Health Care Management Review最新文献

{"title":"Need of the hour: A service failure recovery reorientation for U.S. hospitals.","authors":"Subhajit Chakraborty, José A Pagán","doi":"10.1097/HMR.0000000000000435","DOIUrl":"10.1097/HMR.0000000000000435","url":null,"abstract":"<p><strong>Issue: </strong>Many hospitals in the United States are facing significant postpandemic operational challenges largely as a result of increasing demand for health care services. Operational issues increase the risk of service failures. Improving the patient experience after service failures may lead to better outcomes for both patients and hospitals.</p><p><strong>Critical theoretical analysis: </strong>Drawing support from service failure recovery and quality management paradigms, we suggest that hospitals could periodically obtain deidentified patient feedback data drawn from multiple sources-including social media-to build a comprehensive patient experience dashboard that can be used to improve health care quality.</p><p><strong>Insight/advance: </strong>We offer an overarching conceptual framework to support organizational learning and make hospitals more adaptive to patient feedback. Staff members and leaders could examine patient feedback data to identify service failures and take appropriate action to prevent their recurrence in hospitals. A patient experience dashboard can be developed to document and visualize remedial actions taken by hospitals against each past service failure and shared with all stakeholders.</p><p><strong>Practice implications: </strong>Reorienting health care as a service where hospitals immediately listen to patients and promptly address their questions and concerns may help to strengthen the continuity of health care services offered by hospitals as well as improve their financial position, quality of care, and the overall patient experience.</p>","PeriodicalId":47778,"journal":{"name":"Health Care Management Review","volume":" ","pages":"122-129"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breaking the ice: How awareness training affects the treatment of domestic violence patients by health care professionals.","authors":"Thomas Beck, Charlotte Förster, Stefanie König, Marion Pavlic","doi":"10.1097/HMR.0000000000000431","DOIUrl":"10.1097/HMR.0000000000000431","url":null,"abstract":"<p><strong>Background: </strong>Domestic violence (DV) is a neglected topic in health care, resulting in delays in the identification of DV victims and suboptimal care.</p><p><strong>Purpose: </strong>The attitudes of health care professionals (HCPs) toward stigmas associated with victims of DV can affect the care offered to the latter. The HCPs' attitude toward victims of DV is therefore an important but neglected topic in health care research. Therefore, the purpose of this study was to determine whether awareness training changes HCPs' attitudes toward victims of DV, especially with regard to their stigmatization.</p><p><strong>Methodology: </strong>Problem-centered interviews were conducted with 12 health professionals (six women and six men, six with and six without previous awareness training) concerning their attitudes and approaches to DV and those affected by it.</p><p><strong>Results: </strong>Our data analysis indicates a significant difference in HPC attitudes toward potential DV victims depending on whether or not HCPs have undergone awareness training.</p><p><strong>Conclusion: </strong>Awareness training does not only improve theoretical knowledge about DV; it also changes staff attitudes toward DV victims, especially with regard to their stigmatization.</p><p><strong>Practice implications: </strong>Our study shows that awareness training changes the HCPs' attitudes toward victims of DV. This change in attitude might reduce pressure on both the HCP and the victim, which in turn might help the victim to accept the care offered. Therefore, awareness training can help to reduce barriers to helping victims of DV.</p>","PeriodicalId":47778,"journal":{"name":"Health Care Management Review","volume":"50 2","pages":"77-84"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Burnout in modern-day health care: Where are we, and how can we markedly reduce it? A meta-narrative review from the EUREKA* project.","authors":"Mark Linzer, Emily C O'Brien, Erin Sullivan, Cheryl Rathert, Derick R Simmons, Dawn H Johnson, Warren T McKinney, Sanjoyita Mallick, Carolyn M Porta, Sara Poplau, Mike Wambua, Alli Bosquet, Heather Farley, Victor M Montori, Elizabeth Goelz","doi":"10.1097/HMR.0000000000000433","DOIUrl":"10.1097/HMR.0000000000000433","url":null,"abstract":"<p><strong>Background: </strong>Burnout is disrupting the health care workforce, threatening the livelihoods of health care workers and the probability of safe and effective patient care.