Journal of hospital medicine最新文献

{"title":"Prevalence and costs of US pediatric hospitalizations, 2022","authors":"Anna J. Lytchakov BA,&nbsp;Nathan M. Money DO,&nbsp;Jennifer A. Hoffmann MD, MS,&nbsp;Todd A. Florin MD, MSCE,&nbsp;Kenneth A. Michelson MD, MPH,&nbsp;Sriram Ramgopal MD","doi":"10.1002/jhm.70272","DOIUrl":"10.1002/jhm.70272","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Pediatric hospitalizations represent an evolving component of US healthcare utilization. The coronavirus disease 2019 (COVID-19) pandemic hastened rising mental health visits and shrinking rural hospital capacity. Understanding contemporary patterns in pediatric hospitalizations is critical to inform health system planning and policy decisions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To describe the most common and costly diagnoses among US pediatric hospitalizations in 2022, using 2016–2019 data to contextualize trends in admission volume and cost.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a cross-sectional analysis of nonlive birth admissions for children (&lt;18 years) using the 2022 Kids' Inpatient Database, the largest US all-payer pediatric inpatient data set, supplemented by an evaluation of volume trends from 2016 to 2019. We evaluated the most common and costly diagnoses in 2022 and evaluated trends in volumes and costs from the prior study years.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There were 1.78 million pediatric hospitalizations in 2016, 1.69 million in 2019, and 1.59 million in 2022, representing a 10.5% overall decline. In 2022, the most common diagnoses were bronchiolitis (7.0%), major depressive disorder (5.2%), and respiratory failure (5.0%). Mental health conditions (major depressive disorder, mood disorder, and suicide and self-inflicted injury) comprised three of the 20 most frequent diagnoses. Inflation-adjusted costs increased from $32.1 billion in 2016 to $35.9 billion in 2022. The costliest conditions in 2022 included respiratory failure, septicemia, and chemotherapy. Rural hospitals represented only 3.1% of admissions in 2022, down from 4.5% in 2016.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Pediatric inpatient care is increasingly centralized in urban and children's hospitals. Respiratory and mental health conditions are among the common conditions requiring hospitalization. These findings highlight the need for stronger regional coordination to support access to pediatric care for these common conditions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 8","pages":"872-880"},"PeriodicalIF":1.8,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13050237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146151550","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":"Corporate ownership of hospitals and physician unionization","authors":"Daniel S. Bowling III JD, MAPP","doi":"10.1002/jhm.70358","DOIUrl":"10.1002/jhm.70358","url":null,"abstract":"","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 8","pages":"960-961"},"PeriodicalIF":1.8,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of timing of morning blood draws on sleep quantity and quality in hospitalized patients","authors":"Munyaradzi Stanley Chakabva MD,&nbsp;Mindy Flanagan PhD,&nbsp;Michelle Drouin PhD,&nbsp;Donna Dodds MD,&nbsp;Ya Gao MD,&nbsp;Brandon Gordon MD,&nbsp;Mallika Gyawali MD,&nbsp;Haider Khalil MD,&nbsp;Payal Shukla MD,&nbsp;Katie Wyatt MD,&nbsp;Emily Schroeder MD, PhD","doi":"10.1002/jhm.70269","DOIUrl":"10.1002/jhm.70269","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Sleep deprivation significantly impacts millions of hospitalized patients and is a critical factor in their recovery process. One major contributor to sleep disturbances is early morning blood draws.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study investigated the effect of delaying early morning blood draws by 2 h on both sleep quality and quantity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this quasi-experimental study, we recruited adult medical patients admitted to two similar acute medical units. Patients in one unit were assigned to have their routing morning blood draws at the usual time of 4:00 a.m., while those in the other unit had their blood draws delayed until 6:00 a.m. Primary outcomes of sleep quality and quantity were evaluated using two primary measures: the Richards–Campbell Sleep Questionnaire (RCSQ) and self-reported sleep duration.