Journal of Hospital Administration最新文献_第2页

Physician engagement in quality improvement: A cross-sectional study 医生参与质量改进:一项横断面研究

Journal of Hospital Administration Pub Date : 2023-09-12 DOI: 10.5430/jha.v12n2p22

Christine Shea, Laure Perrier, Melissa Prokopy, Monique Herbert, Sundeep Sodhi, Alia Karsan, Julie Simard, Tyrone Perreira

{"title":"Physician engagement in quality improvement: A cross-sectional study","authors":"Christine Shea, Laure Perrier, Melissa Prokopy, Monique Herbert, Sundeep Sodhi, Alia Karsan, Julie Simard, Tyrone Perreira","doi":"10.5430/jha.v12n2p22","DOIUrl":"https://doi.org/10.5430/jha.v12n2p22","url":null,"abstract":"Objective: The positive impact of quality improvement (QI) on organizational and system outcomes has the potential to contribute to a high-performing health system. Physician engagement in QI has been linked to the success and sustainability of improvement initiatives. An informed overview of physicians’ interests in QI, opportunities to be involved in QI efforts, and insights into physicians’ experiences of participation, both in hospital and general practice is critical to understanding the challenges and opportunities for physician engagement in QI. The purpose of this study was to gain insight into both the number of physicians currently trained and participating in QI and identify key barriers preventing physicians from being trained and participating in QI.Methods: A cross-sectional online survey was used to evaluate physician engagement in QI. A total of 231 physicians across Ontario, Canada, participated in the study.Results: Results indicate that leadership should continue to make Quality Improvement (QI) training opportunities available to physicians.Conclusions: If more physicians are to be engaged in QI, there is a need to clearly identify and communicate opportunities for QI projects.","PeriodicalId":15872,"journal":{"name":"Journal of Hospital Administration","volume":"91 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135825919","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}

引用次数: 0

The importance of accurate member identity in the performance of payer organizations 准确的成员身份在支付组织绩效中的重要性

Journal of Hospital Administration Pub Date : 2023-08-20 DOI: 10.5430/jha.v12n2p11

G. Gellert, Mark E. Erwich, Sara Krivicky-Herdman

{"title":"The importance of accurate member identity in the performance of payer organizations","authors":"G. Gellert, Mark E. Erwich, Sara Krivicky-Herdman","doi":"10.5430/jha.v12n2p11","DOIUrl":"https://doi.org/10.5430/jha.v12n2p11","url":null,"abstract":"Objective: To describe perceptions among healthcare payers of the importance of and challenges in ensuring accurate member identity in payer organizational operational performance.Methods: A survey of 35 US healthcare payer executives evaluated perceptions of the importance of accurate member identity to efficient operations and achieving payer strategic priorities, improved financial performance and member satisfaction, and the associated challenges.Results: Healthcare payers were highly aware that accuracy of member identity is essential to operational effectiveness and efficiency (90.0%). Leading organizational challenges were managing high risk members (43.3%) and effective member engagement (40.0%), both impacted by member misidentification. A majority (73.3%) indicated that current system capabilities do not enable the capture and sharing of accurate, complete member identity, with 43.0% stating it was extremely/somewhat difficult to add member data sources and remove member record duplicates. Only 10.0% were moderately or highly satisfied with the accuracy of their existing member identity management solutions.Conclusions: Inability to know “who is who” is perceived by payer organizations as impeding financial performance and growth, operational efficiency, and member engagement/satisfaction. While recognizing that member identity impacts nearly every aspect of payer operations, most payer executives lacked confidence in their organization’s ability and deployed technology to achieve a complete and accurate 360-degree view of members.","PeriodicalId":15872,"journal":{"name":"Journal of Hospital Administration","volume":"3 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91491105","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}

引用次数: 0

The impact of a universal admission order on health system capacity 普遍住院令对卫生系统能力的影响

