Temirgali Aimyshev, Abduzhappar Gaipov, Joseph Almazan
{"title":"AI-Enhanced ECG Screenings: An Alternative to Traditional Questionnaires for Ischaemic Heart Disease","authors":"Temirgali Aimyshev, Abduzhappar Gaipov, Joseph Almazan","doi":"10.1002/hpm.70076","DOIUrl":"10.1002/hpm.70076","url":null,"abstract":"<div>\u0000 \u0000 <p>Ischaemic heart disease (IHD) is the leading global cause of death. Traditional screening tools like the Framingham Risk Score (FRS) and Systematic Coronary Risk Evaluation (SCORE), often based on questionnaires, face criticism for subjectivity, limited generalisability to diverse populations (especially in low- and middle-income countries, LMICs), and difficulty detecting subclinical disease. This commentary explores the potential of artificial intelligence-enhanced electrocardiogram (AI + ECG) analysis as a superior alternative. AI + ECG leverages objective electrophysiological data, offering automated, potentially more accurate, cost-effective, and accessible risk stratification, particularly valuable in resource-constrained settings where 80% of cardiovascular deaths occur. Evidence suggests AI + ECG models outperform traditional methods in various diagnostic tasks and show promise in cost-effectiveness. However, significant gaps remain, primarily the need for validation in diverse global populations, especially LMICs. This paper argues for a policy shift towards AI + ECG screenings, advocating for urgent, large-scale validation trials, development of ethical and regulatory frameworks, and sustained funding to democratise early IHD detection and reduce global mortality.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 4","pages":"781-785"},"PeriodicalIF":2.5,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575881","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 Determinants of Health: Evaluating the Impact of Information and Communication Technology on Chinese Health Outcomes","authors":"Zhi-Nan Lu, Siyu Ren, Yu Hao, Chunlai Yuan","doi":"10.1002/hpm.70074","DOIUrl":"10.1002/hpm.70074","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The new generation of network information technology has become a significant tool to promote public health. The application of information and communication technology (ICT) in the traditional medical industry has changed the medical service model, improved the public medical service system, and provided diversified medical services to the public.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This paper discusses the impact of ICT on residents' health, and analyzes the possible heterogeneity impact in different groups and its impact mechanism using the China Family Panel Studies (CFPS) data and a fixed-effects model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The ordinary least squares estimation method was adopted to quantitatively identify the impact mechanism of ICT applications on residents' health. Multisource big data were collected, including the CFPS questionnaire (gender, age, marriage status, work status, income level, smoking, sports, and insurance participation), regional economic development, as well as service industry development. The quantitative phase involved conducting in-depth investigation across 25 Chinese provinces. Then, a quantitative analyse-based study empirically tested the effects of internet applications on residents' health by matching macro data and micro survey data. After controlling for these identified factors, the data were tested using ordinary least squares and fixed effect models, with the assistance of STATA version 14 to measure and validate the proposed model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The regression results support the conclusion that ICT can significantly improve residents' health (<i>p</i> < 0.001). After a series of robustness tests through replacing explanatory variables and choosing appropriate exogenous policy shocks, the results still hold. We analyse the possible heterogeneous effects and conclude that the health-promoting effect of ICT is stronger among middle-aged individuals, high-income groups, women, urban residents, unmarried individual, those who engage in sports and non-smokers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our study confirms a significant association between ICT applications and residents' health and reveals substantial heterogeneity in this effect. It also provides insights into how to apply internet information to better realise disease surveillance and prevention goals.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 4","pages":"593-606"},"PeriodicalIF":2.5,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582556","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}
Altaf Yousuf Mir, Sayani Das, Sanjay Sharma, G. S. Preetha, Anuj Kumar Pandey, Sutapa Bandyopadhyay Neogi