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 128 patients were included (64 in the 4:00 a.m. group and 64 in the 6:00 a.m. group). The timing of blood draws was significantly associated with sleep quality, with a higher mean sleep quality score in the 6:00 a.m. group of 63.7 (standard deviation [SD] = 21.8) compared with a mean of 53.2 (SD = 22.1) (<i>p</i> = .006) in the 4:00 a.m. group. Additionally, the 6:00 a.m. group averaged 7.0 h of sleep (SD = 2.6), while the 4:00 a.m. group averaged 5.9 h (SD = 2.5) (<i>p</i> = 0.02).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Relevance</h3>\u0000 \u0000 <p>This study found that among hospitalized adult patients, later morning blood draw times were associated with better sleep quality and longer sleep duration compared with earlier morning blood draw times.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 8","pages":"864-871"},"PeriodicalIF":1.8,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Things We Do for No Reason™: Withholding opioids among patients with acute pain and opioid use disorder","authors":"Anna-Maria South MD,&nbsp;Susan L. Calcaterra MD, MPH, MS,&nbsp;Marlene Martin MD","doi":"10.1002/jhm.70295","DOIUrl":"10.1002/jhm.70295","url":null,"abstract":"<p>Hospitalists care for patients with acute pain who have an opioid use disorder and require pain management. Hospitalists may withhold opioids for acute pain due to a variety of reasons. However, adequate pain management in patients with opioid use disorder, including with opioids, is the standard of care. This piece explains how to best manage acute pain in hospitalized patients with opioid use disorder with supportive evidence and discharge planning considerations.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 8","pages":"928-931"},"PeriodicalIF":1.8,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13422094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147278018","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":"Perspectives on increasing corporate ownership and unionization in hospital medicine: An exploratory mixed methods study","authors":"Marisha Burden MD, MBA,&nbsp;Angela Keniston PhD, MSPH,&nbsp;Gopi Astik MD, MS,&nbsp;Catherine Callister MD,&nbsp;Thomas Frederickson MD,&nbsp;Michael Hendricks MD,&nbsp;Kirsten N. Kangelaris MD,&nbsp;Anna Maw MD, MS,&nbsp;Samantha Murray-Bainer MD,&nbsp;Rachel J. Peterson MD,&nbsp;Luci K. Leykum MD, MBA, MSc,&nbsp;Workforce Emerging Trends Work Group","doi":"10.1002/jhm.70285","DOIUrl":"10.1002/jhm.70285","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Multiple workforce trends are reshaping the healthcare landscape including the growing influence of corporate ownership of healthcare systems and physician practices, including private equity (PE) and venture capital (VC) investments, and a rise of physician unionization.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Explore experiences and perceptions regarding these trends.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An exploratory embedded mixed methods design with a 15-question survey and semi-structured virtual focus groups held on May 14, 2024 and July 17, 2024 using rapid qualitative methods.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty-three individuals from 26 different organizations participated, with 28 participants completing the embedded survey. Most were physicians (93%) and leaders (36%) primarily from nonprofit or academic organizations. Participants (18%) stated that members in their hospitalist group were actively considering unionization. There were four themes: (1) the business of healthcare is perceived to create misalignment between clinicians and health systems, with corporatization, particularly PE, seen as adding to these challenges, (2) healthcare workers increasingly feel voiceless in a margin-focused environment, contributing to unionization efforts, (3) unionization was seen as an advocacy tool with benefits and drawbacks including conflicts with professional values, and (4) participants, primarily physicians, felt poorly informed about unionization and had a wide range of views on the topic. PE/VC was viewed as predominantly negative though varied by context.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>In this exploratory study, participants perceived corporatization, including PE investment, as influencing clinician interest in unionization. While causal relationships cannot be inferred, findings suggest that unionization may be used as a mechanism for clinicians to regain voice with participants also noting potential uncertainties and drawbacks.