</p><p><strong>Purposes: </strong>The aims of this study were to describe the evolution and gaps in burnout research and identify next steps to advance the field and reduce burnout.</p><p><strong>Methodology/approach: </strong>We formed a learning community of burnout scholars and Chief Wellness Officers, sought recent review articles for a meta-narrative synthesis of themes on health care worker burnout, and conducted focus groups with learning community members.</p><p><strong>Results: </strong>In 1,425 systematic burnout studies found in a Medline database search of systematic reviews published since 2018, 68 were retained for analysis. Many focused on individual interventions (e.g., mindfulness), paying inconsistent attention to (a) what comprises burnout, (b) prevalence and contributors, (c) theories underlying it, (d) presence in marginalized populations, and (e) innovative research methods. There was consensus that burnout poses a global crisis, but there was no agreement on how to address it. Focus group participants noted that although burnout research is now \"mainstream,\" health systems commit insufficient resources to addressing it. They proposed that emphasizing organizational finances and patient safety may make burnout a priority for health systems.</p><p><strong>Practice implications: </strong>Despite burnout's progressing unabated, many organizations do not employ known burnout indicators (worker dissatisfaction or turnover) as wellness metrics. Research into organizational contributors to burnout, rigorous evaluation of interventions, and organizational adoption of research findings into systemic action are urgently needed. A well-supported international research agenda is required to quickly move the field ahead and reduce or ultimately eliminate burnout.</p>","PeriodicalId":47778,"journal":{"name":"Health Care Management Review","volume":" ","pages":"57-66"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11902612/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The complementary effects of formal and informal budgetary performance feedback on doctor-managers' responsibilities.","authors":"Manuela Paolini, Domenico Raucci, Federica Morandi, Fausto Di Vincenzo","doi":"10.1097/HMR.0000000000000429","DOIUrl":"10.1097/HMR.0000000000000429","url":null,"abstract":"<p><strong>Background: </strong>The reforms that have affected public health care organizations have changed the tasks and responsibilities of physicians heading operational units, who have become doctor-managers. This hybridization makes doctor-managers vulnerable to role ambiguities, with possible dysfunctional effects on their managerial behaviors and performance. The enhancement of different sources of budgetary performance feedback (BPF) and perceived organizational support (POS) can help them reconcile their managerial and clinical professional domains.</p><p><strong>Purpose: </strong>Rooted in psychology-based budgeting research, this study aimed to show the role of doctor-managers' perceptions of BPF by examining the complementary effects of formal and informal BPF on POS and their satisfaction with the budget-holder role.</p><p><strong>Methodology/approach: </strong>We collected self-reported data by administering questionnaires to a sample of doctor-managers from Italian public health care organizations. The hypotheses were tested using a linear regression model, clustered at the hospital level. Mediation analysis was used to test the mediating effects of POS.</p><p><strong>Results: </strong>Findings showed that formal and informal BPF perceptions positively influenced POS and satisfaction with the budget-holder role. Further, POS mediated the BPF-role satisfaction link.</p><p><strong>Conclusion: </strong>The study adds to the limited research on the individual-level benefits of perceived formal and informal BPF as complementary mechanisms for improving doctor-managers' attitudes toward the budget-holder role.</p><p><strong>Practice implications: </strong>Top management and controllers should develop budgeting practices that consider the psychological factors related to the complementary functioning of formal and informal BPFs. These factors may support doctor-managers in meeting their responsibilities as budget holders and mitigate role ambiguities.