Telemedicine journal and e-health : the official journal of the American Telemedicine Association最新文献

{"title":"Predictors of Unplanned Emergency Department Visits and Hospitalization Among Adults Accessing Virtual Outpatient Oncology Services in Queensland, Australia.","authors":"Ramya Walsan, Reema Harrison, Jeffrey Braithwaite, Deepak Bhonagiri, Michelle Moscova, Elizabeth Manias, Ashfaq Chauhan, Anita Vandyke, Natalie Taylor, Virginia Mumford, Prince Peprah, Rebecca Mitchell","doi":"10.1177/15305627261440755","DOIUrl":"10.1177/15305627261440755","url":null,"abstract":"<p><strong>Background: </strong>Virtual care has become an integral part of oncology services, following the COVID-19 pandemic. Its association with unplanned hospital service use, alongside sociodemographic and clinical factors, remains unclear.</p><p><strong>Method: </strong>A retrospective cohort study was conducted among 39,099 adults with confirmed cancer diagnoses who accessed outpatient oncology services in Queensland between January 1, 2018 and December 31, 2020 using linked administrative data on unplanned emergency department (ED) visits, hospitalizations, and cancer-related hospitalizations. Multivariable logistic regression examined associations between nonadmitted patient (NAP) virtual care and unplanned hospital service use.</p><p><strong>Results: </strong>Among 39,099 patients accessing oncology services, 57.9% used at least one virtual care service. During one-year follow-up, 55.4% had an unplanned ED visit, 29.7% had an unplanned hospitalization, and 9.4% had an unplanned cancer-related hospitalization. Virtual care users had higher odds of unplanned ED visits (OR: 1.64; 95% CI: 1.50-1.79) and hospitalizations (OR: 1.20; 95% CI: 1.10-1.30), with no association for cancer-related admissions. Lower odds of unplanned service use were observed among females, individuals in the least disadvantaged areas, treated during lockdown, with poorly differentiated tumors, born outside Australia and with higher outpatient use. Presence of Charlson comorbidities, mental health conditions, and digestive or lung cancers (Vs breast cancer) were associated with higher odds of unplanned service use. Younger age and rural residence were linked to increased likelihood of unplanned ED visits but reduced likelihood of unplanned hospitalizations. Being on active treatment predicted unplanned hospitalizations only.</p><p><strong>Conclusions: </strong>The findings suggest an association between virtual care use and unplanned health service utilization among oncology patients. However, further research using more robust methodologies is needed to better understand this relationship and inform optimal integration of virtual care into routine oncology services.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"692-700"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147641087","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":"Utilization of Telemedicine Among Offshore Health Care Workers and Its Influencing Factors.","authors":"Gerald Netto, Sheng Qian Yew","doi":"10.1177/15305627261440757","DOIUrl":"10.1177/15305627261440757","url":null,"abstract":"<p><strong>Introduction: </strong>Telemedicine has become an essential tool for providing health care to offshore workers. Despite its advancements, there is still a lack of understanding about its optimal use and the factors affecting it among health care providers in offshore settings. The objective of this work was to study and determine the level of telemedicine utilization among offshore health care workers and its associated factors in Malaysia.</p><p><strong>Methods: </strong>In this cross-sectional study, online questionnaires were distributed to health care workers involved in offshore medical services. The questionnaire includes sociodemographic information and the validated Malay version of the Telemedicine Acceptance Model (TAM) Questionnaire. A total of 73 offshore health care workers were recruited from a local company using universal sampling. Data analysis involved descriptive statistics as well as simple and multiple logistic regression.</p><p><strong>Results: </strong>A total of 65.8% of offshore health care workers reported using telemedicine in their practice. Multiple logistic regression analysis indicated that Chinese and Indian workers were significantly more likely to use telemedicine compared with Malay workers, with adjusted odds ratios of 32.11 (<i>p</i> = 0.045) and 33.51 (<i>p</i> = 0.037), respectively. Workers with a good attitude toward telemedicine had 11.84 times higher odds of utilization (<i>p</i> = 0.004), while those with high behavioral intention were 25.80 times more likely to use telemedicine compared with their counterparts with low behavioral intention (<i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>A majority of offshore health care workers utilize telemedicine, with Chinese and Indian ethnicity, good attitude, and high behavioral intention significantly predicting its utilization.