Journal of Integrated Care最新文献

{"title":"Looking for integrated elderly care in practice","authors":"Anna-Mari Juutinen","doi":"10.1108/jica-05-2023-0025","DOIUrl":"https://doi.org/10.1108/jica-05-2023-0025","url":null,"abstract":"PurposeThe goal of integrated, multidisciplinary and person-centered care is on the welfare policy agenda in many countries, but how about integrated service delivery in action? This paper describes a three-year service journey of an elderly person from home to a nursing home through home care, specialized hospital and inpatient care. The aim of this viewpoint paper is to consider how customer orientation and integration are realized when an older lady living an active life becomes seriously ill and loses the ability to conduct daily functions.Design/methodology/approachThe service path will be described from the perspective of a relative.FindingsThe paper raises questions related to governance as well as multidisciplinary and customer orientation in integrated care.Originality/valueThe paper discusses a real-life experience of an elderly care journey from active senior life to a nursing home in Finland. When making visible an elderly care journey, this gives real-life information about the challenges and the needs for development. Better practical understanding helps to remove inter-organizational barriers toward more integrated and patient safe care.","PeriodicalId":51837,"journal":{"name":"Journal of Integrated Care","volume":"82 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84398622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surviving COVID-19 and beyond: a mixed-method study","authors":"Swati Paranjape, Amogh Patkar","doi":"10.1108/jica-02-2023-0011","DOIUrl":"https://doi.org/10.1108/jica-02-2023-0011","url":null,"abstract":"Purpose The present study was aimed to explore and analyse the multifaceted impact of coronavirus disease 2019 (COVID-19) on quality-of-life of survivors, in physical, social, psychological and environmental health domains.Design/methodology/approach This explanatory mixed-method study was conducted on 20 patients admitted in the Intensive Care Unit (ICU) of a tertiary care hospital having mild-to-moderate clinical spectrum. Scores of WHO Quality of Life Brief Version (WHO QOL BREF) questionnaire, a quantitative data source, were recorded during admission and two months post-discharge. Qualitative data were collected through in-depth telephonic interviews 2 months post-discharge.Findings Statistically significant improvement in the quality-of-life was seen post-discharge in all four domains. Explanatory qualitative data derived four themes. This experience was life changing and metamorphic. Many participants experienced social exclusions. However, they outlived it with hope, faith and positive frame of mind. Quarantine, limiting social contact impacted largely the well-being and mental health of patients. Integrated care and multidisciplinary protocols are accentuated to combat future crisis.Research limitations/implications COVID-19 was a wake-up call to human race for radical change in healthcare policies. Researchers have emphasised the need to build resilient communities. The role of this research in building evidence as a basis for informed integrated care and decision making is vital. Study findings suggest that along with exhausting physical symptoms survivors experienced psychological symptoms highlighting the need of integrated approach and tailor-made strategies in assessment and treatment.Originality/value Lack of integrated approach in the system resulted in long-lasting physical and psychosocial impact on the survivors. This novel mixed methods research report, adding a valuable insight to body of knowledge through first-hand information, help provide evidence base which can account for future research, policy reforms and response.","PeriodicalId":51837,"journal":{"name":"Journal of Integrated Care","volume":"35 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74448504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Positive about place – West Midlands health and wellbeing boards in a changing governance environment – a review","authors":"B. Clifford, S. Squires, Jenny Layton Wood","doi":"10.1108/jica-11-2022-0053","DOIUrl":"https://doi.org/10.1108/jica-11-2022-0053","url":null,"abstract":"PurposeTo share a case study of a service improvement review of practice and ambition for Health and Wellbeing Boards in the English West Midlands in the changing context of Integrated Care Systems.Design/methodology/approachMixed qualitative methods: 33 semi-structured interviews with senior care and health leaders; a computer-based self-assessment tool for Health and Wellbeing Boards; and desktop analysis of Joint Health and Wellbeing Strategies.Findings“Place-based partnership” is a motivating concept, embracing the agency of leaders in pursuing local strategies and solutions. The need for strong leadership was recognised. The opportunity for Integrated Care Systems to contribute to narrowing health inequalities was welcomed by