{"title":"Breaking Barriers: Strategies for Inclusive Transgender Healthcare in Indian Hospitals-A Commentary","authors":"Altaf Yousuf Mir, Sayani Das, Sanjay Sharma, G. S. Preetha, Anuj Kumar Pandey, Sutapa Bandyopadhyay Neogi","doi":"10.1002/hpm.70087","DOIUrl":"10.1002/hpm.70087","url":null,"abstract":"<div>\u0000 \u0000 <p>Transgender people have historically been discriminated against by the society. Since the time their legal rights were recognised by the National Legal Services Authority (NALSA) v. Union of India, remarkable progress has been made to improve access to health services. The Transgender Act of 2019 and SMILE—Support for Marginalised Individuals for Livelihood and Enterprise project by the Ministry of Social Justice and Empowerment in 2022 have boosted the efforts further. The Act emphasises that at least one government hospital in a state should provide safe and free gender-affirming surgery and related services. A major component of the SMILE scheme focuses on transgender health, providing a comprehensive medical health package in conjunction with the integration of Ayushman Bharat—Pradhan Mantri Jan Arogya Yojana (PM-JAY). However, its operationalisation is fraught with several systemic challenges. In order to ensure effective implementation, an inclusive approach across the primary, secondary and tertiary levels of health system is warranted. This manuscript emphasises on creating Transgender Friendly Hospital Initiative by following a comprehensive approach. Establishment of a dedicated transgender OPD, separate wards/units, measures to improve quality of holistic care, sensitisation of care providers and hospital machinery, continuous medical education and advocacy for equal access are some of the measures suggested for institutionalisation of services. Success lies in collaborative and collective implementation of activities by creating a healthcare landscape that prioritises the well-being of transgender individuals across India.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 4","pages":"786-789"},"PeriodicalIF":2.5,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147943414","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}
Sarah Deck, Se Lim Jang, Rachel Harris, Fariba Kolahdooz, Moutasem Zakkar, Sangita Sharma
{"title":"Influenza and Human Papillomavirus Vaccine Utilisation in Vulnerable Urban Youth in Edmonton, Alberta, Canada","authors":"Sarah Deck, Se Lim Jang, Rachel Harris, Fariba Kolahdooz, Moutasem Zakkar, Sangita Sharma","doi":"10.1002/hpm.70070","DOIUrl":"10.1002/hpm.70070","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>This project explores influenza and human papillomavirus (HPV) vaccine utilisation among a multi-ethnic group of youth (aged 11–23 years) in Edmonton, Alberta, Canada.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Using a cross-sectional design and purposive sampling, influenza vaccine utilisation over 3 years was assessed via questionnaire. Female participants also reported on HPV vaccine utilisation. Multinomial logistic regression was used to explore the factors associated with vaccine utilisation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In the project sample, 16.7% of males and 14.7% of females had received the influenza vaccine each year. The lowest rates of influenza vaccination were reported by African/Middle Eastern/Latin American youth (8.3%), Indigenous youth (10.8%), and youth > 18 years (12.6%). For the HPV vaccine, 61.1% of females reported having received all doses, while 21.9% were unvaccinated. Rates of HPV vaccine utilisation were lowest among females of Asian origin, females aged 18–23 years, and females residing in Canada for < 5 years.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Observed associations between age, ethnicity, and vaccine utilisation in this study highlight potential barriers and warrant further research to inform policymaking.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 4","pages":"572-579"},"PeriodicalIF":2.5,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.70070","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147481566","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":"Mining Heterogeneous Individual Factors in Sustained Compliance With Major Epidemic Prevention and Control Policies","authors":"Cuicui Wang, Zhipeng Chang","doi":"10.1002/hpm.70072","DOIUrl":"10.1002/hpm.70072","url":null,"abstract":"<div>\u0000 \u0000 <p>In major epidemic prevention and control, sustained public compliance with policies is crucial. This study is based on three-phase survey data from 480 residents and integrating machine learning with the SHAP framework, analyzes the heterogeneity and dynamic mechanisms of public compliance behaviour during long-term control. The findings indicate that public opinion intensity, frequency of preventive education, and perceived certainty of sanctions are key driving factors, with significant phase heterogeneity and nonlinear interaction effects observed. The research breaks through the limitations of static analysis, providing theoretical and empirical support for precise and dynamic epidemic control policies.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 4","pages":"622-639"},"PeriodicalIF":2.5,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147619078","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}
Tunde A. Alabi, Oluwaseun Badru, Fatai A. Badru, Oluwafemi Adeagbo
