Journal of Health Organization and Management最新文献

{"title":"An investigation of the effects of capitated compensation for primary care on healthcare utilization of medicare beneficiaries.","authors":"Michael R Wieck, L Douglas Smith, Steven R Stout","doi":"10.1108/JHOM-01-2025-0034","DOIUrl":"10.1108/JHOM-01-2025-0034","url":null,"abstract":"<p><strong>Purpose: </strong>This article investigates healthcare utilization differences for Traditional Medicare (TM) and Medicare Advantage (MA) patients under the care of primary care physicians (PCPs) who receive reimbursement from risk-bearing capitation contracts.</p><p><strong>Design/methodology/approach: </strong>We compare counts of medical services between Medicare patients for a single coverage year for inpatient, outpatient, carrier, home health, skilled nursing, and emergency department facilities. We utilized differences of means t-tests and Poisson regression for the analysis.</p><p><strong>Findings: </strong>After controlling for other factors, we find that Essence patients under the care of PCPs reimbursed more extensively through risk-bearing capitation arrangements received dramatically fewer medical services in all treatment venues than traditional Medicare patients under the care of PCPs without capitated reimbursement. Specifically, they received 60.7% fewer inpatient days, 71.9% fewer outpatient visits, and 51.8% fewer emergency department visits. Furthermore, they received 47.9% more medical procedures from a PCP. Thus, they were treated in less costly venues.</p><p><strong>Practical implications: </strong>Longitudinal analysis is needed, but if this phenomenon persists with no long-term adverse effects on patients and the medical providers, capitated reimbursement for primary care could produce the desired outcomes of value-based care reimbursement mechanisms.</p><p><strong>Originality/value: </strong>This research is unique in that it evaluates annual healthcare utilization based on the risk-bearing capitated reimbursement for patients' PCPs. Other research has not found a strong correlation between value-based reimbursement, healthcare utilization, and cost savings. This article demonstrates significantly less healthcare utilization for patients when PCPs receive greater risk-bearing capitated reimbursement. However, services received from a PCP were greater for these patients.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"975-995"},"PeriodicalIF":2.4,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439255","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":"Employee mindfulness and organizational performance: the mediating role of employee resilience in Jordanian private hospitals.","authors":"Saleh Alkhatib, Thuraya Hussein Ababneh","doi":"10.1108/JHOM-02-2026-0128","DOIUrl":"https://doi.org/10.1108/JHOM-02-2026-0128","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to examine the direct effect of employee mindfulness on organizational performance and the mediating role of employee resilience within Jordanian private hospitals, while also validating the measurement instruments for this specific context.</p><p><strong>Design/methodology/approach: </strong>A cross-sectional survey was administered to 160 employees across Jordanian private hospitals. The study employed a two-phase analytical approach: first, Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) were conducted to validate and refine the measurement models; second, Partial Least Squares Structural Equation Modeling (PLS-SEM) was used to test the hypothesized relationships and mediation effects.</p><p><strong>Findings: </strong>The EFA/CFA validation revealed contextually appropriate factor structures, with mindfulness comprising four facets and organizational performance structured as two correlated dimensions. PLS-SEM analysis confirmed that employee mindfulness has a significant positive effect on both organizational performance (β = 0.250, p < 0.001) and employee resilience (β = 0.713, p < 0.001). Resilience, in turn, positively influences organizational performance (β = 0.456, p < 0.001) and partially mediates the mindfulness-performance relationship (indirect effect: β = 0.325, p < 0.001).</p><p><strong>Practical implications: </strong>Hospital administrators should implement validated mindfulness and resilience assessment tools to monitor self-reported employee well-being and invest in targeted training programs (e.g. workshops, digital tools, integrated into staff development). Furthermore, the study provides culturally validated instruments for future research and practice in this setting.</p><p><strong>Originality/value: </strong>This study makes dual contributions: methodologically, it provides validated measurement instruments for mindfulness, resilience, and organizational performance specifically tailored to Jordanian healthcare contexts; theoretically, it empirically confirms the mediating role of resilience in the mindfulness-performance relationship within an underexplored non-Western healthcare setting.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"1-25"},"PeriodicalIF":2.4,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148319723","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 relationship between patients' nursing care satisfaction and nursing image perceptions: an example of a university hospital.","authors":"Nihal Unaldi Baydin, Gamze Tuncer Unver, Tuba Yilmaz","doi":"10.1108/JHOM-10-2024-0416","DOIUrl":"10.1108/JHOM-10-2024-0416","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the relationship between nursing care satisfaction levels and nursing image perceptions of patients hospitalized in inpatient units of a university hospital.</p><p><strong>Design/methodology/approach: </strong>This is a descriptive, correlational and cross-sectional study. The study data were collected from 610 patients hospitalized in the inpatient units of a university hospital with the Introductory Information Form, Patient Perception of Hospital Experience with Nursing Care and the Nursing Image Scale. Descriptive analyses, independent groups t-test, one-way analysis of variance, Mann-Whitney U test, Kruskal-Wallis test and Spearman correlation analysis were employed in the analysis of the data.