Journal of Hospital Administration Pub Date : 2023-07-24 DOI: 10.5430/jha.v12n2p6

Kraftin E Schreyer, J. Allan, Michele Jones, Daniel A. DelPortal

{"title":"The impact of a universal admission order on health system capacity","authors":"Kraftin E Schreyer, J. Allan, Michele Jones, Daniel A. DelPortal","doi":"10.5430/jha.v12n2p6","DOIUrl":"https://doi.org/10.5430/jha.v12n2p6","url":null,"abstract":"In our health system with multiple campuses, a universal admissions order (UAO) was introduced to further improve patient flow. We hypothesized that the UAO would more evenly distribute health system capacity, with an increase in admissions to the community affiliate sites. Inpatient and emergency department (ED) metrics were evaluated, and included total admissions, admissions to each clinical site from each ED, the time to the inpatient bed being ready to receive the ED patient, boarding times, and the left without being seen rate. After implementation of the UAO, the average time to inpatient beds being ready to accept ED patients decreased at all three clinical sites by an average of 25 minutes. Admissions were more evenly distributed amongst the three clinical sites, with 3% of all admissions admitted to a new campus. While there were likely other variables at play, there was system-wide reduction in the time to inpatient beds being ready to accept ED patients, and an improvement in boarding at the main clinical site. Our work suggests that a UAO could be a useful adjunct to central capacity management in a health system with multiple clinical campuses.","PeriodicalId":15872,"journal":{"name":"Journal of Hospital Administration","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90265729","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}

引用次数: 0

COVID-19, consequences on psychiatric care and access to mental health services: A patients’ opinions survey COVID-19对精神科护理和获得精神卫生服务的影响:一项患者意见调查

Journal of Hospital Administration Pub Date : 2023-07-18 DOI: 10.5430/jha.v12n2p1

R. Tempier, E. M. Bouattane, Muadi Delly Tshiabo, J. Abdulnour, Helena Jacob

{"title":"COVID-19, consequences on psychiatric care and access to mental health services: A patients’ opinions survey","authors":"R. Tempier, E. M. Bouattane, Muadi Delly Tshiabo, J. Abdulnour, Helena Jacob","doi":"10.5430/jha.v12n2p1","DOIUrl":"https://doi.org/10.5430/jha.v12n2p1","url":null,"abstract":"Objective: The COVID-19 pandemic has (and will continue to have) quite a strong impact on patients whose mental conditions worsen due to isolation, disruption of usual routine, activities, and loss of community support, if not the infection itself. Therefore, exploring and evaluating existing ways and proposing new ways to communicate and maintain a strong therapeutic alliance between therapists and patients was important.Methods: A semi-structured interview based on a homemade grid designed to assess participants’ opinions on access to telehealth services and their efficiency. Period of study: March 2020 to June 2021.Results: Impact of COVID-19 on daily life: 70% experienced isolation due to the pandemic life-changing, 65% experienced anxiety, 42% depression, and 28% anger. Teleconsultations’ perceptions during the COVID-19 pandemic were perceived as a good solution for a pandemic era and no need for displacement (30%). 38% thought that video consultation is a better option than telephone consultations, with 60% stating a similar level of comfort in video/phone consultation compared to in-person. Recommendations to address Mental Health (MH) care delivery soon after this pandemic were: Patients (60%) are interested in accessing a website (or mobile application) on resources of MH services available in their city/region.Conclusions: Results show that isolation and anxiety were the factors most affecting the social life and conditions of participants, with some significant levels of depression and anger. Participants largely accepted the transition to virtual care with some improvements.","PeriodicalId":15872,"journal":{"name":"Journal of Hospital Administration","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79066642","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}

引用次数: 0

Difference in impact on emergency department visits following four major peaks of COVID-19 cases 新冠肺炎病例4个主要高峰后对急诊科就诊影响的差异

Journal of Hospital Administration Pub Date : 2023-06-13 DOI: 10.5430/jha.v12n1p41

