International Journal of Health Planning and Management最新文献

{"title":"Transformation of the Algorithm for Prioritising Clinical Trial Development in Kazakhstan Based on Practical Significance","authors":"Talgat Nurgozhin,&nbsp;Gulnara Kulkayeva,&nbsp;Margarita Graf,&nbsp;Valentina Tarasova,&nbsp;Adlet Tabarov","doi":"10.1002/hpm.3902","DOIUrl":"10.1002/hpm.3902","url":null,"abstract":"<div>\u0000 \u0000 <p>The research relevance is determined by the need for rational use of limited resources in the healthcare sector and the importance of implementing the results of scientific research into medical practice to improve the quality of medical care. The study aims to identify key criteria and develop a system for evaluating clinical trials to prioritise the most promising areas based on their practical applicability in healthcare. The expert evaluation method of 17 research projects in the field of clinical medicine funded by government grants, involving 37 experts, was used to achieve the objective. The experts conducted the assessment using a multi-criteria system, including 4 categories and about 20 individual indicators. The results showed that 58.8% of the projects required a change in the composition of the teams, and in 70.6% of cases, third-party organisations were involved for methodological support. About 41.2% of applications had a solid scientific basis, but the demand for the results of 17.6% of projects decreased due to the COVID-19 pandemic. For 23.5% of projects, the proposed topics were of low public demand. Only 47.1% of the projects demonstrated interest in addressing national health issues. In 17.2% of fundamental projects, assessing the economic efficiency was difficult. In 23.5% of cases, projects could have been financed from other sources. The timeframe of 3 years was assessed as insufficient for 76.5% of highly specialised projects. Based on the analysis, recommendations for improving processes to increase the practical significance of research are formulated. The study contributes to developing an evaluation methodology and improving the efficiency of grant funding in medicine.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 3","pages":"573-582"},"PeriodicalIF":1.9,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956768","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":"Analysis of Distribution Patterns and Competitiveness of the Ethnic Medicine and Healthcare Industry Using Multi-Source Data","authors":"Jintao Wang,&nbsp;Zhengliang Li,&nbsp;Wenhong Tan,&nbsp;Hui Tan,&nbsp;Xiaofei Li,&nbsp;Xuhong Zhou","doi":"10.1002/hpm.3900","DOIUrl":"10.1002/hpm.3900","url":null,"abstract":"<div>\u0000 \u0000 <p>The healthcare industry is widely regarded as a key driver of economic growth and social development in the 21st century. This study employed multi-source data alongside hybrid analytical techniques, including Principal Component Analysis (PCA), hotspot analysis, and clustering analysis, to explore the development factors and spatial patterns of the ethnic medicine and healthcare industry (EMH) in Yunnan Province, China. The results indicate that the first five principal components account for 79.80% of the total variance, providing significant insights into the industry's competitive drivers. Using the Porter Diamond Model (PDM), spatial clustering of the EMH sector across Yunnan reveals a distinct pattern of ‘one ring, two points, three areas, and multiple clusters.’ The analysis further shows that industrial competitiveness is highly correlated with to the spatial distribution of regional factors, suggesting the need for a targeted development strategy: ‘central innovation, western optimization, eastern enhancement, northern strengthening, and southern expansion.’ These findings provide valuable recommendations for policymakers aiming to enhance the traditional and complementary medicine (T&amp;CM) sector's contribution to regional economic development and healthcare modernisation in many parts of the world.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 3","pages":"557-572"},"PeriodicalIF":1.9,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956758","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":"Professionalisation of Community Health Workers: Time for a Formal Contract","authors":"Adriana Viola Miranda,&nbsp;Rizky Deco Praha,&nbsp;Trio Sirmareza,&nbsp;Rizky Aditya,&nbsp;Ryan Rachmad Nugraha,&nbsp;Maritta Rastuti,&nbsp;Rindang Asmara,&nbsp;Zack Petersen,&nbsp;James O'Donovan","doi":"10.1002/hpm.3897","DOIUrl":"https://doi.org/10.1002/hpm.3897","url":null,"abstract":"<div>\u0000 \u0000 <p>Community health workers (CHWs) are the backbone of strong primary healthcare systems. If properly supported, they can add significant value to access to healthcare service delivery. Yet, despite their proven effectiveness globally, systemwide support for CHWs remains sub-optimal. This study explores the concept of ‘proCHW’ programs - where CHWs are skilled, supplied, supervised and salaried. We suggest a fifth component is added to this framework—security (defined as formal contracts). Currently, many CHWs work voluntarily without any formal contract, rendering them vulnerable to sudden replacements. Therefore, institutionalising formal contracts will provide legal safeguards for CHWs, ensuring fair and safe employment conditions, including a minimum wage and opportunities for career advancement. To enable funding for establishing formal contracts for CHWs, strong political commitment, public-private partnerships, and tailored funding strategies based on local administrative systems are needed. By addressing these challenges, sustainable funding can be achieved, maximising the impact of CHW-led programs and improving primary health care globally.