building on local place-based models, maximising council expertise in managing population health and wellbeing in their areas.Research limitations/implicationsThe case study is a snapshot of a developing area at a time when further government guidance for Integrated Care Systems was pending. More specific analysis of place-based partnerships in the West Midlands in the context of Health and Wellbeing Boards and Integrated Care Systems would seem beneficial. In addition, further research of subsequent changes such as the Hewitt Review is also considered important.Practical implicationsThe review shows the assertion of “place” as a unifying concept for Health and Wellbeing Boards and Integrated Care Systems. It suggests closer involvement of leaders in children's services with local Health and Wellbeing Boards is needed.Social implicationsHealth and Wellbeing Boards and Integrated Care Partnerships share common aims of improving the health and wellbeing of local populations. Maximising integration especially on preventative approaches and fully engaging communities in health would have positive social impact.Originality/valueThe case study adds to the relatively less well-developed literature on Health and Wellbeing Boards and their link with Integrated Care Partnerships.","PeriodicalId":51837,"journal":{"name":"Journal of Integrated Care","volume":"24 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78282201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community-based volunteering in response to Covid-19: people, process and planning","authors":"J. MacInnes, Bridget Jones, Kat Frere-Smith, V. Abrahamson, T. Eida, R. Sharp, Heather Gage, P. Wilson","doi":"10.1108/jica-02-2023-0012","DOIUrl":"https://doi.org/10.1108/jica-02-2023-0012","url":null,"abstract":"PurposeThe Covid-19 pandemic saw a dramatic rise in the number of people volunteering to support older people shielding at home. This study aimed to determine the processes by which volunteers were rapidly engaged in their communities and their impact on the older people who were supported and health and social care services.Design/methodology/approachThe study took place in South East England between May–August 2020. Semi-structured interviews were conducted with 88 participants including health and social care practitioners (n = 12), leaders of voluntary, community and social enterprise (VCSE) organisations (n = 25), volunteers (n = 26) and older people receiving volunteer support (n = 25). Policy and procedure documents were sourced from the VCSE organisation leaders. Data were analysed thematically according to a framework method.FindingsThe authors identified key themes of People, Process and Planning. People: volunteers had a significant, positive impact on older people in their communities, with volunteers themselves, also benefiting. Process: VCSE organisations needed to work together and with health and care providers to avoid gaps and duplication of services. VCSE organisations were able to act quickly, by-passing many complex operational procedures. However, there was a need to ensure the safety of both volunteers and older people. Planning: Looking forward, there were concerns about the long-term funding of VCSE organisations and the availability of volunteers.Originality/valueThis study took place during the first wave of the pandemic, hence, it provides a snapshot of how voluntary organisations operated at this time and highlights the importance of integration with health and care statutory services.","PeriodicalId":51837,"journal":{"name":"Journal of Integrated Care","volume":"14 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81239120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Case study of an integrated health and social care initiative for geriatric patients in rural Alberta","authors":"Siu Mee Cheng, Cristina Catallo","doi":"10.1108/jica-12-2022-0063","DOIUrl":"https://doi.org/10.1108/jica-12-2022-0063","url":null,"abstract":"PurposeRural regions in Canada are aging faster than urban centers, but access to health and social care is limited. Integrated health and social care (IHSC) through collaboration across different health and social care organizations can support enhanced care for older adults living in rural regions. However, IHSC is not well understood within a rural Canadian context.Design/methodology/approachA case study of a Canadian IHSC initiative, Geriatric Assessment Program Collaboratory (GAPC), in northern Alberta was undertaken to understand how successful IHSC can occur in an urban/rural region. The study used key informant interviews and a focus group of representatives from the GAPC organizations.FindingsNine factors were identified that support GAPC: communications, information sharing, shared vision and goals, inter-organizational culture, diffused leadership, team-based approaches, dedicated resources, role clarity, champions and pre-existing relationships. Eight external influence factors were identified as influencing partnership including geography, strong sense of community, inter-sectoral