{"title":"(Intending) Migrants and Occupational Downgrading: Investigating the Willingness to Leave the Health Sector Post-Migration","authors":"Tunde A. Alabi, Oluwaseun Badru, Fatai A. Badru, Oluwafemi Adeagbo","doi":"10.1002/hpm.70079","DOIUrl":"10.1002/hpm.70079","url":null,"abstract":"<p>The unquenched thirst for emigration in Nigeria- and the increasing cost of migrating to the West-has been established in the literature. Professionals, such as healthcare workers (HCWs), are poorly paid in Nigeria, making many seek better employment abroad. However, many professionals work in less skilled sectors or jobs below their previous position—and education and years of experience—in their home country. While studies have investigated occupational downgrading empirically from the experiences of migrants in the host country, this study focused on HCWs who are still in Nigeria but expressed emigration intentions. This enables us to determine whether migrants are victims of occupational downgrading in the host country or whether it is a deliberate choice. We investigated the willingness among HCWs in Nigeria to accept occupational downgrading post-migration. Using a cross-sectional online survey, we analysed responses from 411 respondents who indicated emigration intentions. We computed logistic regression models at a 95% level of significance. We found that 65.3% of healthcare workers reported a willingness to accept occupational downgrading. Male HCWs were twice as likely as their female counterparts to accept occupational downgrading, and pharmacists were 16 times more likely to accept it than medical doctors and dentists. Work hours and job satisfaction were also significantly associated with the acceptance of occupational downgrading. We argue that intending migrants in Nigeria are calculative in their decisions and bracing for occupational downgrading. Nevertheless, they face pressures from disparities between the global South and North in terms of wages, working conditions and quality of life that shape migration decisions and experiences.</p>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 4","pages":"670-682"},"PeriodicalIF":2.5,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.70079","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730382","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":"Enhancing Public Service Convenience to Promote Health Gains: Evidence From Health Insurance Immediate Reimbursement for Middle-Aged and Older Migrants in China","authors":"Wen He","doi":"10.1002/hpm.70077","DOIUrl":"10.1002/hpm.70077","url":null,"abstract":"<div>\u0000 \u0000 <p>Under localised administrative frameworks, migrants usually face obstacles in obtaining necessary public services. To enhance the accessibility and convenience of health insurance reimbursement, China introduced immediate reimbursement for trans-provincial inpatient care in 2017. Using data on 10,614 individuals from the China Migrants Dynamic Survey and administrative records from 287 cities, this study employed prosperity score matching and instrumental variable methods to assess the policy's health effects on middle-aged and older migrants. Results revealed a significant positive association between health status and the number of hospitals offering immediate reimbursement (<i>P</i> < 0.01). Mechanism analysis showed no change in social integration, but higher reimbursement convenience increased health insurance participation (<i>P</i> < 0.01) and timely healthcare utilisation (<i>P</i> < 0.05) among this population, but these effects were limited to tertiary hospitals. The study demonstrates that reimbursement convenience improves health outcomes for this group, highlighting the need for more accessible insurance schemes for vulnerable populations.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 4","pages":"658-669"},"PeriodicalIF":2.5,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634886","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":"Reframing Adolescent Under-Vaccination as a Delivery-System Transition Problem: A Response to Deck et al.","authors":"Shu-Chen Lin, Lien-Chung Wei","doi":"10.1002/hpm.70078","DOIUrl":"10.1002/hpm.70078","url":null,"abstract":"<div>\u0000 \u0000 <p>This letter responds to Deck et al. (2026) and argues that their findings are better understood as evidence of health system performance at transition points than of adolescent vaccine hesitancy alone. Three patterns support this interpretation: the contrast between uniformly low influenza uptake and higher HPV coverage in younger cohorts, the sharp decline in coverage among older youth after school-based eligibility, and the poorer uptake among recent immigrants who may not be captured by established delivery pathways. Together, these findings suggest that under-vaccination accumulates when adolescents age out of school-based programmes, miss catch-up opportunities, or enter the system through newcomer pathways that are poorly linked to immunisation services. Prior evidence from Alberta and other settings indicates that organised school-based delivery, registry-supported follow-up, and strong provider recommendation can substantially improve coverage, while disruptions to these systems are associated with marked declines. We therefore propose that adolescent vaccine uptake should be conceptualised less as a residual behavioural problem and more as a delivery-system transition problem. Policy responses should prioritise transition-sensitive service redesign, including structured catch-up pathways, registry-linked reminder systems, provider prompts, and multilingual navigation embedded in youth-serving and newcomer services.