</p><p><strong>Findings: </strong>It was determined that the Nursing Image Scale scores differed statistically significantly according to the participants' age, education level, state of thinking that they received quality nursing care and nursing image perception of the participants. It can be stated that the satisfaction of the patients participating in the study with the nursing care provided is high, and the nursing image they perceive is at a high level and positive. A positive and significant relationship was found between the participants' nursing care satisfaction levels and their perceptions of nursing image (r = 0.502, p < 0.01).</p><p><strong>Originality/value: </strong>The results of the study are very important in terms of showing the effect of the image of nursing not only in terms of the development of the profession but also on the perception of the care provided. It is recommended that health institutions and managers determine more strategies in this regard because it affects the preferability of their institutions and the satisfaction of the care provided.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"922-940"},"PeriodicalIF":2.4,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145393931","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":"We are in it together: organisational learning during COVID-19 crisis in healthcare and construction service organisations in Finland.","authors":"Jarkko Ihalainen, Ilpo Laitinen","doi":"10.1108/JHOM-02-2025-0099","DOIUrl":"10.1108/JHOM-02-2025-0099","url":null,"abstract":"<p><strong>Purpose: </strong>This study examines factors affecting organisational learning during crises by comparing a healthcare organization and a construction service organization. Our goal was to identify differences and similarities between the two organizations in organisational learning for resilience in order to support crisis preparedness in society.</p><p><strong>Design/methodology/approach: </strong>Our qualitative study consists of case studies of the Finnish National Blood Establishment, Finnish Red Cross Blood Service (FRCBS), and public enterprise Stara (Stara), a construction service provider for the City of Helsinki. We followed the organisations throughout the COVID-19 pandemic years 2020-2022 through repeat interviews and as participant researchers within management.</p><p><strong>Findings: </strong>Differences were observed in the nature of contradictions with the environment, reflecting the tightness of bonds within the organisations respective organisational networks. The experiences with remote work and personal coping were similar for specialist-level employees in the two organisations.</p><p><strong>Research limitations/implications: </strong>Our research was focused on office workers even though many of them had close contact with the floor level. We did not address the employees with mainly operative or physical tasks. The number of interviewed persons was limited, which may restrict the diversity of views in our material.</p><p><strong>Originality/value: </strong>Our results demonstrate the uniformity of organisational learning processes in healthcare and construction service organisations during a prolonged crisis. This supports the idea that, in crisis situations, healthcare leaders should benchmark best practices with other sectors of society.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"996-1010"},"PeriodicalIF":2.4,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460248","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":"Team job crafting as a mediator between sparking leadership and work engagement among nurses: a structural equation modeling approach.","authors":"Gamze Tuncer Unver, Oya Celebi Cakiroglu, Naile Boduc","doi":"10.1108/JHOM-05-2025-0255","DOIUrl":"10.1108/JHOM-05-2025-0255","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to determine the mediating effect of team job crafting in the relationship between sparking leadership and work engagement and establish a model.</p><p><strong>Design/methodology/approach: </strong>This descriptive and correlational study included 400 nurses selected through convenience sampling. Data were collected using the Sparking Leadership Scale, Work Engagement Scale, and Team Job Crafting Scale, and analyzed with IBM SPSS and AMOS. The STROBE guideline was followed in reporting the study.</p><p><strong>Findings: </strong>The conceptual model hypothesized, which included latent and observed variables, was a good fit to the data. The factor loadings of all observed variables were between 0.73 and 0.91 and significant. According to these findings, the latent variables were well represented. Sparking leadership had a direct positive effect on team job crafting (β = 0.792), and team job crafting had a direct positive effect on work engagement (β = 0.390). The direct effect of sparking leadership on work engagement was insignificant (β = 0.186), but its indirect positive effect through team job crafting was significant (β = 0.309). According to the results of the study, team job crafting was found to fully mediate the relationship between sparking leadership and work engagement.</p><p><strong>Originality/value: </strong>The results of the study are very important in terms of showing the sparking leadership enhances nurses' work engagement indirectly by promoting team job crafting. These findings underscore the importance of leadership and teamwork in fostering engagement in healthcare settings. It is recomended that nurse managers' leadership approaches should be evaluated, and structured strategies should be developed to enhance sparking leadership skills. Educational programs and workshops will support the adoption of this style, fostering team job crafting, work engagement, and a sustainable leadership culture in nursing.