work, public policy, governance authorities and structures, funding models, aging communities and operating within a not-for-profit (NFP) setting.Originality/valueThe study reveals insights into how IHSC can occur within a rural Canadian context. This study demonstrates that IHSC occurs at the local level and that primary care providers can drive IHSC successfully.","PeriodicalId":51837,"journal":{"name":"Journal of Integrated Care","volume":"27 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78873301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using a meta-ethnographic approach to explore the role of interprofessional education in inclusion health for health and care staff","authors":"Zana Khan, Sophie-Anne Park, Georgia Black","doi":"10.1108/jica-02-2023-0010","DOIUrl":"https://doi.org/10.1108/jica-02-2023-0010","url":null,"abstract":"PurposeThis article aims to present a systematic review and synthesis of evidence on the experiences, role and use of IPE in IH fields by using a meta-ethnographic approach including key concepts, reciprocal and refutational translation and lines of argument. Inclusion health (IH) practice suggests that the needs of excluded groups are more effectively addressed through collaborative working. Interprofessional education (IPE) occurs when two or more professions engage in shared practice and learning, resulting in improved collaboration and quality of care. Studies on IPE to train staff in fields relating to IH exist, but without a settled consensus on the best approaches/activities to foster inclusive practice.Design/methodology/approachThis synthesis is underpinned by a meta-ethnographic approach. It provides explicit stages of data collection and interpretation, while providing space to engage with emerging themes and concepts iteratively (reflecting on author experiences) and inductively (reasoning and interpretation). This study made use of electronic databases and journals for English language peer reviewed articles between 2000 and 2020. Of the 2217 articles, 19 papers were included. The lead author and reviewer completed the review process and a second reviewer reviewed 10% at each stage. The quality was assessed using a modified CASP checklist. Iterative analysis involved PPI and staff stakeholders.FindingsA total of 16 concepts embedded in 19 papers provide insight into the nature of IPE in IH (IH) for staff. It was found that IPE in IH covers a broad group of practitioners and is a complex activity involving individual and organisation readiness, practical and pedagogical factors, influenced by setting, method, curriculum, lived experience, reflection and a learner-driven approach. Barriers to design, implementation and translation into practice were also found to exist.Practical implicationsMost studies used a combination of core learning and group work. Educational modes include mentoring or coaching, reflective practice, immersive learning and people lived experience of exclusion involved in or facilitation thematically centred in trauma-informed informed care, cultural competence, communities of practice and service learning. The aim of these methods was to promote collaboration through identifying shared experiences, problems and tensions and critical reflection of services and organisations. Such transformative learning is reported to challenge stigma, discrimination and misinformation and promote collective empowerment to address social injustice through human connection. Effective models of IPE re-instated the therapeutic relationship and alliances between patients and staff.Social implicationsThis review also calls for the development of health and care workers’ professionalism in relation to their own reflexivity, establishing anti-racist curricula, challenge stigma and ensuring clinicians are aware of and able to negotiate te","PeriodicalId":51837,"journal":{"name":"Journal of Integrated Care","volume":"130 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79610056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Collective case study: integrated health and social care for older adults within a Canadian context","authors":"Siu Mee Cheng, Cristina Catallo","doi":"10.1108/jica-11-2022-0055","DOIUrl":"https://doi.org/10.1108/jica-11-2022-0055","url":null,"abstract":"PurposeCanada's population is aging and there are concerns that the welfare system may not support the increased demands on it. Integrated health and social care (IHSC) produces positive health and system outcomes but it needs to be better understood within a Canadian context. The purpose of this collective case study of three IHSC initiatives in Alberta, Ontario and Nova Scotia was to determine the factors that support successful services integration among different healthcare and social services organizations serving older adults within a Canadian context.Design/methodology/approachThis study used the Cheng and Catallo (2020) IHSC conceptual framework (CF) to guide the research. Primary data were based on key informant interviews of representatives from organizations that