W. Chiu, Stanley Toy, John Chon, Steve Giordano, Kaveh Aflakian, Ellie Tsang, Wan-Yi Lin, Pei-Chen Pan, Chia-Hsing Yeh, Ting-Yun Jiang, Chia-Huei Huang, Su-yen Wu, Jonathan Wu

{"title":"Difference in impact on emergency department visits following four major peaks of COVID-19 cases","authors":"W. Chiu, Stanley Toy, John Chon, Steve Giordano, Kaveh Aflakian, Ellie Tsang, Wan-Yi Lin, Pei-Chen Pan, Chia-Hsing Yeh, Ting-Yun Jiang, Chia-Huei Huang, Su-yen Wu, Jonathan Wu","doi":"10.5430/jha.v12n1p41","DOIUrl":"https://doi.org/10.5430/jha.v12n1p41","url":null,"abstract":"Objective: Several variants of SARS-CoV-2 have emerged since its first appearance in 2019, greatly impacting healthcare systems across the globe. Previous literature indicated a substantial decline in emergency department (ED) visits in hospitals since the start of the COVID-19 pandemic. However, little research has been done to compare different variants’ (Ancestral, Alpha, Delta, Omicron, etc.) impact on patients presenting to the ED. Thus, the purpose of this retrospective observational study is to compare the changes in total ED volume following four major peaks of SARS-CoV-2 infection within a multi-hospital health system.Methods: Utilizing electronic healthcare record (EHR) data, total ED visits (484,268) and COVID-19 case counts (24,358) were collected and analyzed to compare ED census and COVID-19 trends across four years and four variant peak periods, from January 2019 to June 2022.Results: Results showed that ED visits declined after the first two major peaks (Ancestral and Alpha) in COVID-19 cases, which was consistent with national trends and prevailing literature. In contrast, ED visits increased following the fourth major peak (Omicron) in COVID-19 cases.Conclusions: The increase in ED visits following the fourth major peak was inconsistent with previous literature and trends. This may be attributed to the severity differences between variants, increased vaccination uptake, newly adopted public countermeasures, and evolving perceptions of safety and fear regarding COVID-19. These results underscore the critical importance for health administrators and policy planners to be cognizant of new strategies that alleviate barriers to receiving emergency care, especially during times of crisis.","PeriodicalId":15872,"journal":{"name":"Journal of Hospital Administration","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83269925","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}

引用次数: 0

The importance of achieving a 360-degree view of patient identity: A survey of US healthcare providers 实现患者身份的360度视图的重要性:对美国医疗保健提供者的调查

Journal of Hospital Administration Pub Date : 2023-06-07 DOI: 10.5430/jha.v12n1p31

G. Gellert, Mark E. Erwich, Sara Krivicky Herdman

{"title":"The importance of achieving a 360-degree view of patient identity: A survey of US healthcare providers","authors":"G. Gellert, Mark E. Erwich, Sara Krivicky Herdman","doi":"10.5430/jha.v12n1p31","DOIUrl":"https://doi.org/10.5430/jha.v12n1p31","url":null,"abstract":"Objective: To describe the perceived importance among healthcare leaders of accurate patient identity in meeting organizational needs and objectives for improved clinical, operational and financial performance.Methods: Survey of 100 US healthcare executives evaluated priorities and needs of care organizations as impacted by the imperative to ensure accurate patient identity in care delivery, operations, and meeting strategic objectives.Results: Healthcare executives (72%) reported concern that inaccurate patient identity data reduces care quality/safety and healthcare organization financial performance. Only 14% were highly or extremely satisfied with the accuracy level of their existing patient identity management solutions. Inability to know “who is who” is perceived as increasing risk of patient harm and inferior care outcomes, low patient satisfaction, impeded operational efficiency and financial performance, and a key challenge to achieving strategic initiatives such as digital transformation and effective population health management. Accuracy in patient identity was linked to nearly all strategic priorities, with 60% considering it vital to every aspect of organizational performance, and 64% stating it can improve operational efficiency. Eighty-eight percent regarded accurate patient identity as essential to improving patient experience, care management (75%), and establishing an effective digital front door (73%). Majorities recognized the importance of accurate patient identity to organizational growth initiatives and digital transformation.Conclusions: Although patient identity impacts most aspects of healthcare operations, leadership of most healthcare organizations surveyed understood the criticality of accurate patient identity in optimizing organizational performance, but lacked confidence in their ability to achieve a complete an accurate 360-degree view of patients.","PeriodicalId":15872,"journal":{"name":"Journal of Hospital Administration","volume":"57 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90912635","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}