</p>","PeriodicalId":47778,"journal":{"name":"Health Care Management Review","volume":" ","pages":"140-149"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Workplace violence: Insights from nurses' lived experiences.","authors":"Gregory N Orewa, Ifeyimika O Ajaiyeoba, Nero Edevbie, Marla L White","doi":"10.1097/HMR.0000000000000424","DOIUrl":"https://doi.org/10.1097/HMR.0000000000000424","url":null,"abstract":"<p><strong>Background: </strong>Workplace violence (WPV) against nurses is a growing concern within the health care industry, contributing to increased stress, burnout, and higher staff turnover.</p><p><strong>Purpose: </strong>The purpose of this study is to understand the experiences of nurses with WPV and examine the scope and impact of this violence based on nurse's recollections.</p><p><strong>Methodology/approach: </strong>Using qualitative interpretive meta-synthesis and the job demands-resources framework, we examined patterns in nurses' experiences of WPV. Our analysis (N = 401) of nurses' accounts from diverse sources-patients, colleagues, and supervisors across various locations and health care settings-provides deep insights into WPV dynamics.</p><p><strong>Results: </strong>Four main themes were identified: (a) it comes with the job-patient and family violence are normal, (b) a vulnerability in nurse safety, (c) sexual harassment, and (d) poor treatment within the organization.</p><p><strong>Conclusion: </strong>WPV against nurses is a deeply ingrained issue that impacts their psychological health and job performance. A stark need for health care systems to address and mitigate WPV is evident.</p><p><strong>Practice implications: </strong>There are clear signals that health care organizations need to implement comprehensive strategies to prevent WPV, foster a safe and supportive work environment, and equip nurses with job resources to manage the high stress of their roles.</p>","PeriodicalId":47778,"journal":{"name":"Health Care Management Review","volume":"50 1","pages":"44-54"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142962485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What makes proactive behaviors at work effective? Perspectives of health care executives.","authors":"Alden Yuanhong Lai, Jemima A Frimpong","doi":"10.1097/HMR.0000000000000421","DOIUrl":"10.1097/HMR.0000000000000421","url":null,"abstract":"<p><strong>Background: </strong>Proactive behaviors at work refer to behaviors that are self-starting, future focused, and change oriented. Proactive behaviors are generally thought of as positive and desired and can benefit both the employee (e.g., job promotion) and organization (e.g., innovation). These behaviors can, however, backfire (e.g., due to unintended consequences), reflecting the \"initiative paradox.\"</p><p><strong>Purpose: </strong>The aim of this study was to investigate, through the perspectives of health care executives, how employees can be more effective when engaging in proactive behaviors.</p><p><strong>Methodology: </strong>We used the episodic narrative interview method. Health care executives narrated instances of perceived effective and ineffective proactive behaviors among employees. We then performed an inductive qualitative analysis of these episodes to identify emerging themes and dimensions.</p><p><strong>Results: </strong>The effectiveness of proactive behaviors among health care employees is shaped by three dimensions: managerial expectation (in)congruence (e.g., knowledge of expectations, engagement with chain of command), organizational priority (in)congruence (e.g., degree of alignment between individual and organizational benefits), and boundaries of action and change (e.g., nonadherence to regulatory or financial conditions). Among the dimensions, managerial expectations may be the most challenging for employees to navigate.</p><p><strong>Conclusion: </strong>Engaging in proactive behaviors is not a straightforward process. Navigating multiple dimensions is necessary for health care employees to be effective.</p><p><strong>Practice implications: </strong>Employees should be equipped with knowledge on relevant expectations, priorities, and boundaries when engaging in proactive behaviors at work. Health care leaders and managers should aim to clarify and periodically reassess these dimensions to facilitate effective proactive behaviors and to generate benefits for employees and the organization.