Healthcare最新文献

{"title":"Mental Health Exploration and Variables Associated with Young Health Professionals in Early Childhood Care Centers: A Systematic Review.","authors":"Sofía Gómez-Herrera, María Auxiliadora Robles-Bello, David Sánchez-Teruel","doi":"10.3390/healthcare13182354","DOIUrl":"10.3390/healthcare13182354","url":null,"abstract":"<p><p>Early childhood care (ECC) represents a vital service for the families two supports; however, research on the experiences of young professionals working in this field is lacking. The nature of the work is inherently difficult due to lengthy bureaucratic procedures, limited flexibility to adapt services to individual needs, and a lack of financial and human resources. <b>Background/Objectives</b>: This systematic review is to analyze the existence of scientific literature related to mental health and protective and risk factors in these young professionals. <b>Methods</b>: The PRISMA methodology and a comparative analysis of the selected articles were used, incorporating sources from major scientific databases, such as Scopus, Web of Science, and PsycInfo. <b>Results</b>: A total of 19,943 articles were identified, with a striking 0% specifically addressing early childhood intervention. Only 13 of the articles were selected for the analysis of mental health among young healthcare professionals. <b>Conclusions</b>: The literature reviewed highlights risk factors such as depression, anxiety, and stress among health professionals, as well as protective factors like resilience, social support, empathy and the working conditions themselves (working method, working hours, pay, professional value of the workers themselves, administrative workload and opportunities for teamwork). This study is valuable for establishing a scientific foundation for this population and for enhancing its positive characteristics.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 18","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469597/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145174744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Depression and Anxiety as Comorbidities in Chronic Obstructive Pulmonary Disease: A Comprehensive Narrative Review.","authors":"Iulian-Laurențiu Buican, Alina-Cătălina Buican-Chirea, Mădălina Iuliana Mușat, Costin Teodor Streba","doi":"10.3390/healthcare13182344","DOIUrl":"10.3390/healthcare13182344","url":null,"abstract":"<p><p><b>Background</b>: Chronic Obstructive Pulmonary Disease (COPD) is a prevalent, progressive condition often associated with psychiatric comorbidities such as depression and anxiety, which negatively affect disease progression, treatment adherence, and quality of life. <b>Methods</b>: A narrative review was conducted by searching PubMed and Google Scholar for English-language publications from January 2015 to July 2025. This type of review was selected to allow for a broad and integrative analysis of the current evidence on the association between COPD and psychiatric comorbidities, particularly depression and anxiety. To increase comprehensiveness, the reference lists of the included articles and systematic reviews were manually screened, and data extraction and evaluation were conducted independently by two reviewers. <b>Results</b>: Reported prevalence rates vary widely in COPD patients with depression ranging from 10 to 57% and anxiety from 7 to 50%, largely due to differences in patient populations, diagnostic tools, and disease severity. Identified risk factors include female gender, social isolation, smoking, low BMI, comorbidities, and systemic inflammation. These comorbidities are associated with increased exacerbations, higher hospitalization rates, and poorer clinical outcomes. While inhaled therapies may have limited impact on psychiatric symptoms, antidepressants must be used cautiously. Non-pharmacological interventions, including pulmonary rehabilitation, cognitive-behavioral therapy, physical activity, and social support, demonstrate clear benefits. <b>Conclusions</b>: Effective management of COPD requires integrated approaches that address both pulmonary and psychiatric components. Tailored interventions can improve clinical outcomes and quality of life. This review explores the bidirectional relationship between COPD and psychiatric disorders, aiming to highlight risk factors, diagnostic tools, and both pharmacological and non-pharmacological treatment strategies.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 18","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12470185/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145174803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facilitators and Barriers to Self-Volume Management in Older Patients with Chronic Heart Failure and Multimorbidity: A Qualitative Study.","authors":"Xin Xu, Yu Chen, Jiaxin Zhou, Shuying Li, Xinyue Dong, Zhiyun Shen","doi":"10.3390/healthcare13182353","DOIUrl":"10.3390/healthcare13182353","url":null,"abstract":"<p><strong>Background: </strong>Effective volume management can significantly improve patients' health outcomes, but the current situation of volume management in older patients with chronic heart failure (CHF) and multimorbidity is not optimistic. This study aimed to explore the facilitators and barriers of self-volume management in patients and to provide a basis for the development of self-volume management strategies.</p><p><strong>Methods: </strong>A descriptive qualitative research method was used. Semi-structured interviews were conducted with older patients with CHF and multimorbidity between January and April 2025 in two tertiary hospitals in Shanghai, China. Data were analyzed using content analysis.