引用次数: 0

Assessing personal protective equipment compliance in a polish healthcare setting during the COVID-19 pandemic – A pilot case study 评估2019冠状病毒病大流行期间波兰医疗机构的个人防护装备合规性——试点案例研究

Journal of Hospital Administration Pub Date : 2023-06-04 DOI: 10.5430/jha.v12n1p24

Łukasz Rypicz, Corinne Mowrey, I. Witczak, S. Furterer, H. Salehi

{"title":"Assessing personal protective equipment compliance in a polish healthcare setting during the COVID-19 pandemic – A pilot case study","authors":"Łukasz Rypicz, Corinne Mowrey, I. Witczak, S. Furterer, H. Salehi","doi":"10.5430/jha.v12n1p24","DOIUrl":"https://doi.org/10.5430/jha.v12n1p24","url":null,"abstract":"Objective: The purpose of this study is to identify failures in proper Personal Protective Equipment (PPE) usage in a healthcare hospital environment to enhance PPE compliance through proper donning and doffing procedures.Methods: We used naturalistic observation (shadowing) of PPE donning and doffing by healthcare medical staff in their hospital work setting to identify non-conformities to compliant donning and doffing of PPE.Results: We found an average of 1.84 non-conformances per healthcare worker across the donning procedures and 2.06 non-conformances in the doffing procedures per healthcare provider. Nurses experienced 1.94 average non-conformances in the donning procedures, while physicians average 1.75 non-conformances. Nurses experienced 2.29 average doffing nonconformances, while physicians averaged 1.85 average doffing non-conformances during the study. PPE compliance is critical to protect both healthcare workers and patients in the healthcare setting, as well as building a culture of safety.Research implications: Appropriate training and compliance should be performed to ensure appropriate PPE donning and doffing protocols are adhered to, so that it reduces the transmission of disease and infections. Future studies will explore the environmental, cultural and operational factors that contribute to PPE compliance in healthcare.Conclusions: This is the first study to quantify donning and doffing errors of personal protective compliance within the realm of environmental and cultural impacts.","PeriodicalId":15872,"journal":{"name":"Journal of Hospital Administration","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82368394","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}

引用次数: 0

A systematic review of the quality and timeliness of public health data 对公共卫生数据的质量和及时性进行系统审查

Journal of Hospital Administration Pub Date : 2023-05-22 DOI: 10.5430/jha.v12n1p16

W. Bonney

{"title":"A systematic review of the quality and timeliness of public health data","authors":"W. Bonney","doi":"10.5430/jha.v12n1p16","DOIUrl":"https://doi.org/10.5430/jha.v12n1p16","url":null,"abstract":"The quality and timeliness of public health data is a topic of prime concern in this information age. Many epidemiologists, health scientists and researchers in the public health domain have consistently emphasized on the importance of the need for the right timely data for the right decision-making at the right time. In other words, there is an urgent need to ensure that the right data reaches the right people at the right time. However, this urgent need appears to be misleading and not achievable in the current public health practices and workflow processes. The workflow processes in the current healthcare environments enable data collection to be delayed and only to be captured when the events have already occurred. In this paper, a systematic review of relevant scientific literature was used to not only explore the complexity and uniqueness of public health data, but also explain why improving the quality and timeliness of public health data is a challenging endeavor for many epidemiologists, health scientists and researchers. Recommendations for streamlining the public health workflow processes to support the generation of high-quality and timely public health data were also discussed in the paper.","PeriodicalId":15872,"journal":{"name":"Journal of Hospital Administration","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72838077","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}

