Health Care Management Review最新文献

{"title":"COVID-19 and breast cancer care: How multidisciplinary teams managed the quality of care.","authors":"Roberta Laurita, Federica Morandi, Americo Cicchetti","doi":"10.1097/HMR.0000000000000468","DOIUrl":"10.1097/HMR.0000000000000468","url":null,"abstract":"<p><strong>Background: </strong>Organizations worldwide have faced many challenges due to the COVID-19 pandemic. In the health care sector, including breast cancer, multidisciplinary teams have suffered disruptions due to changes in the organization of work and in membership composition. Moreover, the entire health care workforce has been impacted by significant stress.</p><p><strong>Purpose: </strong>This study aimed to understand how these challenges affected the probability of observing changes in breast unit (BU) patients' perceptions of the quality of care received.</p><p><strong>Methodology/approach: </strong>We tested three research hypotheses using a sample of 366 patients nested in 68 BUs, performing logistic regression using STATA 14.</p><p><strong>Results: </strong>The stress experienced by BU team leaders had a positive impact on the perceived stability of quality of care, whereas changes in team composition and social distancing among members had a negative impact on it.</p><p><strong>Practice implications: </strong>Health care managers should develop new training paths to help professionals adapt to new ways of working using appropriate technologies. Organizations should make teams able to share knowledge and practices through specific instruments, such as repository tools that can support teams even in cases of membership changes. Policymakers should pay greater attention to the mental health of health care workers, especially in emergencies.</p><p><strong>Conclusions: </strong>This paper highlights the key factors that enable multidisciplinary teams to succeed, even under emergency conditions.</p>","PeriodicalId":47778,"journal":{"name":"Health Care Management Review","volume":" ","pages":"99-107"},"PeriodicalIF":2.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146151046","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":"Team creativity as a catalyst for care effectiveness and well-being in primary care teams.","authors":"Yuna S H Lee, Nancy LaVine, Cheryl Rathert, Yulia Kogan, Lusine Poghosyan","doi":"10.1097/HMR.0000000000000465","DOIUrl":"10.1097/HMR.0000000000000465","url":null,"abstract":"<p><strong>Background: </strong>Primary care teams play a critical role in delivering high-quality, patient-centered care, yet they face mounting challenges, including high rates of burnout and job dissatisfaction. Creativity within teams may serve as a key resource for fostering continuous improvement and innovation while simultaneously enhancing team members' well-being.</p><p><strong>Purpose: </strong>This study introduces team creativity as a novel and actionable teamwork construct, assessing its relationship with burnout, job satisfaction, and perceived effectiveness of care delivery. We validate a new multidimensional measure of team creativity tailored to the primary care context.</p><p><strong>Methodology/approach: </strong>Using survey data from 648 primary care team members across a large health system, we conducted confirmatory factor analysis to validate the Primary Care Team Creativity tool. We then tested hypotheses to assess associations between primary care team creativity, perceived effectiveness of care delivery, and well-being.</p><p><strong>Results: </strong>Findings confirm the validity of the Primary Care Team Creativity tool. Primary care team creativity was positively associated with job satisfaction and negatively associated with burnout. Perceived effectiveness of care delivery mediated these relationships, indicating that creativity enhances well-being by improving team members' perceptions of the quality of care they provide.</p><p><strong>Conclusion: </strong>This study establishes team creativity as a validated, actionable construct in primary care and demonstrates its potential for enhancing care effectiveness, reducing burnout and enhancing job satisfaction for primary care professionals.</p><p><strong>Practice implications: </strong>Health care leaders can foster team creativity by embedding structured opportunities for idea generation, encouraging interdisciplinary collaboration, and leveraging creativity to enhance care processes-ultimately supporting both innovation and provider well-being in primary care.</p>","PeriodicalId":47778,"journal":{"name":"Health Care Management Review","volume":" ","pages":"68-77"},"PeriodicalIF":2.