</p><p><strong>Results: </strong>Eight facilitators emerged, including the hospital-community collaboration mechanism, Medicare and long-term care insurance coverage, diverse social support, the doctor-patient trust relationship, results-oriented incentives, digital health management, high self-efficacy, and strong motivation for health. Nine barriers were identified; these were insufficient adaptability of self-volume management programs, limited access to community resources, lack of standardized self-volume management tools, inadequate multidisciplinary team communication, one-way doctor-patient communication, lack of knowledge of self-volume management, physical limitations, management negligence caused by work constraints, and behavioral habits' consolidation.</p><p><strong>Conclusions: </strong>Self-volume management was affected by various factors. The study suggests strengthening health insurance coverage to reduce financial burden, taking advantage of family support and providing digital health management tools. In addition, healthcare providers should provide patient-centered care, enhance multidisciplinary collaboration, and address individual barriers with precise intervention strategies.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 18","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469624/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145174739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Wearable Technology in Diving: A Review of Heart Rate and Oxygen Saturation Monitoring for Enhanced Safety and Performance.","authors":"Tae Sung Park, Min-Gyu Kim, Jong-Hwan Park, Jeong-Min Hong, Dowon Lee, In Ho Han, Myung-Jun Shin","doi":"10.3390/healthcare13182346","DOIUrl":"10.3390/healthcare13182346","url":null,"abstract":"<p><p>Monitoring heart rate (HR) and peripheral oxygen saturation (SpO₂) in underwater environments has gained increasing importance due to the expanding popularity of diving activities such as SCUBA diving, freediving, and professional underwater operations. These physiological parameters are critical indicators for detecting adaptive responses and early signs of physiological distress caused by environmental stressors like elevated ambient pressure, hypoxia, cold temperatures, and psychological stress. Although recent advances in wearable sensor technologies offer new opportunities for real-time physiological monitoring underwater, significant limitations persist due to issues such as signal interference, cold-induced vasoconstriction, sensor durability, and the complexity of reliably measuring these parameters in dynamic underwater conditions. Evidence shows HR can fall by more than 50% in freedivers and SpO₂ may decline to below 50% during repeated dives, with proposed depth-specific thresholds (e.g., <98.5% at 30 m) serving as early warning levels. This review synthesizes current knowledge on the cardiovascular and oxygenation responses observed during diving, explores the technological challenges associated with underwater HR and SpO₂ monitoring, and discusses future directions, including the integration of multisensor platforms and predictive analytics to enhance diver safety and physiological monitoring capabilities. Addressing these technological and methodological gaps holds the potential to substantially improve safety standards and expand the clinical applicability of underwater physiological monitoring systems.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 18","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469997/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145174824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Social Network Structure of Dementia-Friendly Communities in Rural Taiwan: A Qualitative Study.","authors":"Hsien-Ting Pan, Shu-Ting Chang, Shofang Chang","doi":"10.3390/healthcare13182355","DOIUrl":"10.3390/healthcare13182355","url":null,"abstract":"<p><p><b>Background/Objectives</b>: The rising prevalence of dementia presents significant emotional, psychological, and economic challenges for families. Dementia-friendly communities (DFCs) aim to alleviate these burdens by fostering social inclusion and mutual support for people with dementia (PWD) and their caregivers. This study explores the social network structures within DFCs in rural Taiwan, utilizing social network theory as its framework. <b>Methods</b>: A qualitative design was employed, involving semi-structured interviews with eleven participants, including eight caregivers and three case managers. Data were analyzed using grounded theory. <b>Results</b>: The results indicate that the DFC social network is grounded in reciprocal relationships and mutual support between families, workplaces, and neighborhoods. Durability depends on stable relationships, sustained support systems, and the preservation of local culture. Cultural alignment and engagement reduce stigma and foster understanding, while diverse activities strengthen social bonds and participation. <b>Conclusions</b>: The study highlights the importance of government policy, infrastructure, and public awareness in sustaining dementia-friendly environments. The results offer valuable insights for enhancing community design and policy to better support PWD and their families.