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 3","pages":"783-787"},"PeriodicalIF":1.9,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143897072","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":"Sanitation Facilities in Somali Households: Evidence From a Multilevel Analysis of the 2020 Health and Demographic Survey","authors":"Muhyadin Yusuf Dahir,&nbsp;Mohamed Said Hassan,&nbsp;Md. Moyazzem Hossain","doi":"10.1002/hpm.3899","DOIUrl":"https://doi.org/10.1002/hpm.3899","url":null,"abstract":"<div>\u0000 \u0000 <p>Household sanitation facilities are vital for national development, disease prevention, and health. Despite some progress, many countries, including Somalia, cannot meet Sustainable Development Goals (SDGs) by 2030. This study aims to identify the potential factors of utilising sanitation facilities in Somalia using Somalia Health and Demographic Surveys (SHDS)-2020 data. Chi-square test and multilevel models were employed in this study to determine the risk factors of utilising sanitation facilities. Findings revealed that about 41.35% of the respondents lived in urban areas, 46.80% of households were classified as poor, and 87.02% had no education. Several factors significantly influenced access to appropriate sanitation services, including educational level, gender of the household head, family size, and wealth status. Affluent households were 1.11 times more likely to access sanitation than poor, while female-headed households had 1.1 times higher odds than male-headed ones. Findings depict disparities in sanitation access among Somali households, driven by factors such as wealth, gender, and education. Targeted interventions, including financial support for poor households and empowerment initiatives for female heads, are essential. A focus on community education and infrastructure investment is crucial for improving health outcomes in Somalia.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 3","pages":"549-556"},"PeriodicalIF":1.9,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143897071","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":"Guidance for Introducing the Tobacco-Free Generation Policy","authors":"Jon Berrick","doi":"10.1002/hpm.3896","DOIUrl":"10.1002/hpm.3896","url":null,"abstract":"<p>This article serves as a guide to the Tobacco-Free Generation policy (TFG) for policy-makers, drawing on experiences of negotiations regarding TFG in a wide number of jurisdictions. It explains the underlying concept: the highly addictive nature of nicotine prompts policy focus on preventing initial use by forbidding sales to those born after a prescribed cut-off birthdate, while resisting prohibition for those in older cohorts who may already be nicotine-dependent. The policy signals that there is no safe age for tobacco products. We examine how to assess whether a jurisdiction is ready for TFG, and then, how to maximise its effectiveness. That involves considering preparatory steps. Implementation of TFG is discussed, including which tobacco or nicotine products should be covered, on which actions there should be focus, choice of a suitable cut-off birthdate, and the most helpful companion measures. We also outline potential pushback from the tobacco industry and others, and indicate appropriate responses.</p>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 3","pages":"776-782"},"PeriodicalIF":1.9,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.3896","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928273","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":"Absenteeism of Healthcare Workers in Primary Healthcare in Sub-Saharan Africa: A Scoping Review","authors":"Larissa Klootwijk,&nbsp;Eva Zeyrek,&nbsp;Festus Njuguna,&nbsp;Johannes C. F. Ket,&nbsp;Saskia Mostert,&nbsp;Gertjan Kaspers","doi":"10.1002/hpm.3890","DOIUrl":"10.1002/hpm.3890","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Sub-Saharan Africa is facing a severe crisis in human resources for health. Primary healthcare is the most affected. This problem is aggravated by absenteeism, implying that healthcare workers are absent on duty during scheduled working hours. This scoping review maps existing literature on absenteeism among primary healthcare workers in Sub-Saharan Africa.