Journal of Health Organization and Management最新文献

{"title":"Management and administration and non-clinical services staff experiences of co-worker unprofessional behaviour and their reported speaking-up skills: a survey across seven Australian hospitals.","authors":"Ryan Daniel McMullan, Tim Badgery-Parker, Ling Li, Rachel Urwin, Johanna Westbrook","doi":"10.1108/JHOM-04-2024-0164","DOIUrl":"https://doi.org/10.1108/JHOM-04-2024-0164","url":null,"abstract":"<p><strong>Purpose: </strong>Unprofessional behaviour is highly prevalent among hospital staff and negatively impacts staff wellbeing and patient care. Little is known about the experiences of non-clinical staff. We aimed to examine the types and prevalence of unprofessional behaviour experienced by management/administration staff and non-clinical services staff and their self-reported speaking-up skills.</p><p><strong>Design/methodology/approach: </strong>A survey was distributed to staff across seven hospitals. Staff were surveyed about their experiences of 21 incivility/bullying behaviours and 5 extreme unprofessional behaviours and about their speaking-up skills. Management/administration staff and non-clinical services staff responses were included in our analysis. We used multivariable logistic regression to examine the associations between unprofessional behaviour, respondent characteristics and speaking-up.</p><p><strong>Findings: </strong>The response rate for management/administration staff was 48.2% (N = 804) and 19.0% for non-clinical services staff (N = 525). Approximately 89% (N = 712; 95% CI, 86.6-90.7%) of management/administration and 80% (N = 422; 95% CI, 77.1-83.6%) of non-clinical services' respondents experienced incivility/bullying at least once in the preceding 12 months. Management/administration respondents who reported having speaking-up skills experienced frequent incivility/bullying less often (odds ratio [OR], 0.63; 95% CI, 0.44-0.91). This relationship was not found for non-clinical services' respondents (OR, 0.82; 95% CI, 0.51-1.32). There were no differences in the experience of extreme unprofessional behaviour for respondents who reported having speaking-up skills versus those that did not.</p><p><strong>Originality/value: </strong>Our results provide new evidence about the experiences of previously neglected groups of hospital staff about unprofessional behaviour, their confidence in speaking-up about it, and possible barriers and enablers for this, to inform practice.</p><p><strong>Highlights: </strong></p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"1-15"},"PeriodicalIF":1.7,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700084","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 relation or effect of investment? Procedural justice and physician authority as factors shaping the well-being of patients.","authors":"Tomasz Prusiński, Stanisław Burdziej, Michał Główczewski","doi":"10.1108/JHOM-03-2024-0091","DOIUrl":"10.1108/JHOM-03-2024-0091","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of the study was to determine the predictive power of two relational factors, procedural justice and legitimacy, against the well-being of patients receiving medical care.</p><p><strong>Design/methodology/approach: </strong>The study sample consisted of 590 patients in treatment for somatic conditions in hospital outpatient clinics. The study was conducted in a correlational scheme. Subjects evaluated their relationship with their chosen doctor. In order to verify the hypotheses, SEM was carried out.</p><p><strong>Findings: </strong>The relationship effect was noted. Procedural justice was a significant and positive predictor of psychological well-being, while distributive justice, i.e. time and money invested by the patient in their treatment, was not. The perceived legitimacy of the doctor was not a significant predictor of the psychological well-being of their patient. The relationship between the experience of procedural justice and psychological well-being was serially mediated by patients' perceived physician legitimacy and perceived life satisfaction.</p><p><strong>Originality/value: </strong>Relational factors shape treatment outcomes operationalized by patients' subjective sense of well-being. Fair patient handling is a predictor of positive treatment outcomes.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"628-640"},"PeriodicalIF":1.7,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814586","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":"The influence of continuous improvement and clinical practice on emergency department (ED) operational performance.","authors":"Kristina Mitreska, Milé Terziovski, Andrew Rixon","doi":"10.1108/JHOM-05-2024-0194","DOIUrl":"10.1108/JHOM-05-2024-0194","url":null,"abstract":"<p><strong>Purpose: </strong>The study tests the relationships between continuous improvement (CI) and clinical practices (CP) with perceived operational performance in Australian and New Zealand (NZ) emergency departments.</p><p><strong>Design/methodology/approach: </strong>A survey instrument was designed to collect data from Australian and NZ Emergency Department physicians to test a model developed from the literature, the continuous improvement and clinical practice (CICP) model. Hypotheses were developed and tested using bivariate correlation analysis and multiple regression analysis.</p><p><strong>Findings: </strong>ED operational performance is positively impacted by CI culture, reinforced by an established CI governance structure built on employee education of CI tools and methods. The lack of nonclinical time allocation for CI activities has remained a major impediment for the implementation of a sustainable CI culture. The study found physicians experience tension between continuous improvement and clinical practice.