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 18","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145174686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Suicidal Ideation, Depression, Anxiety, Impulsivity, Self-Esteem, Emotional Regulation, Child Trauma and Hopelessness in Korean Military Soldiers.","authors":"Yeon Seo Lee, Youngil Lee, Myung Ho Lim","doi":"10.3390/healthcare13182356","DOIUrl":"10.3390/healthcare13182356","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Suicide is the leading cause of death among South Korean military soldiers, accounting for more than 70% of all deaths. This issue is particularly relevant in the military context due to the nature of living in groups in a controlled environment. This study was conducted active-duty south Korean male soldiers aged 18 to 28 who were performing mandatory military service for one year and six months. Additionally, it compares and analyzes the differences in suicidal ideation and risk factors between military soldiers and a comparison group consisting of males in their 20s without military experience. <b>Methods</b>: This study included 248 Korean soldiers and 292 general controls, totaling 540 participants. The research instruments used for evaluation included the Beck Scale of Suicide Ideation (BSI), the Childhood Trauma Questionnaire (CTQ-SF), the Perceived Stress Scale (PSS), the Difficulties in Emotion Regulation Scale (DERS-16), the Barratt Impulsiveness Scale Version 11 (BIS-11), the Rosenberg Self-Esteem Scale (RSES), the Patient Health Questionnaire-9 (PHQ-9), the Generalized Anxiety Disorder 7-item scale (GAD-7), the UCLA Loneliness Scale (UCLAS), and the State-Beck Hopelessness Scale (S-BHS). <b>Results</b>: The results of this study showed that suicidal ideation, depression, anxiety, impulsivity, and self-esteem were significantly higher in the military group compared to the comparison group. Conversely, emotional dysregulation was considerably lower in the soldiers than in the comparison group. No significant differences were found in childhood trauma, stress, loneliness, and hopelessness between the two groups. Multiple regression analysis within the military group revealed that childhood trauma, hopelessness, and depression were major factors influencing suicidal ideation. <b>Conclusions</b>: These findings will help identify risk factors for suicide among soldiers and develop effective intervention strategies to prevent it.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 18","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469598/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145174767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Demographic Profile and Work Stress of Nursing Professionals in Public Hospitals in Aracaju, Sergipe.","authors":"Tânia Pereira Dos Santos, Jeane Dos Santos Ferreira, Calliandra Maria de Souza Silva, Izabel Cristina Rodrigues da Silva, Rita de Cássia Coelho Almeida Akutsu","doi":"10.3390/healthcare13182347","DOIUrl":"10.3390/healthcare13182347","url":null,"abstract":"<p><p><b>Background:</b> Occupational or work-related stress remains a persistent challenge in nursing, often intensified by sociodemographic factors. In Brazil's Northeast, particularly in Aracaju, Sergipe, public hospital nurses face unique stressors shaped by regional socioeconomic conditions. <b>Objective:</b> This cross-sectional exploratory study aimed to examine the relationship between perceived work-related stress and the sociodemographic profiles of nursing professionals in three public hospitals in Aracaju. <b>Methods:</b> Data were collected via an online questionnaire incorporating the Perceived Stress Scale (PSS-10) and sociodemographic items. <b>Results:</b> Among 440 participants-comprising nurses (42%), nursing technicians (38.2%), nursing assistants (8.9%), and specialists (10.9%)-moderate to high stress levels were most prevalent among nursing technicians and assistants. Elevated stress was notably associated with adult women working in high-complexity sectors (e.g., pediatrics, obstetrics, ICU), particularly those without partners, earning low incomes, and with over ten years of professional experience. <b>Conclusions</b>: The findings highlight a vulnerable subgroup within the nursing workforce and underscore the need for targeted interventions to mitigate occupational stress in public healthcare settings. This study contributes region-specific insights into the intersection of stress and sociodemographic factors, offering a foundation for future policy and support strategies.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 18","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145174793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Disease-Specific Care Certification on Total Medical Costs for Joint Replacement Surgeries.","authors":"Yen-Liang Lai, Liang-Hsi Kung, Chih-Ming Kung, Yu-Hua Yan","doi":"10.3390/healthcare13182345","DOIUrl":"10.3390/healthcare13182345","url":null,"abstract":"<p><p><b>Background/Objectives:</b> This study investigates the impact of Disease-Specific Care Certification (DSCC) on total medical costs associated with joint replacement surgeries in Taiwan. <b>Methods:</b> Using retrospective inpatient data from a regional hospital, we analyzed 660 cases of primary total knee replacement (DRG20903), total hip replacement (DRG20904), and unicompartmental knee replacement (DRG20905) classified under Taiwan's Tw-DRG system. The dataset covered a 24-month period before certification and a 17-month period after certification, allowing for a comparison of cost changes associated with DSCC implementation. <b>Results:</b> While total medical costs increased slightly following certification, the differences across DRG categories were not statistically significant. However, significant increases were observed in rehabilitation costs (all DRGs), surgical costs (DRG20904 and DRG20905), anesthesia costs (DRG20904), and injection-related costs (DRG20905), indicating increased investment in standardized postoperative care. In contrast, blood transfusion and special materials costs significantly decreased in DRG20905, possibly reflecting improved care coordination and resource optimization. Additionally, the proportion of patients with prolonged hospital stays (≥11 days) declined significantly, suggesting potential efficiency gains. <b>Conclusions:</b> These findings imply that DSCC may facilitate better resource allocation and clinical standardization without substantially increasing overall medical expenditures, offering valuable insights for hospital administrators and policymakers operating under global budgeting systems.