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 8","pages":"898-910"},"PeriodicalIF":1.8,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"#JHMWrapped 2025","authors":"Shaheen Fatima MD,&nbsp;Sophie B. Sun MD, PhD,&nbsp;Jennifer A. Woodard MD,&nbsp;Catherine Glatz MD, FHM,&nbsp;Joseph S. Thomas MD, FHM,&nbsp;Michelle N. Brooks MD, FACP, SFHM,&nbsp;Jennifer K. Readlynn MD, FHM, SFHM","doi":"10.1002/jhm.70325","DOIUrl":"10.1002/jhm.70325","url":null,"abstract":"<p>The <i>Journal of Hospital Medicine</i> Digital Media Team celebrates 20 years of publishing with this perspective, highlighting some of the most popular and impactful articles from 2025. Themes for the year emerged from clinical care, communication, hospital operations, and pediatric hospital medicine. While the team wishes to celebrate the work of all authors, reviewers, and editorial team members, they are happy to share a small sampling and invite readers to find their own favorites, too.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 8","pages":"932-942"},"PeriodicalIF":1.8,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147793273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early outpatient follow-up, hospital-free survival, and health-related quality of life in older adults after hospitalization for acute myocardial infarction","authors":"Alexandra Hajduk PhD, MPH,&nbsp;Lisa M. Kern MD, MPH,&nbsp;Jason R. Falvey DPT, PhD,&nbsp;Jingjing Shang PhD,&nbsp;Jeph Herrin PhD,&nbsp;Sui Tsang MS,&nbsp;Allison Aviles MPH,&nbsp;Sarwat I. Chaudhry MD","doi":"10.1002/jhm.70361","DOIUrl":"10.1002/jhm.70361","url":null,"abstract":"<p>Current evidence regarding the benefits of early outpatient follow-up for older adults after acute myocardial infarction (AMI) is conflicting, and prior studies may have been impacted by confounding by indication by not accounting for geriatric vulnerabilities. We used data from a unique nationwide cohort of older adults hospitalized with AMI, linked to Medicare data, that captured rich data on geriatric vulnerabilities and other potentially influential covariates. We used inverse-probability of treatment-weighted analyses to evaluate associations of early outpatient follow-up with hospital-free survival and physical and health-related quality of life 180 days post-discharge. More than two-fifths of the 1539 participants had a follow-up visit within 7 days, and one quarter had a follow-up visit within 8–14 days. Geriatric vulnerabilities were not more prevalent among participants receiving early outpatient follow-up, and early outpatient follow-up was not associated with differences in hospital-free survival or risk of decline in health-related quality of life.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 8","pages":"911-917"},"PeriodicalIF":1.8,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhm.70361","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148267505","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 qualitative study of physician trainee experiences with pregnancy and parenthood","authors":"Maia Taft MD,&nbsp;Sophia Rifkin MD, MS,&nbsp;Benjamin Miller MD,&nbsp;Eleanor Sharp MD, MS,&nbsp;Traci M. Kazmerski MD, MS","doi":"10.1002/jhm.70237","DOIUrl":"10.1002/jhm.70237","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Graduate medical education policies surrounding parental leave, lactation support, and childcare resources vary widely. Limited studies focus on the perceptions of residents and fellows regarding childbearing and parenting during training.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To explore physician trainee experiences with pregnancy and parenthood to inform policies and strengthen support for physicians-in-training.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We interviewed trainee parents between May and June 2022 at a large institution using structured interviews conducted virtually, transcribed, and deidentified. We independently coded interview transcripts and used inductive and deductive analysis to identify key themes and representative quotations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We interviewed 28 participants (mean age 32.6 (2.8) years, 23 [82%] women, 5 [29%] surgical specialty) and identified five major themes: (1) The timeline of training creates unique challenges for family planning, related to parental age, infertility/miscarriage, and geographic limitations for partner/family support; (2) Trainee parents rely on support from their partner, extended family, and friends/co-trainees; (3) Trainee parents report misinformation and lack of transparency with parental leave policies; (4) The work environment poses significant challenges to meeting breastfeeding goals; and (5) Trainee parents report inadequate and unreliable childcare, related to limited availability, cost, and lack of back-up childcare options.