引用次数: 0

Perceptions of leadership style between nurse managers and their staff in Eastern Saudi Arabia: A cross sectional survey 沙特阿拉伯东部护士管理人员及其员工对领导风格的看法:一项横断面调查

Journal of Hospital Administration Pub Date : 2023-03-29 DOI: 10.5430/jha.v12n1p9

Nourah Alsadaan, A. Kimpton, L. Jones, Cliff Dacosta

{"title":"Perceptions of leadership style between nurse managers and their staff in Eastern Saudi Arabia: A cross sectional survey","authors":"Nourah Alsadaan, A. Kimpton, L. Jones, Cliff Dacosta","doi":"10.5430/jha.v12n1p9","DOIUrl":"https://doi.org/10.5430/jha.v12n1p9","url":null,"abstract":"Background: Understanding nurses’ perceptions about their nurse managers is a crucial element to consider as it helps in the performance of the nurse managers and retention of nurses and reflects the nature of a competent workforce in achieving the organisational goals.Objective: To explore if there is a difference in perceptions of leadership style between nurse managers and their staff and discuss why this occurs.Methods: A cross-sectional descriptive comparative research design was used.Results: Nurse managers rated themselves as using transformational and transactional factors more than the nurses perceived them utilising these various leadership styles. Nurse managers, however, rated themselves lower than nurses in both laissez-faire and management-by-exception-passive.Discussion: The leadership style preferred by the followers is consistently rated higher than the leadership style that their leaders are utilising. Formation of accurate self-perception is a delicate process, especially for people in management positions. Bias in higher self-ratings may occur for several reasons, including gender, which forms the basis of this discussion.Conclusions: The results highlight the need for nurse managers to reflect on their practices and find new ways to enhance their leadership styles.","PeriodicalId":15872,"journal":{"name":"Journal of Hospital Administration","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82931017","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}

引用次数: 0

Zero Trust and the future of cybersecurity in healthcare delivery organizations 零信任与医疗服务机构网络安全的未来

Journal of Hospital Administration Pub Date : 2023-02-09 DOI: 10.5430/jha.v12n1p1

G. Gellert, Sean D. Kelly, Edwin W. Wright, Leslie C. Keil

{"title":"Zero Trust and the future of cybersecurity in healthcare delivery organizations","authors":"G. Gellert, Sean D. Kelly, Edwin W. Wright, Leslie C. Keil","doi":"10.5430/jha.v12n1p1","DOIUrl":"https://doi.org/10.5430/jha.v12n1p1","url":null,"abstract":"Digital care transformation, the proliferation of disruptive technologies and the changing hybrid workforce have forced the evolution of traditional information technology network boundaries of healthcare organizations. The new landscape has rendered legacy existing perimeter defined and based cybersecurity solutions inadequate to meet increasing regulatory and federal demands for highly secure access management. Emerging compliance requirements, coupled with the concerning increase in healthcare data breaches, ransomware attacks, and security incidents targeting the healthcare sector, have transformed our historic notion of trust into an organizational vulnerability. A “Zero Trust” approach to information security is driven by an imperative to “never trust, always verify,” and requires strict, rigorous and continuous identity verification to minimize trust zones and their associated risk of security breach. Healthcare delivery organizations need to appreciate the importance of a Zero Trust strategy in reducing vulnerabilities, strengthening health system information security, and preventing successful security breaches, while also recognizing how identity and access management serves as the foundation of achieving Zero Trust.","PeriodicalId":15872,"journal":{"name":"Journal of Hospital Administration","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85726612","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}

引用次数: 0