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12922685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167341","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":"A value chain analysis of digitalizing hospital-at-home services in Finland.","authors":"Fan Wang, Henna Härkönen, Gillian Vesty, Terhi-Maija Isakov, Petri Ahokangas, Irina Atkova, Miia Jansson","doi":"10.1097/HMR.0000000000000467","DOIUrl":"10.1097/HMR.0000000000000467","url":null,"abstract":"<p><strong>Background: </strong>In recent years, increasing numbers of elderly people and cuts to the health budget have led health care providers to search for alternative plans to balance the quality of care and the health budget. HaH is growing as an alternative model for hospital wards, with the emergence of its own value chain activities and digitalization as a differentiated strategy to provide cost-effective services.</p><p><strong>Purposes: </strong>The aim of this study is to explore the value of digitalization in the hospital-at-home (HaH) value chain in Finland. This qualitative study used both deductive and inductive methods to map the HaH value chain and find out how digitalization can help improve value-added activities.</p><p><strong>Methodology/approach: </strong>In total, 25 semistructured single and paired interviews from all well-being service counties in Finland were carried out in September to October 2023.</p><p><strong>Findings: </strong>This study highlights the value of data interoperability, remote and real-time digital solutions, data analytics in enhancing coordination and efficiency, optimizing service delivery, improving patient experience, and supporting cost-effectiveness across the HaH value chain.</p><p><strong>Practical implications: </strong>This study provides HaH leaders with an overview of what, where, and how digitalization can improve the quality of care and highlights the strategic importance of investing in digital infrastructure and leveraging digitalization to restructure costs. It also offers ICT companies actionable insights into the specific digital care needs within HaH service delivery, guiding the development of digital health solutions that align with frontline requirements and fostering cocreation in digital health and communication technologies.</p>","PeriodicalId":47778,"journal":{"name":"Health Care Management Review","volume":" ","pages":"87-98"},"PeriodicalIF":2.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12922686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146776885","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":"Leading responsibly in the digital age: A framework for health care digital workplace transformation.","authors":"Samuel Gyamerah, Leila Afshari, Karen Hallam, Jennifer Cook","doi":"10.1097/HMR.0000000000000471","DOIUrl":"10.1097/HMR.0000000000000471","url":null,"abstract":"<p><strong>Issue: </strong>Digital workplace transformation (DWT) in health care promises improved efficiency and care delivery; however, it also generates new leadership challenges. Leaders must navigate ethical dilemmas, workforce strain, and fragmented coordination across stakeholder groups. Existing leadership models often fall short in addressing these multidimensional pressures, particularly with respect to clinician well-being, responsible innovation, and the legitimacy of technological change.</p><p><strong>Critical theoretical analysis: </strong>This article synthesizes transformational, responsible, and digital leadership theories to propose a Responsible Digital Transformational Leadership (RDTL) framework for health care DWT. RDTL framework is grounded in leadership literature and aligned with emerging health care realities, such as the strategic role of health care leaders and the need for team-based leadership configurations. RDTL is underpinned by five testable, interrelated principles: ethical stewardship, inclusive engagement, navigating complexity with agility, empowering digital confidence, and visionary digital stewardship.</p><p><strong>Insight/advance: </strong>The RDTL model advances leadership theory by integrating ethical responsibility, technological competence, and human-centered change in a unified framework. It offers testable propositions linking leadership behaviors to key outcomes such as staff well-being, patient care quality, and the ethical legitimacy of digital transformation initiatives. Unlike leader-centric models, RDTL also foregrounds team-based dynamics and stakeholder inclusivity as essential drivers of responsible innovation.</p><p><strong>Practice implications: </strong>RDTL provides health care leaders with a values-driven roadmap for guiding digital transformation while safeguarding employee well-being and ethical standards. It emphasizes participatory decision-making, psychological safety, and long-term stewardship as essential components of trustworthy and sustainable change.</p>","PeriodicalId":47778,"journal":{"name":"Health Care Management Review","volume":" ","pages":"141-150"},"PeriodicalIF":2.