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This scoping review complies with the Population Concept Context guidelines of Arksey and O'Malley and the PRISMA 2020 checklist. A literature search (Medline, Embase, Scopus, Africa Index Medicus) was performed from inception until December 2023 in collaboration with a medical information specialist. Peer-reviewed English-published literature was considered. Two independent reviewers screened titles, abstracts, and full-texts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty-four studies were included from 7 of 46 Sub-Saharan countries (15%). Prevalence of absenteeism varied from 14% to 49%. Causes at individual and health-system levels were explored in 16 studies (67%) and included physician dual practices (75%), low wages (69%), and insufficient supervision (56%). Consequences at the healthcare worker and patient level were described in 14 studies (58%) and included hindered/delayed access to care (64%), high workload (29%), and increased treatment costs when patients are forced to attend private facilities (22%). Recommendations to address absenteeism were provided in 18 studies (75%) and included regular supervision (33%), performance-based rewards/punishments (33%), and augmented salaries (33%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Absenteeism is highly prevalent among primary healthcare workers in Sub-Sahara Africa. Its adverse impact on both healthcare workers and patients is profound. The complexity of different individual and health system causal factors shows that a multifactorial approach to address absenteeism is warranted.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 2","pages":"474-493"},"PeriodicalIF":1.9,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.3890","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928241","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":"Patient's Perception of Primary Health Care Provision With Respect to Access, Continuity and Coordination—InCept: An International Qualitative Perspective","authors":"Heidrun Sturm,&nbsp;Weber Julia,&nbsp;Fabiano Tonaco Borges,&nbsp;Andrew Dickinson,&nbsp;Beat Sottas,&nbsp;Carina Wennerholm,&nbsp;Christina Andreae,&nbsp;Maria Liljeroos,&nbsp;Tiny Jaarsma,&nbsp;Stefanie Joos,&nbsp;Antonia Bauer","doi":"10.1002/hpm.3892","DOIUrl":"10.1002/hpm.3892","url":null,"abstract":"<p>Health care systems are confronted with an increasing burden of (multi-)morbidity and a shortfall of healthcare providers. Coordination and continuity of care in chronic and multi-morbid patient is especially important. As qualitative patient experience data within care processes is scarce, we aim to increase the understanding of chronically ill patient's perspectives by assessing patient experiences in different health systems while treated in primary care. Patients were recruited via GPs from Germany, Sweden, Switzerland, and the British island of Jersey. To ascertain regular healthcare utilisation, inclusion criteria were either a stroke, and/or a myocardial infarction or heart failure during the past year, and an underlying metabolic syndrome. Identical semi-structured interview-guides were used in the respective language. Transcribed interviews were analysed according to inductive-deductive qualitative content analysis. Based on 22 interviews we derived four main categories (patient centeredness, continuity, coordination, access). Overall, healthcare processes were considered positive if information flow was personal and functional. Non-physician staff seemed to create reassurance. A long-lasting doctor-patient relationship was connected to the context of trust and security. Patients were critical of a perceived lack of time, inducing insufficient counselling and information-flow. This international explorative study suggests that patients' experiences can provide important information about care provision. Patients consistently focused more on relational aspects rather than on structures or functions. This has connotations for healthcare planning; for example, by providing non-physician staff to support patients through their care pathway and to improve the cooperation between providers.</p>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 3","pages":"538-548"},"PeriodicalIF":1.9,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.3892","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928290","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 Future Hospital in Global Health Systems: The Future Hospital as an Entity","authors":"N. J. Sebire,&nbsp;A. Adams,&nbsp;L. Arpiainen,&nbsp;L. Celi,&nbsp;A. Charlesworth,&nbsp;M. Gorgens,&nbsp;M. Gorsky,&nbsp;F. Magrabi,&nbsp;Y. Nagasawa,&nbsp;C. Onoka,&nbsp;M. McKee","doi":"10.1002/hpm.3893","DOIUrl":"10.1002/hpm.3893","url":null,"abstract":"<p>Health care is changing rapidly. Hospitals are, and will remain, an essential setting to deliver it. We discuss how to maximise the benefits of hospitals in the future in different geographic and health system settings, highlighting a series of cross-cutting issues. We do this by exploring the evolving roles of hospitals and the main factors that we must consider as they adapt. These include changing population and disease profiles, the impact of evolving technology, and new concepts in hospital design and planning.</p><p>Our focus is on delivering high-quality, patient-centred care while ensuring equitable access, even if strategic decisions require compromise across these functions. The COVID-19 pandemic has shown the importance of hospitals in societies while also revealing the limitations of current structures and the potential of technology to transform hospital services within the broader healthcare system.</p><p>The aim of this multidisciplinary perspective is to provide an overview of pertinent issues whilst highlighting the challenges and opportunities in optimising future hospital planning, construction, design, and development in high-income (HIC) and low —and medium-income country (LMIC) settings.