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"746-753"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147641184","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":"Implementation and Evaluation of Virtual Care in Canadian Health Care Systems: A Scoping Review.","authors":"Bonnie Yang, Joelena Leader, Briana Bowes, Harini Aiyer, Hailey Dunn, Scott J Adams, Megan E O'Connell, Laureen McIntyre, Hamza Dani, Rachel Johnson, Ivar Mendez, Stacey Lovo","doi":"10.1177/15305627261425160","DOIUrl":"10.1177/15305627261425160","url":null,"abstract":"<p><strong>Objective: </strong>This scoping review examined available evidence in implementation and evaluation of virtual care in Canada. Virtual care saw recent uptake due to the COVID-19 pandemic; however, to ensure quality of care, rigorous implementation and evaluation frameworks are needed.</p><p><strong>Methods: </strong>Peer-reviewed and gray literature were searched to determine extent, range, and nature of evidence surrounding implementation and evaluation of virtual care based on the guidelines of the Joanna Briggs Institute. Although virtual care can encompass synchronous and asynchronous modalities, this review focused on synchronous virtual care, defined as real-time interactions between patients and providers via videoconferencing or telephone. Search included MEDLINE, EMBASE, Psych Info, and CINAHL databases and national and provincial health system, professional organization, and regulatory websites. Inclusion criteria included videoconferencing or telephone and English and French Canadian sources. Citations were screened by two researchers at title, abstract, and full-text levels.</p><p><strong>Results: </strong>Two hundred and eight (208) manuscripts were included for analysis. High numbers of studies on patient satisfaction, process outcomes, and barriers were identified, with underrepresentation of health and systems outcomes and impact evaluations. There were very few studies examining hybrid care, planetary health, and use of virtual care with equity-deserving groups.</p><p><strong>Discussion: </strong>This scoping review identified areas of importance for future research, including the use of virtual care in rural and remote regions, inpatient, long-term, and emergency settings, hybrid care, economic and planetary health impacts, and artificial intelligence. As well, enhancing standardization of implementation and evaluation guidelines will optimize quality of care and best practice.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"662-681"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147518308","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":"Telehealth Use and Mammogram Utilization: Does This Relationship Differ Based on Perceived Barrier to Telehealth Use?","authors":"Namrata Sanjeevi, Chaya Mangel Pflugeisen, Pablo Monsivais, Jeanne Robison, Kelsey Zhong, Ofer Amram","doi":"10.1177/15305627261440745","DOIUrl":"10.1177/15305627261440745","url":null,"abstract":"<p><strong>Background: </strong>The objective of the study was to understand barriers to telehealth use among women and to examine mammography uptake in relation to these barriers. For this purpose, we implemented a survey to explore barriers to telehealth and use of cancer-preventative services.</p><p><strong>Methods: </strong>Recruitment was based on electronic health record data from MultiCare Health System. Recruitment and enrollment of patients was initiated in 2024 and ended in March 2025, when the target sample size of 1,000 was reached. Women, aged between 50 and 75 years, were surveyed. Women with a personal history of breast cancer were excluded from the analyses. Among those included, 614 women had received virtual care in the previous 5 years, and 265 women had not received virtual care. Women who had 5 or more mammograms in the last 10 years were classified as 'optimal mammogram utilizers'. Those reporting 0-4 mammograms were identified as 'mammogram under-utilizers'. Logistic regression analyses examined the association of telehealth use with mammogram utilization.</p><p><strong>Results: </strong>Compared to women who received virtual health care visits, women whose providers did not offer virtual care had significantly lower odds of optimal mammogram utilization. Lack of receipt of virtual care due to other reasons (i.e., technology issues and lack of preference/need) was not significantly associated with mammogram utilization.</p><p><strong>Conclusions: </strong>Study findings suggest that greater provider acceptance and use of telehealth for delivery of health care services could be associated with better mammogram utilization. Understanding barriers to provider acceptance of telehealth could inform efforts to expand telehealth.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"715-721"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147625230","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":"Comparison of Emergency Department Attendance After Emergency Care Recommendations from Nurse and Online eHealth Self-Triage.","authors":"Elizabeth N Curry, Nathaniel E Miller, Frederick North, Matthew C Thompson, Jennifer L Pecina","doi":"10.1177/15305627261440766","DOIUrl":"10.1177/15305627261440766","url":null,"abstract":"<p><strong>Introduction: </strong>Online self-triage is a newer eHealth modality, and there is a paucity of research on patient adherence to self-triage recommendations. We evaluated patient compliance with online self-triage guidance to seek emergency care and compared to nurse-triage adherence rates.