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"941-956"},"PeriodicalIF":2.4,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145393921","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":"Moderating role of shared vision on employee job satisfaction, perceived stress and job performance relationship among healthcare professionals in Ghana.","authors":"Benjamin Otsen, Xin Zheng, Shuo Ding, Guoqing Liu, Fuqin Xu, Shadrack Notob Dackyirekpa, Zhongliang Bai, Ren Chen","doi":"10.1108/JHOM-12-2024-0506","DOIUrl":"10.1108/JHOM-12-2024-0506","url":null,"abstract":"<p><strong>Purpose: </strong>Many studies have investigated how job satisfaction and perceived stress link to job performance, yet the role of shared vision for healthcare professionals remains unexplored. This study examined the moderating effect of shared vision on the relationship between job satisfaction, perceived stress, and job performance among healthcare professionals in public teaching hospitals in Ghana.</p><p><strong>Design/methodology/approach: </strong>This study analyzes cross-sectional data involving 1,698 healthcare professionals, including doctors, nurses, and midwives, across four public teaching hospitals. The main study variables were measured using existing scales for job satisfaction, perceived stress, shared vision, and individual employee performance. IBM SPSS software and SmartPLS 4 were used for the data analysis.</p><p><strong>Findings: </strong>We found that job satisfaction benefits employee performance; however, job stress is detrimental. Furthermore, shared vision mitigated the negative effect of perceived stress and stimulated the positive impact of job satisfaction on employee performance.</p><p><strong>Practical implications: </strong>Shared vision among healthcare employees is essential for achieving high performance. Thus, policymakers and healthcare organization managers should focus on effectively imparting the organizational vision to employees.</p><p><strong>Originality/value: </strong>This is the first study to empirically examine the moderating role of shared vision in the relationship between job satisfaction, perceived stress, and job performance in healthcare settings. This knowledge could assist healthcare leaders in achieving high-quality performance from healthcare professionals.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"875-895"},"PeriodicalIF":2.4,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439239","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":"Unpacking the long-term outcomes of healthcare reforms in home-based healthcare.","authors":"Kjersti Sunde Mæhre, Elsa Solstad","doi":"10.1108/JHOM-06-2025-0346","DOIUrl":"10.1108/JHOM-06-2025-0346","url":null,"abstract":"<p><strong>Purpose: </strong>We explore what happens to home-based healthcare practice 11 years after implementing a healthcare reform, the Coordination Reform in 2012.</p><p><strong>Design/methodology/approach: </strong>We conducted a qualitative study using document analysis and five focus group interviews with 27 department leaders in home-based healthcare practices in 2023. An inductive thematic analysis was conducted.</p><p><strong>Findings: </strong>Our qualitative design sheds light on how macro-ideas, reforms, and policies shape practice across healthcare institutions and the challenges they face. It highlights that reforms, often driven by efficiency goals, rarely lead to swift changes due to resistance rooted in established norms, values and practices. Still eleven years post-reform, we observe minimal progress in cross-level clinical coordination. The study identifies key barriers, including issues with information flow, trust and collaboration between hospitals and municipal healthcare services. Additionally, it examines the role of path dependency, explaining the persistence of prior routines despite reforms and provides a theoretical lens for understanding resistance to change in healthcare.</p><p><strong>Practical implications: </strong>By applying institutional theory to healthcare reforms, policymakers and practitioners can better navigate the complex forces shaping healthcare policy.</p><p><strong>Originality/value: </strong>Our findings illustrate how macro-ideas and policies are diffused across institutional levels in the municipality healthcare sector and how organizational actors and their immediate context shape practice when it comes to cross-clinical coordination.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"1011-1024"},"PeriodicalIF":2.4,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439387","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":"Professional attitudes, job satisfaction, and professional satisfaction among physiotherapists across regions with different socio-economic development levels: a cross-sectional study.","authors":"Hilal Özbey, Raziye Şavkın, Gökhan Bayrak","doi":"10.1108/JHOM-01-2026-0046","DOIUrl":"https://doi.org/10.1108/JHOM-01-2026-0046","url":null,"abstract":"<p><strong>Purpose: </strong>Professional satisfaction among physiotherapists is important for workforce sustainability; however, the role of regional socio-economic context remains insufficiently understood. This study compared professional attitudes, job satisfaction and global professional satisfaction among physiotherapists working in two provinces with different socio-economic development levels and examined factors associated with global professional satisfaction.</p><p><strong>Design/methodology/approach: </strong>This cross-sectional study included physiotherapists from Denizli (higher-SEGE province, n = 102) and Mus (lower-SEGE province, n = 53), classified according to the Socio-Economic Development Index (SEGE-2025). Data were collected using the Attitude Scale Toward the Physiotherapy Profession, the Minnesota (Job) Satisfaction Questionnaire Short Form (MSQ), the Job Satisfaction Scale, a single-item global professional satisfaction rating, and a researcher-developed job-related perceptions questionnaire.