Journal of Health Organization and Management最新文献

{"title":"Artificial intelligence vs human clinicians: a comparative analysis of complex medical query handling across the USA and Australia.","authors":"Christian M Graham","doi":"10.1108/JHOM-02-2025-0100","DOIUrl":"https://doi.org/10.1108/JHOM-02-2025-0100","url":null,"abstract":"<p><strong>Purpose: </strong>This study sought to explore the practical application and effectiveness of AI-generated responses in healthcare and compared these with human clinician responses to complex medical queries in the USA and Australia. The study identifies strengths and limitations of AI in clinical settings and offers insights into its potential to enhance healthcare delivery.</p><p><strong>Design/methodology/approach: </strong>A comparative analysis used a dataset of 7,165 medical queries to assess AI-generated responses versus human clinicians on accuracy, professionalism and real-time performance using machine learning algorithms and various tests. The study evaluated AI and human responses across the diverse healthcare systems of the United States and Australia, broadening the findings' applicability.</p><p><strong>Findings: </strong>The results show that AI-generated responses were generally more accurate and professional than human responses, suggesting potential benefits like increased efficiency, lower costs and enhanced patient satisfaction. However, significant concerns such as AI's lack of emotional depth, data bias and the risk of displacing human clinicians must be addressed to fully utilize AI in clinical settings.</p><p><strong>Originality/value: </strong>This study contributes to the ongoing discourse on AI in healthcare by empirically testing AI's capability to handle complex medical queries compared to human clinicians. It provides a comprehensive analysis that not only underscores AI's potential to transform healthcare practices but also highlights critical areas where further refinement is necessary. The comparative analysis between two major healthcare systems adds to its originality, offering a nuanced understanding of AI's role in global health contexts.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144126","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 role of narratives in interprofessional collaboration during organizational change: an ethnographic case study in general practice.","authors":"Amanda Nikolajew Rasmussen, Helle Terkildsen Maindal, Viola Burau","doi":"10.1108/JHOM-12-2024-0512","DOIUrl":"https://doi.org/10.1108/JHOM-12-2024-0512","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the study is to understand the role of narratives in interprofessional collaboration during organizational change by exploring the interplay between emerging narratives of collaboration in organizational change and established myths of collaboration in general practices undergoing change.</p><p><strong>Design/methodology/approach: </strong>An ethnographic collective case study approach was deployed. Four general practices participating in a complex mental health intervention in the Central Denmark Region were used as cases. Ethnographic observations in the practices as well as one-person interviews and focus group interviews with clinic owners, staff and patients were used to collect data.</p><p><strong>Findings: </strong>The study identified three narrative topics: Time, management and support. The topic of time illustrated how the narratives of change and the organizational myths sometimes varied profoundly, which created collaborative issues. The topic of management showed how narratives in some cases existed among different professional groups, which led to misunderstandings and conflicts. The topic of support demonstrated how the new narrative in the organizational process of change in some situations coexisted perfectly with the more established organizational myth.</p><p><strong>Originality/value: </strong>The study offers a new perspective to the field of narrative organizational research in healthcare by exploring the interplay between narratives of organizational change and organizational myths. Furthermore, the study contributes with significant implications for healthcare organizations by showing the importance of considering processes of change as a part of dynamic and multidimensional contexts and by demonstrating the value of creating shared understandings through storytelling in processes of change.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127691","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":"Managing and measuring performance of health prevention services: a simulation-based approach.","authors":"Guido Noto, Francesca De Domenico, Sandra C Buttigieg, Gustavo Barresi","doi":"10.1108/JHOM-10-2024-0422","DOIUrl":"https://doi.org/10.1108/JHOM-10-2024-0422","url":null,"abstract":"<p><strong>Purpose: </strong>This study focuses on the application of performance management (PM) in health prevention services. Unlike other healthcare services that focus on individual health results, prevention activities aim at community-wide benefits, often related to the avoidance of negative health outcomes. This, coupled with delayed effects of prevention activities, external influences on results and multiple stakeholders, poses challenges for the management, measurement and accountability of the results achieved by healthcare organisations and systems. To address these challenges, the research proposes the adoption of simulation techniques, specifically system dynamics (SD), to enhance PM in the prevention sector.</p><p><strong>Design/methodology/approach: </strong>SD is a methodological approach developed for modelling and simulating complex systems and experimenting with the models to design strategies and policies. It provides a systemic perspective and a set of conceptual tools that enable one to frame the structure and behaviour of complex, nonlinear, multi-loop feedback systems through an illustrative case focused on the management of primary and secondary prevention of chronic care conditions within a Beveridge healthcare system.