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 4","pages":"790-791"},"PeriodicalIF":2.5,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640239","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":"Health Prediction Using Hybrid Deep Learning Models: A Transparent and Interpretable Approach","authors":"Garima Verma, Seema Yadav","doi":"10.1002/hpm.70073","DOIUrl":"10.1002/hpm.70073","url":null,"abstract":"<div>\u0000 \u0000 <p>Obesity has become alarming globally, with mounting health emergencies related to a number of chronic conditions like cardiovascular disease, diabetes, and metabolic disorders. Despite growing global awareness, accurately categorising obesity remains challenging due to its multifactorial nature involving genetic, lifestyle, environmental, and psychological determinants. Traditional methods based on pristine Body Mass Index (BMI) fail to encapsulate the multifaceted biological and lifestyle variables responsible for weight gain, leading to misclassification and treatment unresponsiveness. To overcome the challenge of a precise obesity classification, this study proposes two hybrid Artificial Intelligence (AI) models—CNN + TabNet and Self-Attention BiLSTM (SA-BiLSTM) + TabNet—that conjointly employs deep characterisation learning and TabNet's sparse attention–mechanism feature selection. To ensure better comprehension, the proposed models use feature engineering, class-balancing, and Explainable AI (XAI) tools, which include SHAP, LIME, and Integrated Gradients (IG). The performed experiments exhibit improved and better results over other conventional baselines. Viz. CNN + TabNet is 92% correct (recall 0.925, F1 0.917), while SA-BiLSTM + TabNet is 94.1% correct (recall 0.93, F1 0.937). The novel approach of blending TabNet's dynamic sparse-attention feature selection with CNN- and SA-BiLSTM-based deep characterisations enables the joint spatial-temporal learning with interpretable and data-efficient obesity prediction. Former hybrid approaches either combined generic deep networks (like CNN-LSTM and DNN-RF) or used TabNet on its own.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 4","pages":"640-657"},"PeriodicalIF":2.5,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634847","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}
Cristela Mae C. Candelario, Maria Angelica C. Plata, Ismael L. Cordero Jr., Reagan Joseph T. Villanueva, Gregorio R. Candelario Jr.
{"title":"Integrating Telepsychiatry for Overseas Filipino Workers: Findings From a National Stakeholder Forum for Policy and Programme Development","authors":"Cristela Mae C. Candelario, Maria Angelica C. Plata, Ismael L. Cordero Jr., Reagan Joseph T. Villanueva, Gregorio R. Candelario Jr.","doi":"10.1002/hpm.70075","DOIUrl":"10.1002/hpm.70075","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>There is a profound gap in the access and affordability of quality mental healthcare for distressed Filipino migrant workers taking refuge in government welfare shelters worldwide. Known as Overseas Filipino Workers (OFWs), these hardworking individuals brave the unknown in hopes of a better future. However, for a country that prides itself on its labour export, inadequate measures exist to address mental health disorders that arise from difficult overseas experiences. This study aimed to develop evidence-informed policy recommendations for integrating telepsychiatry services delivered by Filipino mental health professionals into existing OFW programs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A multi-stakeholder engagement approach was employed through four focus group discussions with 32 key representatives from relevant government agencies, professional organizations, academics, and policy implementers in November 2024.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Five critical themes emerged: (1) Perceived benefits and opportunities to safeguard mental wellbeing; (2) Implementation barriers encompassing technical infrastructure limitations, workforce capacity constraints, and operational challenges; (3) Policy framework requirements including institutionalisation mechanisms, regulatory harmonisation, and bilateral health agreements; (4) Health financing considerations addressing sustainable funding models, insurance coverage expansion, and cost-sharing arrangements; and (5) Health service delivery infrastructure highlighting digital platform development and data security protocols. Findings informed the development of agency-specific policy briefs and a comprehensive stakeholder implementation framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Telepsychiatry integration requires coordinated health system strengthening across multiple sectors, tackling policy, financing, and service delivery components simultaneously. These findings have the potential to transform mental health support for OFWs through technology-enabled care delivery, marking a significant step towards inclusive and equitable service for this vulnerable population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 4","pages":"580-592"},"PeriodicalIF":2.5,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575932","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}