpose</h3><div>While health systems increasingly recognize the critical role that patient and caregiver feedback plays in person-centered care, patients and caregivers often experience barriers to voicing their ideas, suggestions, and concerns. The aim of this narrative synthesis is to identify within the literature organizational behaviours and contextual factors that have been shown to help facilitate patient and caregiver voicing (expressing ideas, opinions, or suggestions to improve individual, group, or organizational functioning) in hospital settings and develop a conceptual framework of these enablers.</div></div><div><h3>Search methods</h3><div>A narrative synthesis review of the literature was conducted. A systematic search across three databases generated 14,273 records, and 10,129 once duplicates were removed. Following full-text review and application of the inclusion criteria, 89 articles were included in the synthesis.</div></div><div><h3>Search results</h3><div>The results from this narrative synthesis identify practice and organizational factors that, when implemented together, may enable patient and caregiver voice in inpatient hospital settings. The organizational behaviours and interventions described include creating spaces to elicit patient and caregiver voice, using communication practices that support voice, and showing care for the full person. Enabling factors identified were having an organizational commitment to person-centered practice, supportive work processes and organizational policies, patient personal resources and voicing preferences, and staff motivation, orientation to care, and skills.</div></div><div><h3>Discussion and conclusions</h3><div>There is an opportunity to improve patient and caregiver voicing during care episodes to advance the provision of person-centered care in healthcare organizations. Drawing from the literature, we propose a conceptual framework that reflects the conditions needed to support patient and caregiver voicing in hospital settings.</div></div>","PeriodicalId":101183,"journal":{"name":"SSM - Health Systems","volume":"5 ","pages":"Article 100116"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding self-reported incidence of communicable disease outbreaks and its associated risk factors: Insights from India’s national population-based survey","authors":"Saddaf Naaz Akhtar ,&nbsp;Kacho Amir Khan","doi":"10.1016/j.ssmhs.2025.100105","DOIUrl":"10.1016/j.ssmhs.2025.100105","url":null,"abstract":"<div><div>The present study aims to examine the self-reported incidence of communicable diseases (CDs) outbreaks among individuals aged 18 and above in India and its states. The study also seeks to explore the associated risk factors, including regional, environmental, demographic, socio-economic, and health-related factors, influencing the self-reported incidence of CD outbreaks. We used the data from the 75th round of the National Sample Survey Organizations (NSSO), collected from July 2017 to June 2018. Univariate, bivariate and binary logistic regressions were performed. About 3.49 % of adults had reported incidences of CD outbreaks in India. Urban residents are significantly more likely to have a risk of self-reported CD outbreaks than those in rural areas. Central region of India has a greater risk of self-reported CD outbreaks compared to the Southern region. Dadar &amp; Nagar Haveli, Jharkhand, Haryana, Punjab and Chhattisgarh are the top five states with the most significant proportion of self-reported incidences of CD outbreaks. Individuals with no garbage disposal arrangements are 20 % and garbage disposal arrangements by residents/ groups of residents are 21 % more likely to report incidence of CD outbreaks than those whose garbage disposal arrangements are managed by the Panchayat/ Municipality/ Corporation. Our findings revealed that individuals living in urban areas with unprotected drinking water have a greater risk of self-reported incidence of CD outbreaks compared to those living in rural areas with pipe drinking water sources. This underscores the role of regional inequalities in sanitation and healthcare infrastructure. These findings call for region-specific health policies, focusing on strengthening sanitation, waste management, and healthcare access. Hence, there is a need for sustained public health interventions, strong health systems and policy initiatives.</div></div>","PeriodicalId":101183,"journal":{"name":"SSM - Health Systems","volume":"5 ","pages":"Article 100105"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144757583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating power in policy adoption: The political economy of noncommunicable diseases in Sierra Leone","authors":"Giulia Loffreda ,&nbsp;Reynold Senesi ,&nbsp;Karin Diaconu ,&nbsp;Ayesha Idriss ,&nbsp;Sophie Witter","doi":"10.1016/j.ssmhs.2025.100139","DOIUrl":"10.1016/j.ssmhs.2025.100139","url":null,"abstract":"<div><div>Non-communicable diseases (NCDs) represent a rising health burden globally, yet low- and middle-income countries (LMICs), particularly fragile states, face persistent barriers to NCD prevention and control policy adoption and implementation. This qualitative case study examines the factors influencing NCD policy adoption in Sierra Leone, a country that, in recent years, has focused on tackling these conditions. Drawing on 20 key informant interviews and 39 policy documents and media analysis, the study highlights the interplay of global health norms, commercial determinants, and local capacities. Findings reveal how international frameworks like WHO’s ‘best buys’ provide essential guidance but often fail to accommodate local socio-political realities. The analysis underscores how multisectoral coalitions, power dynamics, and commercial interests shape outcomes of policy adoption, while chronic underfunding and donor-driven priorities further complicate governance. Recommendations emphasize the importance of context-sensitive strategies that integrate local knowledge systems, strengthen leadership, and embed implementation research. Ultimately, fostering adaptive, accountable, and well-resourced health systems, supported by global solidarity and coordinated governance reforms, is essential to achieving sustainable NCD responses, particularly in an era marked by fractured multilateralism and weakened collective action, where strengthening local capacities and political commitment becomes even more critical.</div></div>","PeriodicalId":101183,"journal":{"name":"SSM - Health Systems","volume":"5 ","pages":"Article 100139"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145319764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}