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145835095","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":"Dust in the wind? How leadership transitions unfold in purpose-oriented networks.","authors":"Robin Peeters, Daan Westra, Rachel Gifford, Dirk Ruwaard","doi":"10.1097/HMR.0000000000000470","DOIUrl":"10.1097/HMR.0000000000000470","url":null,"abstract":"<p><strong>Background: </strong>Health care is increasingly organized in networks in which organizations collaborate to address health care's grand challenges. While leadership is key to network effectiveness but can be disrupted by turnovers, little is known about how leadership transitions unfold.</p><p><strong>Purpose: </strong>This study aimed to understand how such leadership transitions unfold in purpose-oriented networks.</p><p><strong>Methodology/approach: </strong>We explored this through an in-depth case study of a network prior and during a leadership transition (5 years), performing 34 interviews, 46 hours of observations, and collecting documents.</p><p><strong>Results: </strong>Our results show that an unexpected leadership transition can take time and affect dynamics such as trust and the network's composition. A lead organization can be established based on either its organizational characteristics or the characteristics of its individuals. In the latter case, the network's governance structure may be less stable. Covert conversations and decision-making occurred outside formal network meetings, showing that the influence of formal leaders, though lacking formal hierarchy, may be larger than previous research suggests.</p><p><strong>Findings: </strong>Leadership transitions can affect dynamics in networks negatively and the influence of formal leaders, though they lack formal hierarchy, may be larger than previously suggested. Lead organization can emerge through different ways, including personal characteristics, organizational resources, and organizational-network goal alignment.</p><p><strong>Practice implications: </strong>Networks benefit from consciously designing their governance and leadership structure in a way that diminishes the effects of an unexpected transition, such as dual leadership from two organizations. Furthermore, networks should consider the three pathways for lead organizations to emerge in choosing their lead organization during each life-cycle phase.</p>","PeriodicalId":47778,"journal":{"name":"Health Care Management Review","volume":" ","pages":"129-140"},"PeriodicalIF":2.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12922687/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145985897","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 influence of physician-hospital integration on physician communication and patient experience: Evidence from U.S. private acute care hospitals.","authors":"Xiao Li, Jae Man Park, Geoffrey A Silvera","doi":"10.1097/HMR.0000000000000475","DOIUrl":"10.1097/HMR.0000000000000475","url":null,"abstract":"<p><strong>Background: </strong>Various forms of Physician-Hospital Integration (PHI) have occurred across the U.S. health care delivery system, and research has shown that the structure and characteristics of PHI models may influence various aspects of hospital performance.</p><p><strong>Purpose: </strong>This study explores the relationship between different PHI types and patient experience (PX), with a specific interest in the influence of these structures on physician communication and overall hospital ratings.</p><p><strong>Methodology: </strong>Using a Generalized Estimating Equations model, we analyzed data from 2,716 U.S. acute care hospitals (n=2,716) to explore how \"tight,\" \"loose,\" and \"multimodal\" PHI types influence PX during the COVID-19 pandemic, utilizing data from two time points: 2019 (prepandemic) and 2022 (post-peak pandemic).</p><p><strong>Results: </strong>Our results reveal that hospitals with \"tight\" PHI type, characterized by greater control over physicians, were associated with lower physician communication ratings and overall hospital ratings.</p><p><strong>Conclusions: </strong>Our findings suggest that rigid organizational structures may hinder effective physician-patient interactions and hospital performance during crises. Conversely, hospitals with \"loose\" PHI type demonstrated better resilience in maintaining PX, likely due to increased physician autonomy and flexibility in care delivery.</p><p><strong>Practice implications: </strong>These findings highlight the importance of adaptable strategies in health care management, emphasizing the need for balance between physician oversight and autonomy to improve PX.</p>","PeriodicalId":47778,"journal":{"name":"Health Care Management Review","volume":" ","pages":"162-170"},"PeriodicalIF":2.