</p>","PeriodicalId":47778,"journal":{"name":"Health Care Management Review","volume":" ","pages":"13-22"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving joy at work and reducing burnout in health care workers in Victoria, Australia using the Institute for Healthcare Improvement joy in work framework: A mixed-methods study.","authors":"Joanne E Jordan, Kerryn Garner, Kate Bones, Lisa McKenzie, Mark Linzer, Cheryl Rathert, Elizabeth Goelz, Jesse McCall, Eleanor Sawyer, Briana Baass, Fiona Herco","doi":"10.1097/HMR.0000000000000420","DOIUrl":"10.1097/HMR.0000000000000420","url":null,"abstract":"<p><strong>Background: </strong>Burnout in health care workers (HCWs) has serious ramifications for individual well-being, patients, organizations, and health systems. Global evidence demonstrates the COVID-19 pandemic has amplified the risk of burnout. Scalable interventions to address burnout are critical to protect HCW well-being.</p><p><strong>Purpose: </strong>Underpinned by the Conservation of Resources theory, this study examines the impacts of a statewide improvement initiative (the Initiative), using the Institute for Healthcare Improvement Joy in Work (JiW) Framework, to reduce burnout and increase joy at work across participating health care organizations in Victoria, Australia.</p><p><strong>Methodology/approach: </strong>An impact evaluation was undertaken utilizing a mixed-methods design. Quantitative outcomes included burnout and joy at work measured using an adapted Mini Z tool. In-depth interviews with implementation teams sought insights into the effectiveness of interventions.</p><p><strong>Results: </strong>Overall, 20 teams from 17 organizations across diverse health care settings and geographical locations participated. At a statewide level, outcomes in burnout and joy at work were inconclusive due to limited data. However, five out of eight teams reporting sufficient data achieved measurable improvements in one or more outcomes. Qualitative data revealed the Initiative increased workplace resources and supports such as providing \"permission\" for HCWs to prioritize well-being at work, improved communications between management and HCWs, and increased HCWs' teamwork and camaraderie, resulting in safer and more positive workplaces.</p><p><strong>Conclusion and practice implications: </strong>The JiW Framework, implemented across diverse settings, provided organizations with a structured process to develop multifaceted improvements that resulted in enhanced resources that appeared to improve HCW well-being. Compared to individual well-being support, this approach offers organization-level change and scalability potential.</p>","PeriodicalId":47778,"journal":{"name":"Health Care Management Review","volume":" ","pages":"3-12"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health information technology to advance care in accountable care organizations: Implications for Medicare patients.","authors":"Kaushik Ghosh, Mona Al-Amin, Kate Jiayi Li, David Muhlestein","doi":"10.1097/HMR.0000000000000423","DOIUrl":"https://doi.org/10.1097/HMR.0000000000000423","url":null,"abstract":"<p><strong>Background: </strong>Prior research has explored the link between health information technology (HIT) and performance of accountable care organizations (ACOs). However, the challenges of HIT use in ACOs for the management of chronic diseases among Medicare beneficiaries remain less examined.</p><p><strong>Purpose: </strong>Given the high costs of implementing HIT and the occurrence of multiple chronic conditions (MCC) among elderly individuals, it is important to understand the extent to which HIT capabilities enable chronic disease management among the Medicare population.</p><p><strong>Methodology/approach: </strong>Regression analysis was conducted using data from multiple sources for the year 2017, including Leavitt Partners data, the ACO Public Use File published by the Shared Savings Program of the Centers for Medicare & Medicaid Services (CMS), and the CMS hospital referral region data. The sample consisted of 470 ACOs.</p><p><strong>Results: </strong>Findings revealed that health information exchange (HIE)- and HIT-enabled patient engagement reduced unplanned admissions for Medicare patients with MCC. When primary care services were utilized, HIE- and HIT-enabled patient engagement and medication reconciliation further decreased unplanned admissions.</p><p><strong>Conclusion: </strong>This study provides empirical support for HIT's role in reinforcing the applicability of the chronic care model to improve health outcomes.</p><p><strong>Practice implications: </strong>From the managerial perspective, adopting HIT functions that support care management may be important for ACOs to improve patient outcomes.</p>","PeriodicalId":47778,"journal":{"name":"Health Care Management Review","volume":"50 1","pages":"32-43"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142962478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validating perceptions with clinical measures: A latent growth curve on the associations between patient experience and hospital-associated infections in Norway over time.","authors":"Seth Ayisi Addo","doi":"10.1097/HMR.0000000000000416","DOIUrl":"10.1097/HMR.0000000000000416","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study was to examine the parallel relationships between the growth rates of patient-reported experiences and hospital-associated infections (HAIs) over time.