</p><p><strong>Findings: </strong>By employing SD, the study aims to provide decision-makers with the capability to understand the link between immediate outputs and long-term outcomes, facilitating the evaluation of alternative policy options and scenarios that are otherwise untestable due to the long latency of diseases, delayed impact of preventive actions and systemic fragmentation.</p><p><strong>Originality/value: </strong>Through the development of an SD model, this research contributes to the field by offering a novel approach to overcoming the measurement and accountability obstacles in prevention as part of healthcare PM.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":"39 9","pages":"305-324"},"PeriodicalIF":1.7,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162733","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":"NHS doctors who become second victims - an exploratory study.","authors":"Donna M Willis, Joanna M Yarker, Rachel Lewis, Lilith Whiley","doi":"10.1108/JHOM-01-2025-0018","DOIUrl":"https://doi.org/10.1108/JHOM-01-2025-0018","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to understand the lived experience of UK NHS doctors who encountered second victim phenomenon following an adverse event and the role that medical leadership played in their trajectory.</p><p><strong>Design/methodology/approach: </strong>Semi-structured interviews were conducted with eight NHS doctors. Data were analysed using Interpretative Phenomenological Analysis (IPA).</p><p><strong>Findings: </strong>There emerged three superordinate themes describing the impact on the doctor, the perceptions of colleagues and the leadership support received.</p><p><strong>Research limitations/implications: </strong>Although the small sample size is consistent with the chosen research methodology, it remains an acknowledged limitation. This study did not specifically aim to explore suicidality among NHS doctors; however, given the importance of this issue, further research is clearly warranted. While some protected characteristics were represented in the sample, they were not sufficiently prominent to influence the findings meaningfully. Consequently, there is scope to examine potential psychosocial differences among doctors. The first author's extensive NHS career may potentially introduce bias. Finally, future research should incorporate a longitudinal research design to assess the long-term impact of second victim phenomenon on doctors and the effectiveness of support interventions.</p><p><strong>Practical implications: </strong>The paper makes three recommendations: (1) NHS organisations should establish locally led peer support or buddy programmes. Additionally, the organisation should strive to reduce psychological morbidity through candid and open discussions about prevalence. (2) When exhibiting signs of distress, burnout or other maladaptive coping strategies are observable, medical leaders should take compassionate and deliberate action. (3) Medical leaders must demonstrate collective responsibility for fostering cultures that learn from and support doctors in their darkest hour following an adverse event.</p><p><strong>Originality/value: </strong>This study broadens the extant knowledge base regarding second victim phenomenon among doctors, particularly doctors in the NHS. A doctor's well-being and, consequently, patient safety are jeopardised by exposure to persistent, invisible distress. In the field of medicine, incivility, abusive supervision and poor organisational and team cultures exacerbate distress.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102774","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":"Street-level bureaucracy and extreme work: understanding career shock perceptions among nurses in public hospitals.","authors":"Mohamed Mousa, Doaa Althalathini, Vesa Puhakka","doi":"10.1108/JHOM-10-2024-0433","DOIUrl":"https://doi.org/10.1108/JHOM-10-2024-0433","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study is to explore how extreme work conditions influence nurses' experiences of career shock in public hospitals.</p><p><strong>Design/methodology/approach: </strong>This study employed a phenomenon-based approach to gain a deeper and more nuanced understanding of real-world phenomena. Semi-structured interviews were conducted with 33 nurses working in public hospitals in Egypt. Thematic analysis was applied to analyze the interview data.</p><p><strong>Findings: </strong>The study identified three key factors contributing to nurses' perceptions of career shock under extreme work conditions: (1) Refugee-related factors (e.g. differential treatment of refugees compared to nationals, refugees as opportunities to supplement income); (2) Contextual factors (e.g. increased courtesy from nationals, rising patient numbers and demands for wage increases) and (3) workplace factors (e.g. extended work hours, heavy job responsibilities and perceived treatment by managers). These factors were found to significantly influence nurses' perceptions of positive or negative career shocks.</p><p><strong>Originality/value: </strong>This research fills a gap in the literature on human resources, public administration and healthcare by addressing the limited empirical studies on how extreme job duties shape street-level bureaucrats' (nurses, in this case) perceptions of career shock, particularly in developing and non-Western contexts.