International Journal of Health Planning and Management最新文献

{"title":"A Public Health Response to Economic Warfare","authors":"Martin McKee,&nbsp;Christina Pagel,&nbsp;Tiago Correia","doi":"10.1002/hpm.3940","DOIUrl":"10.1002/hpm.3940","url":null,"abstract":"<p>President Trump's 2025 implementation of tariffs has been described as a form of economic warfare. The public health community has long viewed conventional forms of warfare as a determinant of health and developed appropriate responses. In this editorial, we argue that this community must now respond in a similar way to all forms of economic warfare. We describe the ways in which economic warfare is waged, which include tariffs, trade sanctions, currency manipulation, and cyberattacks, and the health consequences that arise from them. Drawing on historical examples like the Opium Wars, we highlight the intertwined nature of economic and military conflicts. We also describe how advances in technology have created new opportunities, such as the exclusion of Russia from the SWIFT payment system. The health consequences are profound, with research indicating declines in life expectancy and disruptions in access to essential medicines and equipment. We argue for a comprehensive public health response, made urgent by the rejection, by the current U.S. administration, of the post-war international order. We call for use of innovative research methods to assess the health impacts of economic measures, drawing parallels with studies on the health effects of military conflicts and economic crises and advocacy for a proactive public health stance, akin to the efforts of organisations like the International Physicians for the Prevention of Nuclear War, to make visible the health consequences of economic warfare and help those who seek to hold governments accountable for their actions.</p>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 5","pages":"1025-1028"},"PeriodicalIF":1.8,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.3940","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041951","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":"The Shock Effect: How U.S. Global Health Policy Shifts Reshape Health Systems and Research","authors":"Wesam Mansour,&nbsp;David Bishai,&nbsp;Irene Torres,&nbsp;Shehla Zaidi,&nbsp;Valéry Ridde,&nbsp;Tiago Correia","doi":"10.1002/hpm.3936","DOIUrl":"10.1002/hpm.3936","url":null,"abstract":"<p>The United States (U.S.) has long played a central role in shaping global health governance, supporting United Nations agencies and funding vital programs and initiatives. However, recent political shifts, including, funding cuts, changing geopolitical priorities and a retreat from multilateralism, are threatening the stability of global health systems and research. This editorial examines the cascading consequences of these shifts, particularly for low- and middle-income countries (LMICs). The U.S. withdrawal is not just a budgetary adjustment, but a significant political disruption with unforeseen effects on global inequities. It also redirects research priorities towards security-driven agendas and undermines capacity-building efforts in LMICs. As the U.S. steps back, new actors will try to fill the vacuum, but the direction of this transition remains uncertain. Whether it paves the way for a more decentralised and equitable global health research ecosystem will depend on how global health stakeholders respond. Crucially, LMICs must seize this moment not only to replace lost funding, but to assert greater autonomy, reimagine health systems financing and build more sustainable, locally led models of research and policy leadership. This editorial calls for urgent diversification of funding sources, strengthened South-South collaborations and increased autonomy for LMICs in setting their own research priorities.</p>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 4","pages":"810-814"},"PeriodicalIF":1.9,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.3936","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051985","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":"The Impact of the Digital Economy on Health Inequality: Micro Evidence From China","authors":"Qingyun Zhao,&nbsp;Yusong Li","doi":"10.1002/hpm.3931","DOIUrl":"10.1002/hpm.3931","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;In the context of China's goal of pursuing health equity and the economic context of the booming digital economy, it is important to analyse whether the digital economy has mitigated income-related health inequality and how it works.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;By matching urban macro-data with individual micro-data, the study obtains mixed panel data at the individual level for five periods from 2012 to 2020. The entropy method is used to comprehensively measure both the level of urban digital economy development and residents' health. The concentration index method was used to measure the extent of health inequality between residents at different income levels. Furthermore, the study uses the recentered influence function (RIF_CI_OLS) regression model to empirically test the impact of the digital economy on health inequality and its underlying mechanisms.