</p><p><strong>Findings: </strong>Physiotherapists in the higher SEGE province reported more positive professional attitudes and higher global professional satisfaction, despite their longer working hours and more working days (p < 0.05). Physiotherapists in the lower-SEGE province reported higher income (p < 0.001), while salary satisfaction responses differed between provinces. Regression analysis identified monthly income (ß = 0.128, p = 0.034), professional attitudes (ß = 0.317, p < 0.001), job satisfaction scale total score (ß = 0.191, p = 0.023), MSQ general satisfaction (ß = 0.319, p < 0.001) and province-level SEGE score (ß = 0.138, p = 0.036) as significant predictors.</p><p><strong>Originality/value: </strong>Findings suggest that physiotherapists' global professional satisfaction is shaped by attitudinal, organizational and structural factors, rather than income alone. Non-financial workforce strategies may be particularly important in lower-SEGE regions.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"1-16"},"PeriodicalIF":2.4,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148319733","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":"Associations between technostress and safety attitudes among operating room healthcare professionals.","authors":"Gamze Tuncer Unver, Ezgi Seyhan Ak, Yeliz Culha","doi":"10.1108/JHOM-12-2025-0852","DOIUrl":"https://doi.org/10.1108/JHOM-12-2025-0852","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to examine the associations between different dimensions of technostress and patient safety attitudes among healthcare professionals working in operating room settings.</p><p><strong>Design/methodology/approach: </strong>A cross-sectional, correlational design was used. Data were collected from nurses and physicians working in operating rooms using an introductory information form, the Technostress Creators Scale and the Safety Attitudes Questionnaire-Operating Room. Descriptive statistics, the Pearson correlation analysis and multiple linear regression analysis were performed to examine associations and identify predictors within the regression model. Hierarchical regression analysis further demonstrated that technostress dimensions substantially increased the explanatory power of the model beyond demographic and professional variables.</p><p><strong>Findings: </strong>Correlation analyses showed that techno-overload and techno-invasion were negatively associated with safety attitudes and their subdomains. In contrast, techno-complexity demonstrated a positive association with overall safety attitudes. In the multivariable regression model, techno-complexity emerged as the strongest predictor within the model, while techno-overload, technology-related stress experienced during surgery and operating room experience were also significantly associated with safety attitudes. Techno-invasion did not remain a significant predictor after controlling for other variables.</p><p><strong>Originality/value: </strong>The findings suggest that technostress dimensions are differentially associated with patient safety attitudes in operating room environments. Workload-related technostressors were associated with less favorable safety attitudes, whereas techno-complexity showed a more nuanced pattern that should be interpreted cautiously. Given the cross-sectional and self-reported nature of the data, the results should not be construed as causal. Nevertheless, the study contributes to the growing literature on technostress and safety culture by offering insights into human-technology interaction in technology-intensive perioperative settings.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"1-15"},"PeriodicalIF":2.4,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303591","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":"Job crafting as an ex-ante burnout management strategy in healthcare organisations: an emerging market perspective.","authors":"Poonam Pal, Rahul Bodhi, Shatrughan Yadav","doi":"10.1108/JHOM-03-2025-0153","DOIUrl":"https://doi.org/10.1108/JHOM-03-2025-0153","url":null,"abstract":"<p><strong>Purpose: </strong>Burnout management among employees is a persistent challenge faced by healthcare organisations, which is exacerbated in developing economies with high demographic loads. The extant literature explores measures of mitigating and adapting to occupational strain and burnout. However, the epistemic relationship between job crafting, perceived organisational support, meaningful work and burnout remains ambiguous and underexplored. The present study examines how a priori interventions such as job crafting and organisational support affect meaningful work and modulate burnout in healthcare organisations.</p><p><strong>Design/methodology/approach: </strong>We conducted a cross-sectional study of 373 healthcare professionals from corporate and public hospitals of different operational capacities in the North Indian region. We used PLS-SEM to test our hypothesis and validate the conceptual model.</p><p><strong>Findings: </strong>This study found a significant negative relationship between job crafting and the burnout axis, mediated by meaningful work. The perceived organisational support significantly moderates the relationship.</p><p><strong>Originality/value: </strong>Our study provides novel insights by testing the role of two resources based on JD-R theory, such as perceived organisational support and meaningful work, in the relationship between job crafting and burnout in Global South healthcare settings. Moreover, it underscores that participatory job crafting can be an ex-ante strategy to mitigate burnout among healthcare employees.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"1-31"},"PeriodicalIF":2.4,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148284673","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}