comprised each case and focus groups. A cross-case analysis was undertaken to determine common themes.FindingsThe cross-case analysis revealed that the three cases shared common integration and external influence factors based on the Cheng and Catallo (2020) CF. Some new factors were identified.Originality/valueThe study revealed that the Canadian context was important in influencing integration in the three cases and that there is a unique Canadian aspect to IHSC. The study offers up practical insights for government leaders and service administrators to improve IHSC for older adults. The study also identifies how the Cheng and Catallo (2020) IHSC CF can be enhanced and points to research opportunities to test the framework.","PeriodicalId":51837,"journal":{"name":"Journal of Integrated Care","volume":"78 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86193035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial: Taking stock of the discipline","authors":"A. Kaehne","doi":"10.1108/jica-04-2023-091","DOIUrl":"https://doi.org/10.1108/jica-04-2023-091","url":null,"abstract":"As the International Conference on Integrated Care is preparing to open its doors next month in Antwerp, it may be a good time to take stock. Reviewing how far we have come in developing integrated solutions to health and social care services may help us define more clearly where we want to go and what the future challenges may be. I am old enough to have some personal memories of research and integrated care practice in the early 2000s, but will have to rely on public records prior to this. In addition, any reflection on the history of the field is partial and bound to be selective, containing personal emphases and omissions. Yet thinking about a reasonable narrative of how we got here may provide us with a critical assessment how far we have come on the climb to the summit of integrated care. Surveying the last 40 years, we could distinguish between four phases. The early phase originated from a concern over fragmentation between social and health care services which triggered bespoke solutions such asmultidisciplinary teams. The prime location for thiswork was services for people with complex healthcare needs, most prominently people with intellectual disabilities. The research of the 1990s was driven by a recognition that services urgently had to be improved for these populations in the wake of de-institutionalisation and the transfer of patients into the community. Improved collaboration across organisational and sectoral boundaries was the call of the day, and the work was mainly driven by naı €ve idealism, as opposed to theoretically informed evidenced based practice. Early research focused on identifying barriers and facilitators for multiprofessional work, a strand of research that has stayed with us until today. The second phase was equally characterised by a feeling of disquiet about fragmentation of all types, as services and staff’s specialisations increased and organisations adopted targeted approaches for specific disease groups. This phase saw significant funding for research in the area of continuity of care and a series of randomised controlled trials to examine the effectiveness of interventions for various groups of patients or service users. Some initial cost effectiveness or value for money studies also emerged. It was a time of testing service models through increasingly robust and rigorous study designs. Programmes such as PRISMA, the Quebec based Programme on Research for Integrating Services for the Maintenance of Autonomy, may stand paradigmatically for this phase of practice focused research. The programmewas clearlymotivated by a concern for people’s quality of life and a surge of models and interpretative frameworks published in peer-reviewed journals added criticality to this applied research. The lens through which studies were seen and formulated was very much a structural one; services were perceived as enablers of higher levels of functioning or improved quality of life, a perspective that owed much to the norma","PeriodicalId":51837,"journal":{"name":"Journal of Integrated Care","volume":"18 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78236303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of single multidisciplinary triage system and straight to test process evaluation at surrey integrated musculoskeletal services","authors":"N. Nalajala, M. Panchal, L. Gotting","doi":"10.1108/jica-11-2022-0052","DOIUrl":"https://doi.org/10.1108/jica-11-2022-0052","url":null,"abstract":"PurposeOrthopaedics, rheumatology, pain management, specialist radiology and therapy services were brought under one umbrella to form Northwest Surrey integrated musculoskeletal (IMSK) services and introduced advance clinical practice, a multi-disciplinary team triage with a formalised straight to test (STT) process defined in 2018. Historically, prior to these services' integration, there were a primary and second care triage systems within individual specialities. The aim of this service evaluation is to assess