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Trainee parents face unique challenges related to pregnancy and raising a family during their graduate medical education. Trainees would benefit from improved communication related to parental leave policies, breastfeeding education for faculty, on-site childcare, and stipends for childcare/breast pumps. These results have important implications for institutional policies and reveal additional opportunities to promote trainee parents' wellness.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 7","pages":"724-731"},"PeriodicalIF":1.8,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145530902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An innovative model for geriatric fellowship training for hospitalists","authors":"Catherine Nicastri MD,&nbsp;Sadia Abbasi MD, MHA,&nbsp;Suzanne Fields MD","doi":"10.1002/jhm.70209","DOIUrl":"10.1002/jhm.70209","url":null,"abstract":"<p>Despite a rising demand for geriatricians, fewer than 1% of physicians have achieved board certification in the subspecialty. Most geriatrics fellowship programs offer a traditional 1-year, full-time training model, which is often financially and logistically challenging for residency graduates who wish to pursue hospitalist careers. To address this challenge, we developed an innovative 2-year combined Geriatric Medicine Fellowship–Hospitalist track using an Accreditation Council For Graduate Medical Education- and American Board of Internal Medicine-approved interrupted training model. We describe the novel structure and implementation approach, offering a replicable framework for academic institutions seeking to strengthen their geriatrics workforce development and facilitate an age-friendly health system.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 7","pages":"814-818"},"PeriodicalIF":1.8,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145282307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A national needs assessment to inform simulation-based education for pediatric hospital medicine","authors":"Laura Goldstein MD, MSEd,&nbsp;Chris Feudtner MD, PhD, MPH,&nbsp;Anne Ades MD, MSEd,&nbsp;Rebecca Tenney-Soeiro MD, MSEd,&nbsp;Roberta Hales MHA, RRT-NPS, RN, CHSE, EDAC,&nbsp;Sophia Tan MS,&nbsp;Akira Nishisaki MD, MSCE","doi":"10.1002/jhm.70274","DOIUrl":"10.1002/jhm.70274","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Pediatric Hospital Medicine (PHM) has historically underutilized simulation-based medical education (SBME), a proven methodology for improving education and patient care. This study sought to identify and prioritize simulation-appropriate topics to inform a comprehensive PHM SBME curriculum for practicing hospitalists.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In Phase 1, local and national PHM and simulation experts generated and refined a list of potential topics, categorized into cognitive, psychomotor, and affective domains. In Phase 2, a nationally representative sample of pediatric hospitalists from the Pediatric Research in Inpatient Settings (PRIS) Network ranked their top six topics within each domain. Mean priority scores were calculated for each topic, and high-priority topics (HPTs) were identified utilizing natural breaks analysis, then expanded to balance topics across domains.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Topic generation and expert panel refinement yielded 19 cognitive, 26 psychomotor, and 12 affective topics. These were prioritized by 52 pediatric hospitalists (of 99 [53%] surveyed). Fifteen HPTs were identified: five cognitive (respiratory distress/failure, shock, behavioral escalation, medical technology failure, sepsis), five psychomotor (lumbar puncture, bag-valve-mask ventilation, tracheostomy management, enteral tube management, chest compressions), and five affective (patient/family communication, de-escalation, interprofessional collaboration, handoffs, diagnostic error avoidance strategies) topics. Subgroup analysis revealed small variations across rater demographic characteristics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Fifteen top-rated PHM SBME topics are suitable for inclusion in a comprehensive curriculum that can be adapted at diverse institutions nationwide. Implementation may augment existing continuing medical education in PHM to help standardize care for hospitalized children.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 7","pages":"777-785"},"PeriodicalIF":1.8,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146215203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}