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 18","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145174771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Table Tennis for Health: A Multidimensional Perspective on Its Physical, Emotional, and Social Advantages.","authors":"Pilar Aparicio-Chueca, Noa Muñoz-Vila","doi":"10.3390/healthcare13182352","DOIUrl":"10.3390/healthcare13182352","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Table tennis is commonly perceived as a recreational or competitive sport; however, growing evidence highlights its potential as a multidimensional tool for health promotion. This study investigates the perceived physical, cognitive, emotional, and social benefits of regular table tennis practice, emphasizing its contribution to health beyond the purely sporting dimension. <b>Methods</b>: A mixed-method design with a predominantly quantitative approach was employed. A structured questionnaire was administered to 329 table tennis players in Catalonia. Descriptive statistics, exploratory factor analysis (EFA), multiple linear regression, Pearson correlations, and hierarchical cluster analysis (Ward's method) were conducted to examine perceived benefits and identify user profiles. Factor analysis revealed two dimensions: physical-cognitive and emotional-social benefits. <b>Results</b>: The EFA produced a robust two-factor structure, explaining 76.6% of the variance (KMO = 0.941; Bartlett's test, <i>p</i> < 0.001). Both dimensions showed excellent internal consistency (Cronbach's α > 0.91). Regression analysis demonstrated that both factors significantly predicted the overall perception of table tennis as a health-enhancing activity (R² = 0.199), with physical-cognitive benefits exerting the strongest effect (β = 0.375; <i>p</i> < 0.001). Cluster analysis identified three distinct profiles: Skeptical, Functional, and Integrative-with significant differences in perceived benefits (η² = 0.710 for the emotional-social factor). <b>Conclusions</b>: Table tennis emerges as an inclusive, low-impact activity with strong potential to foster physical, emotional, and social well-being. Its accessibility and adaptability make it appropriate for diverse populations. These findings support its inclusion in public health strategies and community programs promoting holistic wellness. Future research should further explore motivational drivers across profiles and extend analyses to underrepresented populations.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 18","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145174827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Survey on Digital Solutions for Health Services Management: Features and Use Cases from Brazilian National Literature.","authors":"Ericles Andrei Bellei, Cleide Fátima Moretto, Carla Maria Dal Sasso Freitas, Ana Carolina Bertoletti De Marchi","doi":"10.3390/healthcare13182348","DOIUrl":"10.3390/healthcare13182348","url":null,"abstract":"<p><p><b>Background and Objective:</b> Health services management faces increasing complexity, particularly in developing countries such as Brazil. Digital tools play a central role in optimizing health service operations, yet synthesized evidence on manager-focused applications remains limited. This study aimed to survey digital innovations for management within the Brazilian context. <b>Methods:</b> We systematically reviewed the complete proceedings of the Brazilian Symposium on Computing Applied to Health (SBCAS) from 2001 to 2024, identifying 26 studies that met eligibility criteria based on managerial relevance. <b>Results:</b> Applications identified predominantly addressed hospital management (e.g., resource scheduling and process optimization) and public health surveillance (e.g., disease prediction and monitoring), employing technologies such as machine learning and simulation. These tools primarily leveraged structured administrative data from national health information systems, reflecting existing data infrastructure capabilities. The reported implications suggest improvements in decision-making through optimized resource allocation (e.g., ICU beds and staffing), streamlined operational processes (e.g., bottleneck identification), enhanced planning and monitoring capabilities (e.g., endemic disease control and telemonitoring programs), and more timely, targeted public health surveillance (e.g., georeferenced analysis). <b>Conclusions:</b> The identified research aligns with global digital health trends but is also tailored to the complex realities of the healthcare system. Despite significant technical advancements, these digital solutions predominantly remain at the prototype stage, highlighting a gap between academic innovation and real-world deployment. Realizing the benefits of these tools will require a concerted effort to move beyond technical validation, focusing on implementation science, supportive policies, and strategic partnerships to integrate these solutions into managerial practice.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 18","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469461/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145174685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}