</p>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 3","pages":"730-740"},"PeriodicalIF":1.9,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.3893","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923650","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":"Facilitating and Constraining Factors for Achievement of Strategic Health Sector Results: Findings From a Qualitative Study of 15 Councils in Tanzania","authors":"Mwandu Kini Jiyenze,&nbsp;Charles Tundui,&nbsp;Henry Mollel","doi":"10.1002/hpm.3894","DOIUrl":"10.1002/hpm.3894","url":null,"abstract":"<div>\u0000 \u0000 <p>Strategic planning and strategic plans have gained popularity in the public sectors, including the health sector. However, the factors that facilitate and constrain the achievement of strategic planning outcomes have remained key research questions in the public sector and the health sector. From the perspectives of the council health managers, we explored the factors that facilitated or constrained the achievement of strategic results set out in the 2015–2020 Health Sector Strategic Plan in Tanzania Mainland. We conducted a qualitative study using a purposive sample of 15 council health managers from 15 councils in Tanzania. Qualitative data were collected using semi-structured interviews. We analysed our data using a thematic analysis approach. Our study found facilitators and barriers to achieving strategic health sector results grouped under five domains: resources availability; management, leadership and governance; strategic collaboration and joint working with implementing partners (NGOs); community factors; and recent reforms in the health sector. Our study has generated insights into factors that facilitate or hinder the effective achievement of strategic health sector results at the council level. The Ministry of Health, the President's Office- Regional Administration and Local governments, and health sector development partners should timely provide funds, human resources, health commodities and medical equipment to councils, strengthen health management and leadership at the council level, ensure health education is provided to the community members on health services.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 3","pages":"527-537"},"PeriodicalIF":1.9,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142910784","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":"Pathways to Hypertension Control: Unfinished Journeys of Low-Income Individuals in Malaysia and the Philippines","authors":"Benjamin Palafox,&nbsp;Dina Balabanova,&nbsp;Arianna Maever Loreche,&nbsp;Nafiza Mat-Nasir,&nbsp;Farnaza Ariffin,&nbsp;Mazapuspavina Md-Yasin,&nbsp;Mohamad-Rodi Isa,&nbsp;Fadhlina Abd-Majid,&nbsp;Lia M. Palileo-Villanueva,&nbsp;Alicia Renedo,&nbsp;Maureen L Seguin,&nbsp;Antonio L Dans,&nbsp;Martin Mckee","doi":"10.1002/hpm.3889","DOIUrl":"10.1002/hpm.3889","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Reducing inequities in hypertension control among those affected in low- and middle-income countries requires person-centred health system responses based on a contextualised understanding of the choices and care pathways taken by those who rely on the services provided, particularly those from poor and marginalised communities. We examine patterns of care seeking and pathways followed by individuals with hypertension from low-income households in the Philippines and Malaysia. This study aims to fill a significant gap in the literature by analysing the stages at which individuals make decisions that may affect the successful control of their blood pressure.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study presents cross-sectional survey data collected as part of the Responsive and Equitable Health Systems-Partnership on Non-Communicable Diseases (RESPOND) project, a longitudinal observational study in low-income communities. The study participants were 1191 randomly selected adults aged 35–70 years with a self-reported history of hypertension or identified as hypertensive through blood pressure screening.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>While most low-income individuals with hypertension in both countries were diagnosed and receiving medication, Malaysians demonstrated higher self-reported medication adherence. Urban areas in the Philippines showed better hypertension management outcomes compared to rural areas. The study also provides insights into the care seeking pathways followed by low-income adults diagnosed with hypertension. Nearly half of these individuals in Malaysia and a third in the Philippines were following pathways where they had never changed or stopped treatment without professional advice, and where they were using and adhering to their prescribed medication. Following such pathways was strongly associated with a greater likelihood blood pressure control in the Philippines, but less so in Malayisa.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings highlight the need for a contextualised understanding of care seeking choices and the importance of person-centred solutions. They offer a typology of hypertension care seeking pathways and a foundation for similar research in other settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 2","pages":"442-457"},"PeriodicalIF":1.9,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.3889","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899341","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}