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;We found that, first, the digital economy significantly alleviates health inequality among groups with different income characteristics, by providing year-by-year insights into the contribution of the digital economy to health inequality, we find that the digital economy plays a significant and positive long-term role in promoting health equity. Second, a mediated effects model is used to test the mechanisms by which the digital economy mitigates health inequality. The results show that the digital economy reduces health inequality between groups with different income characteristics by increasing the accessibility of healthcare services to the population. Third, there is obvious regional and individual heterogeneity in the impact of the digital economy on health inequality. The digital economy has a greater mitigating effect on health inequality among residents of urban, eastern, and central regions. The impact of the digital economy on health inequality does not show significant heterogeneity in terms of gender, but there is a significant differential effect in terms of age, with the digital economy significantly alleviating health inequality in the 45–60 years old group, and the effect on the other age groups is statistically significant. Overall, the digital economy plays a significant positive role in narrowing health inequality among different income groups. Although its facilitating effect is relatively weak in regions with underdeveloped digital economies, in the long term, as digital technology improves, the inclusive effect of the digital economy will gradually emerge, promoting the equitable sharing of health benefits among various groups and thereby further promoting health equity.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 ","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 4","pages":"961-974"},"PeriodicalIF":1.9,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034418","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":"New WHO Priorities in the European Region and Health Workforce Competencies: A Rapid Assessment of Capacities and Gaps in Public Health Competencies Frameworks","authors":"Ellen Kuhlmann,&nbsp;Katarzyna Czabanowska,&nbsp;Monica Georgina Brînzac,&nbsp;Emilia Aragón de León,&nbsp;Michelle Falkenbach,&nbsp;Marius-Ionut Ungureanu,&nbsp;Matthias Wismar,&nbsp;Tomas Zapata,&nbsp;Tiago Correia","doi":"10.1002/hpm.3934","DOIUrl":"10.1002/hpm.3934","url":null,"abstract":"<p>The 74th WHO Europe Regional Committee introduced a set of health priorities comprising core areas of public health and expanded tasks to respond to multiple crises and emergent needs of populations and health systems. No systematic procedure of competencies development and routine review has been established to align changing health policy priorities and workforce. We argue for a transformative approach to competencies development from theoretical constructs to actionable pathways. A rapid qualitative assessment of three of the most relevant public health workforce competencies frameworks in the WHO European region was undertaken using selected priorities and the public health workforce as cases. The results highlight that existing competencies frameworks provide some helpful guidance, but gaps exist in specific and generic competencies and leadership. Further research and policy are needed, calling European and national policymakers to action to invest in public health competencies development to respond to evolving priorities.</p>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 4","pages":"802-809"},"PeriodicalIF":1.9,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.3934","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054562","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":"Purchasing Primary Care Services for Quality Chronic Care: Capitation With Performance Payments in Four Countries","authors":"Sarah L. Barber,&nbsp;Inke Mathauer,&nbsp;Megumi Rosenberg,&nbsp;Nicolas Larrain,&nbsp;Yunguo Liu,&nbsp;Qian Long,&nbsp;Anja Smith,&nbsp;Stevie Ardianto Nappoe,&nbsp;Luca Lorenzoni","doi":"10.1002/hpm.3929","DOIUrl":"10.1002/hpm.3929","url":null,"abstract":"<p>Improving quality of care for chronic conditions is central to addressing the large burden of premature mortality from non-communicable diseases. This paper presents the main results from case studies of health care purchasing arrangements in Chile, China, Indonesia and South Africa, which involved paying providers of primary care services using capitation with performance pay to improve service quality and health outcomes for chronic conditions. In all four settings, changes to payment methods were accompanied by other enabling interventions to provide incentives to deliver health services in a better way, such as training and non-financial incentives. However, the incentives in these programs were insufficient to drive significant changes in provider behaviour needed to improve quality. Design and implementation challenges included voluntary enrolment, quality metrics, performance targets, risk adjustment, payment certainty and levels, and withholding payments. The design and implementation challenges contributed to low patient volume or provider programme uptake resulting in lower-than-expected effects. The findings from this analysis underscore the importance of adjusting quality measures for patient health risk and complexity to avoid penalising health care providers for accepting patients with higher health risks. Relative or progressive quality targets may be more appropriate where wide diversity in providers' capacities exist, particularly in national programs, and may be used to encourage gradual quality improvements over time. Uncertainty about timing and levels of payment may have also undermined impact. Withholding performance payments as a penalty may reduce resources for quality improvements in these settings.