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146151011","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":"Organizing under constraint: Paradox navigation in public health systems.","authors":"Soniya Rijal","doi":"10.1097/HMR.0000000000000479","DOIUrl":"https://doi.org/10.1097/HMR.0000000000000479","url":null,"abstract":"<p><strong>Issue: </strong>Public health systems aim to deliver care that is effective, inclusive, efficient, and culturally responsive. However, they operate under persistent constraints such as limited funding, staff shortages, and aging infrastructure that generate enduring paradoxical tensions that frontline and middle-level actors continuously navigate to keep the health system functioning.</p><p><strong>Critical theoretical analysis: </strong>While existing research acknowledges that paradoxical tensions are persistent and experienced across organizational levels-from top-level managers to frontline health care workers, the theory on how they are managed beyond senior leadership remains thin. I introduce and theorize the concept of composite arrangements. This conceptchallenges the assumption that the health care system remains functional only through structural reform and explains how low-discretion actors in the public health system sustain continuity, adaptability, and legitimacy.</p><p><strong>Insight/advance: </strong>I advance understanding of paradox management in health care by shifting the focus from a leader-centered perspective to a distributed, ongoing process embedded in the everyday practices of actors with limited discretion. By introducing the concept of composite arrangements, I show how those with limited discretion to shape structure or policy can maintain the effectiveness of public health systems despite ongoing paradoxical tensions.</p><p><strong>Practice implications: </strong>I outline practical ways to address paradoxical tensions through composite arrangements when actors have limited discretion. In addition, I explain how public health organizations can strengthen these arrangements by fostering organizational cultures that embrace paradox amid resource scarcity to sustain the health system's functioning.</p>","PeriodicalId":47778,"journal":{"name":"Health Care Management Review","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582666","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":"Associations between psychosocial work environment factors and the well-being of frontline hospital managers: A cross-sectional study.","authors":"Ane-Kathrine Lundberg Hansen, Tanja Kirkegaard, Aimee Gayed, Christian Bøtcher Jacobsen, Vita Ligaya Dalgaard","doi":"10.1097/HMR.0000000000000481","DOIUrl":"https://doi.org/10.1097/HMR.0000000000000481","url":null,"abstract":"<p><strong>Background: </strong>Promoting manager well-being is important for organizations. Failure to do so can harm employees directly through contagion effects on employee well-being and indirectly by hindering managers' leadership efforts. This comes with the risk of reducing employee motivation and job satisfaction, potentially harming organizational performance. Despite its importance, manager well-being remains underexplored in research.</p><p><strong>Purpose: </strong>This study aims to enhance the understanding of demands and resources in the psychosocial work environment of frontline hospital managers and how these factors are associated with their well-being.</p><p><strong>Methodology/approach: </strong>Using a sample of 514 frontline managers working in Danish hospitals, we analyzed relationships between psychosocial work environment factors and manager well-being through descriptive statistics and OLS regressions. Qualitative insights from an open-ended question were further used to illustrate the investigated dynamics.</p><p><strong>Results: </strong>We observed substantial variation in the managers' well-being levels, with average levels lower than those in the Danish general population. Frontline hospital managers face substantial demands in their daily work, but they also report having access to important resources. For the associations between factors in the psychosocial work environment and manager well-being, we found particularly strong associations between frontline hospital manager well-being and the organizational climate, possibilities for performing work tasks, and emotional as well as quantitative demands.</p><p><strong>Practice implications: </strong>This study contributes to knowledge on well-being among frontline managers and highlights critical factors for public organizations to address in their efforts to support well-being among their managers.</p>","PeriodicalId":47778,"journal":{"name":"Health Care Management Review","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515833","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":"Diversity and performance in health care: A systematic review of the evidence base.","authors":"Davide Trinchese, Manuela Furlan, Milena Vainieri, Gianluca Veronesi","doi":"10.1097/HMR.0000000000000478","DOIUrl":"10.1097/HMR.0000000000000478","url":null,"abstract":"<p><strong>Background: </strong>Diversity in the health care sector has been put forward as a key factor for improving organizational performance; however, the evidence based on this assumed positive impact is still fragmented.