</p><p><strong>Practical implications: </strong>Developing a CI mindset across all levels of emergency departments would encourage staff to embrace change to support the implementation of CI and to improve clinical practices. The study highlights potential implications for national bodies, academics, policymakers and ED physicians. Study insights suggest that continuous improvement and effective clinical practices are crucial for enhancing ED performance results in their day-to-day responsibilities.</p><p><strong>Originality/value: </strong>The paper is original by applying methodological rigour to identify the best predictors of performance in EDs and how a theoretical causal model can be tested to identify the best predictors of operational performance in EDs.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"605-627"},"PeriodicalIF":1.7,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013982","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":"The effect of lean leadership on workload and job satisfaction: the moderating effect of workload and gender.","authors":"Mustafa Nal, Erhan Dag, Yasar Demir","doi":"10.1108/JHOM-08-2024-0330","DOIUrl":"10.1108/JHOM-08-2024-0330","url":null,"abstract":"<p><strong>Purpose: </strong>The first aim of this study is to determine the effect of lean leadership on the workload and job satisfaction of healthcare workers, and the second aim is to reveal the moderating role of workload and employee gender in this relationship.</p><p><strong>Design/methodology/approach: </strong>In this study, we created a comprehensive model to determine the effect of lean leadership on the workload and job satisfaction of healthcare employees and to reveal the moderating role of workload and employee gender in this relationship. We collected 1,207 valid questionnaires among Turkish health workers.</p><p><strong>Findings: </strong>The results indicate that: (1) Lean leadership reduces perceived workload, (2) Lean leadership increases job satisfaction, (3) Workload moderates the effect of lean leadership on job satisfaction and (4) Employee gender moderates the effect of lean leadership on job satisfaction and workload. These findings have provided theoretical and practical suggestions for reducing the workload and increasing the job satisfaction of healthcare employees. Finally, we will make some suggestions for the future.</p><p><strong>Research limitations/implications: </strong>As with other studies, there are some limitations in this study. The data used in this study were collected in Turkey. Turkish culture has a more collectivist culture than Western countries (Koksal 2011). In addition, the research was carried out with the participation of health employees. Due to Turkish cultural characteristics and the characteristics of health services, the generalization of research results may be limited. Therefore, it is recommended that the research be repeated across different cultures and different sectors to determine whether our results are culture-specific, sector-specific or generalized.</p><p><strong>Practical implications: </strong>Healthcare managers can reduce the perception of employees' workload by showing lean leadership behavior. Healthcare managers can increase their job satisfaction by valuing employees, inviting them to participate in business processes and providing them with the resources they need.</p><p><strong>Social implications: </strong>In order to maintain and increase health workers' job satisfaction, we recommend that health managers should ensure fair job sharing. In addition, health managers should take into account that female employees are more sensitive about the workload.</p><p><strong>Originality/value: </strong>This research is the first study to examine the effect of lean leadership behavior on healthcare professionals' workload perception and job satisfaction. Therefore, it offers important theoretical and practical implications.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"712-728"},"PeriodicalIF":1.7,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856008","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":"Adjustmentalisation - digitalisation as transformation process and the interplay between a digital logic and diverse primary care logics in Sweden.","authors":"Karl Maack, Nanna Gillberg, Ewa Wikström","doi":"10.1108/JHOM-07-2024-0281","DOIUrl":"10.1108/JHOM-07-2024-0281","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;This study aims to contribute with knowledge on the characteristics of the process of co-existence of value conflicts between managers, markets/businesses, patients, professionals and digital technology in primary care practices, to be able to nuance the array of descriptions of the consequences of introducing a digitalised care practice, such as telemedicine, into an already existing primary care organisation. Due to its organisational structure and dynamic environment with a multitude of professions and patients as well as influenced by managerial and market drivers, the primary care setting provides fertile ground for studying value conflicts from an institutional logic perspective.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design/methodology/approach: &lt;/strong&gt;This multi-source study utilises qualitative thematic content analysis on empirical data collected through interviews, a survey and documents, followed by an iterative analysis in regard to institutional logics based on the themes developed from empirical data.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Findings: &lt;/strong&gt;Coexistence and Adaptation: Different logics coexist and transform through adjustmentalisation rather than competing or dominating each other. Digital Technology's Influence: Digital technology influences and interacts with all established logics, potentially acting as a separate, evolving logic. Changing Healthcare Conditions: New conditions and digital solutions in healthcare may shift the balance of logics, potentially normalising managerial and market logics. Patient Empowerment and Data Ownership: Increasing emphasis on patient empowerment and transparent data processing under regulations like General Data Protection Regulation (GDPR) and Medical Devices Regulation (MDR).