</p><p><strong>Data sources/study setting: </strong>The study employed five waves (years) of data among hospitals across Norway from the Norwegian Health Directorate website for both patient experience and HAIs.</p><p><strong>Study design: </strong>The study employed a longitudinal design, testing and comparing different models. A latent growth curve model with autoregressions emerged as the best fit for the data.</p><p><strong>Data collection/extraction methods: </strong>The data extracted from the website included 102 hospitals. However, the study used 61 hospitals after data cleaning, each with 400 patient respondents for each year.</p><p><strong>Principal findings: </strong>The results showed that for both patient experiences and HAIs, hospitals that recorded higher scores at the starting point experienced a lower growth rate over time compared to hospitals that recorded lower infections at the starting point. Second, it was found that the starting point for patient experience significantly related to the starting point for HAIs, such that the higher the score for patient experience, the lower the score on infections across hospitals. The results also indicated that almost all lagged effects on either patient-reported experience or HAIs were significant.</p><p><strong>Conclusions: </strong>This study shows the significance of patient experience, not only for patient-reported outcomes but also for clinical outcomes. This thus ascertains the relevance of the patient experience pillar for the other pillars of quality health care, namely, clinical effectiveness and safety.</p>","PeriodicalId":47778,"journal":{"name":"Health Care Management Review","volume":" ","pages":"301-310"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stanford Network for Advancement and Promotion: The impact of a community building-focused leadership development program on the success of underrepresented groups in academic medicine.","authors":"Magali Fassiotto, Barbara Jerome, Lisa Stefanac, Osagie Oaiya, Gisell Quihuis, Yvonne Maldonado, Odette Harris","doi":"10.1097/HMR.0000000000000413","DOIUrl":"10.1097/HMR.0000000000000413","url":null,"abstract":"<p><strong>Background: </strong>Leadership can be an isolating experience and leaders from underrepresented groups (URGs) may experience even greater isolation and vulnerability because of lack of representation. Given the collaborative nature of medicine, leadership programs for physicians need to address isolation. Social support is one mechanism to combat this isolation; however, most leadership programs focus exclusively on skills building.</p><p><strong>Purpose: </strong>The Stanford Network for Advancement and Promotion (SNAP) program was developed to reduce isolation among physician leaders from URGs in academic medicine leadership by building a supportive network of peers.</p><p><strong>Methodology/approach: </strong>Ten women physicians from diverse racial/ethnic backgrounds were invited to participate in SNAP. Annual surveys were administered to participants to assess the effectiveness of SNAP on decreasing feelings of isolation and increasing professional leadership growth. The authors charted the expansion and adaptation of the program model across gender and in additional settings.</p><p><strong>Results: </strong>SNAP effectively created a sense of community among the physician leaders. Participants also reported feeling challenged by the program and that they had grown in terms of critical thinking, organizational knowledge, and empowerment as leaders. Participants found community building to be the most valuable program component. Because of this success, the SNAP model has been adapted to create 10 additional cohorts.</p><p><strong>Conclusion: </strong>Leadership programs like SNAP that focus on reducing isolation are instrumental for retaining and promoting the career advancement of physicians from URGs.</p><p><strong>Practice implications: </strong>Developing a diverse workforce of academic physicians is essential to providing high-quality and equitable clinical care, research, and medical education.</p>","PeriodicalId":47778,"journal":{"name":"Health Care Management Review","volume":" ","pages":"272-280"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141628032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}