</p>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 4","pages":"1007-1012"},"PeriodicalIF":1.9,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.3929","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804189","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":"Evaluating the Trend of Digital Technology Adoption in Health Industry: The Industrial Integration and Adaptation to the HITECH Act","authors":"Jiannan Li","doi":"10.1002/hpm.3935","DOIUrl":"10.1002/hpm.3935","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The electronic health records (EHR) serve as an important tool of collecting and storing health information (like demographics, physical activity volume, health care history), and well serve as a digital tool of facilitating industrial integration between health industry and others (e.g., sport industry, information industry). There appears growing digital technology adoption in health industry in response to the Health Information Technology for Economic and Clinical Health (HITECH) Act, and this study is to evaluate this trend.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This study uses the nonparametric probability density estimation to depict the distribution of EHR transition rate in different stages, and the distribution of Herfindahl–Hirschman index is used to reveal the concentration/decentralisation degree of its adoption.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Finding</h3>\u0000 \u0000 <p>Rural and metropolitan regions experience progress in EHR promotion at both the primary stage (<i>signed-up→go-live</i>) and advanced stage (<i>go-live→meaningful use</i>). Rural areas might benefit more from this policy intervention, with a greater increase in the transition rate of EHR promotion at these two stages. The primary stage does not display a salient centralisation/decentralisation trend across specialities in health institutions, whereas the advanced stage displays a salient decentralisation trend as a growing number of specialities in health institutions demonstrate the meaningful use of EHRs. Besides, specialities in health institutions at a lower initial level of meaningful use of EHRs make greater progress at the advanced stage than their counterparts at a higher initial level.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The regional gap of EHR transition is narrowing since the HITECH Act. The stimulus effect at the advanced stage is more effective for specialities in health institutions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 4","pages":"948-960"},"PeriodicalIF":1.9,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796695","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":"Direct Economic Burden of Post-Cancer Treatment Pain Among Cancer Survivors in the United States: A Population-Based Retrospective Longitudinal Study","authors":"Yves Paul Vincent Mbous,&nbsp;Rowida Mohamed,&nbsp;Uche Osahor,&nbsp;Traci J. LeMasters","doi":"10.1002/hpm.3932","DOIUrl":"10.1002/hpm.3932","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Post-cancer treatment pain (PCTP) is prevalent among cancer survivors but remains understudied. It is critical to quantify PCTP prevalence over time and to estimate the resulting short and long-term incremental healthcare expenditures (total, third-party, and out-of-pocket) and out-of-pocket burden among cancer survivors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A longitudinal retrospective cohort design was used. To identify cancer survivors (≥ 18 years) with PCTP, the Medical Expenditure Panel Survey (MEPS) and its supplementary Cancer Self-Administered Questionnaire (CSAQ)were used. Recycled predictions from generalised linear models (GLM) with log-link and gamma distribution were used to estimate annual incremental healthcare expenditures at different PCTP gradations over time. To account for covariate imbalance, sensitivity analysis using inverse probability weighting was conducted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>2125 cancer survivors had PCTP. Post-cancer treatment, 10.5%–24.2% of survivors experienced some form of chronic PCTP, whereas between 21.9%–5.1% experienced acute PCTP. Across the survivorship journey, the adjusted total annual incremental healthcare expenditures were the highest among cancer survivors with moderate chronic PCTP (&lt; 1-year post-cancer treatment), and severe chronic PCTP, (≥ 5 years post-cancer treatment) compared to survivors with no pain, reaching respectively, $27.3 and $40.2 billion nationally. There was a significant high out-of-pocket burden among cancer survivors with severe chronic PCTP compared to those with no pain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>These findings highlight the persistent financial burden of PCTP but also the critical need for effective pain management alongside the use of patient-reported outcomes for pain among cancer survivors.