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086808","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 regulation and reconciliation of hybrid professional-managerial identities in a public hospital: the case of Lean management.","authors":"Adamina Ivcovici, Greg Bamber, Timothy Bartram, Pauline Stanton, Jessica Borg, Patricia Pariona-Cabrera","doi":"10.1108/JHOM-02-2024-0058","DOIUrl":"https://doi.org/10.1108/JHOM-02-2024-0058","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to examine how hybrid medical managers in a public hospital reconcile their identities and involvement in management-introduced top-down interventions to improve operational performance. In our study, Lean serves as an example of a management intervention through which we examine how hybrids shape the implementation of managerial interventions in a public hospital.</p><p><strong>Design/methodology/approach: </strong>We gathered our data from a longitudinal qualitative study of a Lean initiative implemented in an Australian public hospital. The current analysis is part of a larger case study which involved 87 in-depth semi-structured interviews over three years in a major Australian public hospital. These interviews explored experiences of Lean and included senior managers, middle managers, hybrids, clinical staff and others. In this paper, we focus specifically on the experiences of hybrid medical managers.</p><p><strong>Findings: </strong>We demonstrate how the Lean initiative sparks identity-reconciliation work that differs among hybrids working in different parts of the hospital and with various contractual arrangements and levels of participatory voice. The hybrids in our study responded to the introduction of Lean, with heightened identity reconciliation work, but in different ways. This appears to be attributable to the organisational context, and particularly the hybrids' contractual arrangements with the hospital.</p><p><strong>Originality/value: </strong>There is a dearth of research in healthcare management that has sought to understand how hybrids reconstruct their identities in response to top-down implementations of managerial initiatives, such as Lean. Our findings offer healthcare managers practical insights into the engagement of hybrid-medical professionals through our novel understanding of the identity-reconciliation work necessary for hybrid professionals to engage with management initiatives.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":"39 9","pages":"284-304"},"PeriodicalIF":1.7,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021930","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":"Digital transformation in the healthcare sector: a novel strategic perspective.","authors":"Yasmine YahiaMarzouk","doi":"10.1108/JHOM-08-2024-0349","DOIUrl":"https://doi.org/10.1108/JHOM-08-2024-0349","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to fill the gap in digital transformation (DT) literature, particularly within the healthcare sector, by investigating the effect of strategic reconfiguration (SREC), as an antecedent, on DT. Further, it also aims to investigate the effect of DT on strategic renewal (SR) as a strategic outcome of DT. Thereby, the current study explores the drivers and outcomes of DT from a new strategic perspective.</p><p><strong>Design/methodology/approach: </strong>The structural model is tested via the partial least squares structural equation modeling using a sample of 264 private Egyptian hospitals.</p><p><strong>Findings: </strong>SREC directly and positively affects SR. Besides, the SREC-SR relationship is partially mediated by DT. Accordingly, this study introduces a novel strategic perspective model of DT that depicts how Egyptian private hospitals could reconfigure themselves to transform toward digitalization, which ultimately enabled them to deliver new value propositions and diversified services.</p><p><strong>Research limitations/implications: </strong>The sample is restricted to Egyptian private hospitals; thereby, the results may differ in other sectors and other countries. This study ignores the boundary conditions that may accelerate organizations' movement toward digitalization.</p><p><strong>Practical implications: </strong>Managers of private hospitals can leverage the findings of this study to manage their strategic resources through SREC and foster a culture of DT to enhance their renewal in an increasingly digitalized healthcare landscape.</p><p><strong>Social implications: </strong>By demonstrating the positive effects of DT on SR, this study underscores the role of technology in improving healthcare delivery, patient outcomes and overall quality of care.</p><p><strong>Originality/value: </strong>To the best of the author's knowledge, this is the first empirical study to introduce a model of the strategic antecedents and consequences of DT within the healthcare sector. Unlike the existing DT literature, the current study goes beyond the traditional technological perspective for studying DT by concentrating on the strategic perspective. Therefore, the current study contributes to the existing DT literature by being the first empirical study to investigate the non-technological strategic antecedents that enable successful DT while propping the potential strategic outcome of DT.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033694","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":"Contextual factors and competencies influencing quality improvement: perspectives from nurses and nurse managers.","authors":"Stijn Slootmans, Peter Van Bogaert, Lieve Peremans, Erik Franck","doi":"10.1108/JHOM-10-2024-0436","DOIUrl":"https://doi.org/10.1108/JHOM-10-2024-0436","url":null,"abstract":"<p><strong>Purpose: </strong>This paper explores nurses' and nurse managers' perceptions of crucial contextual factors and competencies that facilitate or hinder quality improvement projects in acute hospital settings.</p><p><strong>Design/methodology/approach: </strong>A descriptive qualitative method was employed, utilising three focus groups and two semi-structured interviews with 22 nurses and nurse managers from two Belgian hospitals. Data were analysed using inductive thematic analysis.