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Research limitations/implications: &lt;/strong&gt;With its qualitative design there is not an emphasis on generalisability. The study is performed in a Swedish primary care setting.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Practical implications: &lt;/strong&gt;Regarding its practical implications, this study examines digitalisation and the introduction of eHealth solutions in primary care in Sweden. The adjustmentalisation of diverse institutional logics described in this study was used to try to facilitate the implementation of eHealth and telemedicine in primary care. This practical contribution could be used in other primary care organisation that plans to introduce eHealth solutions as part of their practices. This study may also have practical implications for other healthcare organisations since the presence of diverse institutional logics is not unique to primary care.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Originality/value: &lt;/strong&gt;Firstly, this study confirms earlier studies that argue that co-existence of diverse logics is possible in everyday practice. However, we show that adjustmentalisation of the diverse logics rather than the balance of strengths between them, facilitates the transformation, regulation and coordination of the new eHealth practice in rela","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"744-763"},"PeriodicalIF":1.7,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075839","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":"Stakeholder management and financial sustainability in philanthropic hospitals.","authors":"Antônio Ronaldo Madeira de Carvalho, Gérson Tontini","doi":"10.1108/JHOM-07-2024-0286","DOIUrl":"10.1108/JHOM-07-2024-0286","url":null,"abstract":"<p><strong>Purpose: </strong>This paper explores how the maturity of social relationship management in philanthropic hospitals affects community engagement as well as economic and financial support.</p><p><strong>Design/methodology/approach: </strong>The research is based on a sample of 121 philanthropic hospital organizations located in Brazil, answered by hospital managers. Using structural equation modeling, this study examines how the hospital's maturity in managing community relations influences both the community's engagement with the hospital and its economic and financial support. The model is related to the maturity of community relationship management (technology, process, people, strategy and organizational culture), community engagement (interactivity, social presence and loyalty) and community economic and financial support.</p><p><strong>Findings: </strong>The results reveal that community involvement positively impacts economic and financial support, but there is no positive and direct correlation between the maturity of community relationship management and economic and financial support. As hospitals mature in management practices, community involvement in economic and financial support tends to decrease. Nevertheless, effective community engagement remains crucial for economic and financial support. The study emphasizes the need for structured relationship management within philanthropic hospitals and the implementation of effective strategies for community involvement.</p><p><strong>Originality/value: </strong>This study introduces a new model for evaluating the maturity of hospital-community relationship management.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"665-687"},"PeriodicalIF":1.7,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819387","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":"Joy, sorrow and invisible work and theoretical inconveniences in the labour process of community nurses.","authors":"Lise Elliott, Naomi Chambers","doi":"10.1108/JHOM-09-2023-0274","DOIUrl":"10.1108/JHOM-09-2023-0274","url":null,"abstract":"<p><strong>Purpose: </strong>This paper uses data from an ethnographic study of a group of NHS community nurses in England, to analyse their work using labour process theory. A theory influenced by Marxist thinking, which is concerned with the examination of the labour process. This study of the nurses' work provides insights into their labour process, as well as proposing theoretical development relating to labour process theory.</p><p><strong>Design/methodology/approach: </strong>The paper has been developed using data from an ethnographically oriented study of a group of community nurses. Data was produced from 140 h of field observations and also semi-structured interviews with six, community nurses. The data produced from field observations and interview transcripts were analysed thematically and theory building was developed inductively.</p><p><strong>Findings: </strong>The analysis within this paper highlights two areas of the nurses' work and both illustrate the theoretical difficulties raised, when using labour process as a tool for analysis, as well as its usefulness. These two areas of work are aspects of invisible work and feelings of joy and sorrow; analysis of both these areas supports a theorising of a distinct relationship between nurse and patient. That is, a relationship between worker and human product, which the paper argues should be accommodated within labour process theory.</p><p><strong>Research limitations/implications: </strong>More research is required to understand the nature of the proposed social relation in production, particularly with reference to other types of worker, in other caregiving settings. As the demands on healthcare workers and other public sector workers are likely to remain consistently high, improved analytical tools to support research into the nature of caregiving work seem both prudent and timely.