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 4","pages":"935-947"},"PeriodicalIF":1.9,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.3932","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143789225","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":"Can Private Insurers Stimulate the Function of Public Long-Term Care Insurance? Insights From China","authors":"Yu Yan,&nbsp;Michael G. Faure","doi":"10.1002/hpm.3933","DOIUrl":"10.1002/hpm.3933","url":null,"abstract":"<div>\u0000 \u0000 <p>In many countries, including China, private insurers are increasingly involved in public long-term care insurance (LTCI) to stimulate its functioning. Our article examines this novel approach from an economic perspective. We then use this framework to evaluate the risk differentiation and control practices of China's 15 LTCI pilots. Using these practical cases, we find that the private insurers' strategies for risk differentiation and control of adverse selection should be restricted, as they may contradict the public policy goals of solidarity and equal access to long-term care. Conversely, the strategies to address moral hazard, particularly in case of small risks and when carefully designed, could better reconcile the public policy goal with the economic goals of cost reduction and providing incentives to avoid overutilisation. Overall, a better strategy may enable private insurers to efficiently utilise their risk management capacity, without severely undermining the public aims of LTCI.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 4","pages":"923-934"},"PeriodicalIF":1.9,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765416","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":"Strengthening Health Workforce in Georgia: Identifying Gaps and Integrating Evidence-Based Strategic Planning","authors":"Giorgi Aladashvili,&nbsp;Mariam Kirvalidze,&nbsp;Aleksandre Tskitishvili,&nbsp;Nikoloz Chelidze,&nbsp;Nikoloz Tvildiani,&nbsp;Giorgi Pkhakadze,&nbsp;Thomas J. Bossert,&nbsp;Karsten Lunze,&nbsp;Ilia Nadareishvili","doi":"10.1002/hpm.3922","DOIUrl":"10.1002/hpm.3922","url":null,"abstract":"<p>Health workforce planning is essential for ensuring a resilient and well-functioning healthcare system capable of addressing population needs and responding to crises. In Georgia, an upper-middle-income country, significant challenges remain in the strategic planning, regulation, and management of the health workforce. This policy analysis evaluated health workforce planning approaches in Georgia's dynamic health system context. Health workforce planning in Georgia, guided by the National Health Strategy 2022–2030, prioritises needs-based workforce planning, professional qualifications, and nursing development. However, Georgia faces data inconsistencies, workforce imbalances, and an uneven geographic distribution of healthcare professionals, limiting the efficacy of current policies. The lack of formal health workforce planning, reliance on market-driven approaches, and weak retention strategies contribute to workforce shortages and migration. A centralised planning body, and enhancement in data collection and management, could facilitate the gradual introduction of context-relevant, evidence-based workforce planning methods. By integrating rigorous, long-term workforce planning with intersectoral collaboration and adopting innovative methods like workload-based modelling and hybrid planning methods, Georgia can create a sustainable health workforce aligned with its health system's evolving needs.</p>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 4","pages":"993-1001"},"PeriodicalIF":1.9,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.3922","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755091","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":"Correction to ‘Government Don't Know Me and if I Stop, They Won't Know’: A Qualitative Study on the Lived Experiences of Volunteer Health Workers in the Nigerian Health System and Their Implications for the Sustainable Development Goal","authors":"","doi":"10.1002/hpm.3930","DOIUrl":"10.1002/hpm.3930","url":null,"abstract":"<p>Odii A, Hutchinson E, Onwujekwe O, et al. ‘Government don't know me and if I stop, they won't know’: A qualitative study on the lived experiences of volunteer health workers in the Nigerian health system and their implications for the sustainable development goals. <i>Int J Health Plann Mgmt</i>. 2024; 39(3): 689–707. https://doi.org/10.1002/hpm.3783.</p><p>The acknowledgement is currently incorrect.</p><p>It currently reads:</p><p>This work was supported by a research grant from the Health Systems Research Initiative with funding from the <b>UK Department for International Development</b>, the UK Medical Research Council and the Wellcome Trust with support from the UK Economic and Social Research Council (grant no. MR/T023589/1). We thank all the participants for taking out time to participate in the study.</p><p>It should read:</p><p>This work was supported by a research grant from the Health Systems Research Initiative with funding from the UK Foreign, Commonwealth &amp; Development Office (FCDO), the Medical Research Council (MRC) and Wellcome, with support from the UK Economic and Social Research Council, (grant number MR/T023589/1). We thank all the participants for taking out time to participate in the study.</p><p>We apologise for this error.</p>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 4","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.3930","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693947","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}