the impact of a single IMSK multidisciplinary triage (MDT) system and the efficacy of STT from triage, which allows patients to be sent for diagnostics based on the cluster of symptoms and past medical history in order to achieve early identification of serious pathologies. This is a complex adaptive system with pathways spanning into the core areas of orthopaedics, rheumatology, therapies, pain management services, radiology and some less frequent specialities such as neurology, oncology, vascular and gynaecology. One of the objectives of this study was to identify how many referrals were triaged to consultants, Advance practice and therapies. In addition, the authors wanted to highlight the proportion of referrals that were sent straight to test from triage and the percentage of these that had sinister pathology identified. This information would then be compared against existing red flag literature to identify common themes. This study aims to discuss the aforementioned objectives.Design/methodology/approachData were extracted retrospectively from a hospital database from January to December 2019 for all the adult musculoskeletal service referrals. The data collected were analysed on a Microsoft Excel sheet with information including date of triage, hospital number, ordering clinician, body part, type of diagnostic, indications for scanning, outcome for STT, serious pathology findings (named code 5 within our trust) and outcome of appointment.FindingsA total of 47,039 referrals were received into the IMSK service. Of these referrals 19,967 were directly referred to therapies, with 27,072 referrals received into the IMSK service MDT process. Within triage, 718 patients were directed to STT to rule out serious pathology. A total of 28 patients (3.9%) had sinister pathology identified on their investigation. A total of 46% of patients were discharged from their first consultation following STT. Overall, 50% of the total number of referrals into the IMSK service was seen by advanced practitioners with 16% of patients directed to consultants with pre-consultation diagnostic work up.Originality/valueThis service evaluation highlights that STT allows early access to diagnostics, resulting in quicker access to identification of sinister pathology. A one stop MDT system has been shown to be effective in guiding the referral to the right place with increased referrals into allied health advance practice clinics and access to therapies directly.","PeriodicalId":51837,"journal":{"name":"Journal of Integrated Care","volume":"26 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74600876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can simple household assistive products enhance the self-care of health and well-being?","authors":"N. Nachiappan, S. Ward, N. Chockalingam, Ruth Chambers","doi":"10.1108/jica-08-2022-0043","DOIUrl":"https://doi.org/10.1108/jica-08-2022-0043","url":null,"abstract":"PurposeThe ageing population is a global phenomenon that is occurring in many countries around the world, including the UK. According to the Office for National Statistics (ONS), the proportion of the UK population aged 65 years and over is projected to increase, reaching 25% by 2045. This increase will have a significant impact on a range of social and economic issues. One of the ways to reduce this impact is to improve self-care.Design/methodology/approachThe availability of simple assistive devices can facilitate physical activity and help complete daily living activities. These devices can also help in the self-management of long-term health and well-being. To encourage self-care, it is essential to create awareness about these assistive products. Simple assistive products such as shoe horns, magnifying glasses or a sphygmomanometer that are readily available to buy from shops were grouped into four boxes or kits. The authors provided these simple devices to 175 community-dwelling older adults in deprived areas and followed them up via a phone survey after 4–6 weeks.FindingsThe authors recorded overall positive feedback on individual products and the kit. The results indicate that there was a sense of empowerment and ability by the recipients to take control of their health and well-being and management of their health condition using items contained in the kit provided.Practical implicationsThe study results show that simple assistive products empower older adults to self-care and can provide a positive impact on their activities of daily living.Originality/valuePrevious studies have shown that regular exercise can enhance both physical and mental abilities and reverse certain chronic health issues. Simple household devices can aid in increasing physical activity. This work highlights how these devices enable older adults to take care of themselves, with a focus on capturing their personal perspectives and experiences.","PeriodicalId":51837,"journal":{"name":"Journal of Integrated Care","volume":"4 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87431736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}