</p><p><strong>Findings: </strong>Five domains emerged: motivation and trigger, continuous improvement, team factors and dynamics, organisational factors and stakeholders. Participants indicated that motivation is strongly enhanced when the trigger for quality improvement originates within the team. At the team level, nurse managers should be present and provide support, while nurses, as clinical leaders, need to influence peers and offer feedback. Organisational support and adequate resources are essential for successful quality improvement efforts.</p><p><strong>Research limitations/implications: </strong>Our findings enrich existing frameworks by highlighting how leadership at all levels, team-driven motivation and organisational support foster a conducive environment for quality improvement in nursing teams. This study also informs future research exploring the interplay of these factors using diverse methodologies.</p><p><strong>Practical implications: </strong>Hospitals and healthcare teams should incorporate these factors into quality improvement strategies to enhance the effectiveness of these initiatives and their outcomes.</p><p><strong>Originality/value: </strong>While prior research predominantly focuses on organizational-level factors, this study offers novel insights into how contextual factors and competencies across various levels support quality improvement, with a particular emphasis on nursing teams. Our study fills a gap in the literature by exploring the nursing perspective on these factors.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042440","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":"To adopt or not to adopt mobile health applications? A study among Generation X mobile phone users in a developing country.","authors":"T S Mohan Raj Subramaniam, Ali Vafaei-Zadeh, Haniruzila Hanifah, Davoud Nikbin","doi":"10.1108/JHOM-03-2024-0103","DOIUrl":"https://doi.org/10.1108/JHOM-03-2024-0103","url":null,"abstract":"<p><strong>Purpose: </strong>This study utilizes the extended technology acceptance model (E-TAM) to explore the key factors influencing the behavioral intention of Generation X (Gen X) users in Malaysia to adopt mobile health applications (MHAs).</p><p><strong>Design/methodology/approach: </strong>A total of 252 responses were gathered from the Malaysian Gen X population through an online survey using a non-probability purposive sampling technique. Data were analyzed using SmartPLS software to validate the proposed framework and provide a logical foundation for achieving the study's objectives.</p><p><strong>Findings: </strong>The results reveal that perceived system quality (PSQ), perceived mobile experience (PXS), perceived ease of use (PEOU), perceived playfulness (PPF), perceived usefulness (PU) and attitude are all positively associated with behavioral intention to use MHAs.</p><p><strong>Originality/value: </strong>This research extends the TAM by introducing novel constructs - PSQ, PXS and PPF - forming the E-TAM framework to analyze MHA adoption, a perspective not previously explored in the Malaysian context. From a practical standpoint, this study provides actionable insights to enhance the adoption of MHAs among Malaysia's pivotal Gen X population. The findings aim to guide the development of engaging and user-friendly mHealth applications to improve self-care capabilities and increase user satisfaction.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054171","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":"Emergence of learning and quality - using scientific social media facilitating a complex adaptive space in healthcare.","authors":"Jonas Boström, Malin Heimer, Johan Lilja","doi":"10.1108/JHOM-07-2024-0284","DOIUrl":"https://doi.org/10.1108/JHOM-07-2024-0284","url":null,"abstract":"<p><strong>Purpose: </strong>Organizations are currently challenged to learn and develop quality at an increasing speed, as well as to navigate rising levels of complexity. This calls for new approaches to facilitating learning and quality as phenomena emerging in interconnected complex ecosystems of stakeholders. This paper explores the possibilities of facilitating the emergence of learning and quality in transformation and complexity with the support of scientific social media.</p><p><strong>Design/methodology/approach: </strong>The paper is based on a qualitative research design. Using scientific social media [SSM] for reflection and dialogue with an action research approach, it allows individuals with specific roles/functions linked to a transformative process to reflect on strong emotional experiences and action-oriented assignments. This can be described as equipping the ecosystem with sensors to capture systemic obstacles and levers.</p><p><strong>Findings: </strong>As a result, a triad with three themes of action possibilities for facilitating emergence was identified, with the support of scientific social media: (1) creating a living arena for emergence; (2) learning for emergence and (3) leading for emergence in transformation.</p><p><strong>Research limitations/implications: </strong>Future research could benefit from using scientific social media and combined qualitative and quantitative data to study quality and learning as emerging phenomena. Practically, organizations could use SSM for health system transformation.</p><p><strong>Originality/value: </strong>This paper provides empirical insights and new innovative ways of conducting research when exploring complex transformational changes in healthcare and the emergence paradigm of quality management.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":"39 9","pages":"266-283"},"PeriodicalIF":1.7,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054196","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}