</p><p><strong>Purpose: </strong>Adopting a narrative and critical approach, this systematic review investigated the relationship between surface and deep-level diversity and performance in the health care sector. Performance is categorized into two main dimensions: relational performance, arising from interactions between groups of individuals within organizations, and organizational performance, which refers to outcomes related to the overall organizational activity.</p><p><strong>Methodology/approach: </strong>This systematic review focused on scientific papers published in English in international peer-reviewed journals, retrieved from the ISI Web of Science citation and search database. In addition, citation snowballing was employed to identify further relevant studies. A total of 58 papers were identified as meeting the research criteria.</p><p><strong>Findings: </strong>The analysis of the 58 selected studies indicates that at the organizational level, diversity has a generally positive effect on performance. At the team level, however, diversity is frequently linked with mixed or negative relational performance outcomes. Undesired consequences of diversity specifically relate to the emergence of homogeneous subgroups, so-called faultlines, in groups of individuals, ultimately leading to a negative impact on relational and organizational performance. At the board level, where the extant literature has mainly focused on gender diversity, increasing female representation appears to yield positive effects, except when it is already comparatively high.</p><p><strong>Practice implications: </strong>Policymakers and practitioners should recognize both the benefits and challenges of diversity in health care. While diversity is essential in such a complex sector, it may produce unintended negative consequences, particularly when diversity is at high levels or faultlines emerge. This highlights the importance of effective management strategies and human resource policies to optimize its impact.</p>","PeriodicalId":47778,"journal":{"name":"Health Care Management Review","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147311320","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":"A faulty shield of armor: An exploration of callousness in health care workers.","authors":"Eda Algur, Michaela J Kerrissey, Vivek K Moitra, Jonathan A Paul, Amy C Edmondson, Ingrid M Nembhard","doi":"10.1097/HMR.0000000000000477","DOIUrl":"https://doi.org/10.1097/HMR.0000000000000477","url":null,"abstract":"<p><strong>Background: </strong>Callousness-behaving in an impersonal, insensitive, and cynical demeanor toward others-is increasing among health care workers and associated with harm to patient care. Yet, there has been little study of its predictors and effects on workers and workplace functioning.</p><p><strong>Purpose: </strong>This exploratory study aims to develop the theoretical premise for callousness as a distinct construct and examine possible contextual predictors and outcomes of health care workers' callousness to motivate further study and inform organizations' response to this behavior.</p><p><strong>Methodology/approach: </strong>We reviewed the literature to illuminate the distinctiveness of callousness, surveyed 557 workers in 20 hospital intensive care units (ICUs) and then used multilevel generalized structural equation modelling to assess: (1) callousness's link to two hypothesized contextual predictors (work-life balance and psychological safety), (2) whether type of work unit moderates the effect of hypothesized predictors, and (3) callousness's relationship to two workforce-related organizational concerns, that is, intent to stay and proactive behavior.</p><p><strong>Results: </strong>Self-reported callousness is significantly higher when workers report lower work-life balance and psychological safety. This relationship varies with the type of unit in which workers are situated (medical, surgical, or mixed). Callousness is negatively associated with intent to stay in one's job and proactive behavior, and it mediates their relationship with work-life balance and psychological safety.</p><p><strong>Conclusion: </strong>Callousness is associated with elevated threat to workforce stability and quality improvement efforts. Work-life balance and psychological safety may help to mitigate callousness, more so in some work units.</p><p><strong>Practice implications: </strong>Health care managers should act to reduce callousness to thwart staff turnover and retain workers' improvement motivation; both affect care. Fostering psychological safety and work-life balance may aid their efforts.</p>","PeriodicalId":47778,"journal":{"name":"Health Care Management Review","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203320","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}