</p><p><strong>Originality/value: </strong>Labour process theory is a useful (but often under-used and rather unfashionable) tool in the analysis of service-based, public sector work. This paper proposes a theoretical development within labour process theory, which would recognise a social relation in production between a worker and their human product, based on empirical data from a study of community nurses. This theoretical development has the potential to improve the usefulness of labour process theory in the analysis of caregiving labour.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"729-743"},"PeriodicalIF":1.7,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984959","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":"Enhancing healthcare quality and patient safety: exploring the impact of working environment, support and communication.","authors":"Vijayasree S, Praveen Kumar P, Harini S, Raja Shree K C","doi":"10.1108/JHOM-11-2024-0485","DOIUrl":"https://doi.org/10.1108/JHOM-11-2024-0485","url":null,"abstract":"<p><strong>Purpose: </strong>Patient safety is referred to as well-being, an acute concern in healthcare that directly impacts the quality of care delivered. This research examines the underlying factors influencing patients' well-being and healthcare quality, focusing on support, communication and follow-up (CFU) and the working environment. In addition, the moderating role of patient safety and quality issues (PSQI) was also addressed in this study.</p><p><strong>Design/methodology/approach: </strong>Data were collected from 606 respondents, including doctors, nurses, paramedical staff, administrative staff and other hospital employees. The data were processed using frequency, correlation, regression, measurement modeling and structural equation modeling.</p><p><strong>Findings: </strong>Working environment, support and CFU positively influence quality and patient safety. It is also observed that PSQI was not moderating such relationships.</p><p><strong>Research limitations/implications: </strong>The results offer actionable insights for healthcare organizations, particularly in enhancing safety culture through effective management and strategic interventions.</p><p><strong>Originality/value: </strong>This study highlights the need for continuous improvements in leadership, communication and work environments to achieve better patient outcomes and maintain high standards of healthcare quality.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486620","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":"Factors influencing the enhancement of the new iron triangle in healthcare organisations.","authors":"Albi Thomas, M Suresh","doi":"10.1108/JHOM-05-2024-0196","DOIUrl":"https://doi.org/10.1108/JHOM-05-2024-0196","url":null,"abstract":"<p><strong>Purpose: </strong>A new paradigm, \"healthcare's new iron triangle,\" has been developed to emphasise the technological perspective of healthcare delivery, focusing on automation, value and empathy. The study aims to build a conceptual model and to identify factors for the enhancement of the new iron triangle in healthcare organisations.</p><p><strong>Design/methodology/approach: </strong>The healthcare organisation is the primary focus point of the current study. To determine the factors, a survey of the literature and healthcare experts' opinions was conducted. The healthcare professionals validated the identified factors. Data for this study were gathered using a closed-ended questionnaire and scheduled interviews. The study employed \"Total Interpretive Structural Modeling methodology and Matriced' Impacts Croise´s Multiplication Appliqué´ a UN Classement/Cross-Impact Matrix Multiplication Applied to a Classification (MICMAC) analysis\" to address the \"why\" and \"how\" the factors interact and prioritise the identified factors.</p><p><strong>Findings: </strong>The study found that organisational structure (F8), artificial intelligence (F1), innovation (F2) and human resources (F5) are the driving or key factors of the study.</p><p><strong>Research limitations/implications: </strong>The study primarily focused on identifying factors for the enhancement of a new iron triangle in healthcare organisations. The scope could eventually be expanded to explore more areas.</p><p><strong>Practical implications: </strong>Academics and other stakeholders will have a better understanding of the key drivers for the enhancement of the new iron triangle in healthcare organisations.</p><p><strong>Originality/value: </strong>In this study, total interpretive structural modeling and cross-impact MICMAC analysis are proposed as an innovative approach to address the new iron triangle in healthcare organisations.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477297","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":"The mediating role of psychological safety in the effect of organisational cynicism on whistleblowing.","authors":"Mustafa Filiz, John Blenkinsopp","doi":"10.1108/JHOM-10-2024-0427","DOIUrl":"10.1108/JHOM-10-2024-0427","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the mediating role of psychological safety in the effect of organisational cynicism on whistleblowing intentions.</p><p><strong>Design/methodology/approach: </strong>About 519 healthcare workers were surveyed. Existing validated scales for organisational cynicism, whistleblowing intentions and psychological safety were used for data collection. Exploratory factor analysis was conducted on the scales, and path analysis was used to test the hypotheses of the study.</p><p><strong>Findings: </strong>The results showed organisational cynicism had significant effects on both whistleblowing and psychological safety, whilst psychological safety acted as a mediator but only for internal whistleblowing.</p><p><strong>Originality/value: </strong>By testing a relatively complex model involving multiple variables, we were able to identify a simpler model offering avenues for future research and practice implications.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369407","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}