</p><p><strong>Methods: </strong>We reviewed primary care empaneled patients who had either nurse phone triage or an online self-triage encounter that resulted in an emergency care recommendation between January 1, 2023, and November 30, 2024. Patients triaged for mood concerns, abdominal pain, chest pain, constipation, cough, and diarrhea were included. We reviewed whether patients had an emergency department visit within 24 h of their triage encounter. For self-triage encounters, we also examined whether patients called nurse triage within 24 h of their self-triage encounter.</p><p><strong>Results: </strong>There were 689 self-triage and 2,385 nurse triage encounters with an emergency care endpoint. Adherence to the emergency care recommendation was substantially lower after self-triage (22%) than after nurse triage (61%). Patients who underwent nurse triage were significantly more likely to seek emergency care than those who self-triaged (odds ratio of 5.4 [95% CI: 4.5-6.6] <i>p</i> < 0.001). Both male and female patients were less likely to follow emergency care recommendations after self-triage compared to nurse triage (<i>p</i> < 0.001). There were 258 patients with an emergency care endpoint from self-triage who chose to call nurse triage (median time between encounters of 16 min). Only 78 (30.2%) also received an endpoint recommendation for emergency care, and 73% of those patients sought emergency care within 24 h.</p><p><strong>Discussion: </strong>Patient compliance with online self-triage recommendations to seek emergency care was poor and significantly less than nurse triage. Follow-up calls to nurse triage led to higher compliance. Health systems using online symptom checkers should consider employing mechanisms to follow up on emergency care recommendations. Further research should elucidate factors that contribute to patients' willingness to follow care recommendations.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"722-729"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147641084","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":"Revolutionary Ideas in Health Care Delivery.","authors":"Charles R Doarn","doi":"10.1177/15305627261460100","DOIUrl":"10.1177/15305627261460100","url":null,"abstract":"","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"661"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148221724","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":"Analyzing Vital Sign Variability in Remote Monitoring as a Predictor of 31-Day Heart Failure Readmission: A Retrospective Cohort Study.","authors":"Adeel Arif, Anshul Kumar, Michelle Elsener, Kyle Egan, Farrukh N Jafri","doi":"10.1177/15305627261440450","DOIUrl":"10.1177/15305627261440450","url":null,"abstract":"<p><strong>Introduction: </strong>Heart failure (HF) is a major cause of morbidity and early hospital readmission in the United States. Remote patient monitoring (RPM) is increasingly used to support postdischarge care, but evidence remains mixed, and the prognostic value of day-to-day vital sign variability is unclear. This study evaluated whether physiologic variability and patient engagement during RPM were associated with 31-day HF readmission.</p><p><strong>Methods: </strong>A retrospective cohort study included 213 patients with HF enrolled in a postdischarge RPM program from June 2022 to April 2024. Patients recorded daily weight, blood pressure, and heart rate for up to 31 days after discharge. Vital sign variability metrics were generated by flagging days with threshold-crossing measurements and summarizing these fluctuations over the RPM monitoring period. Adjusted logistic regression models evaluated associations with 31-day HF readmission.</p><p><strong>Results: </strong>Pulse variability was significantly associated with 31-day readmission (OR 9.91, 95% CI 1.63-59.81, <i>p</i> = 0.011), while variability in weight and blood pressure showed no significant associations. Total vital sign variability also predicted readmission (OR 6.93, 95% CI 1.71-28.16, <i>p</i> = 0.007). Escalation outreach rate was strongly associated with readmission (OR 15.46, 95% CI 3.19-95.69, <i>p</i> = 0.001). Maximum brain natriuretic peptide values were higher among readmitted patients (<i>p</i> = 0.019).</p><p><strong>Conclusion: </strong>Variability in physiologic measures captured through remote monitoring, particularly pulse variability and overall fluctuation burden, may serve as clinically meaningful indicators of early decompensation. These findings highlight the potential value of dynamic RPM patterns in postdischarge risk assessment.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"701-708"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147629799","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":"Factors Associated with Patient Portal Use in a Nationally Representative Sample: Demographics and Savviness with Technology Influence Use of Portals.","authors":"Shira H Fischer, Elizabeth Roth, Dmitry Khodyakov, Yoony Lee, Zachary Predmore","doi":"10.1177/15305627261425907","DOIUrl":"10.1177/15305627261425907","url":null,"abstract":"<p><strong>Background: </strong>Patient portals have become widespread since the passage of the American 21^st Century Cures Act. However, little is known about how people are using these portals, especially for accessing telemedicine.</p><p><strong>Methods: </strong>We investigated patterns patient portal usage among a nationally representative sample of United States adults, focusing on the demographic factors influencing access and engagement. Using the RAND American Life Panel, we surveyed 1,672 people to assess their experiences with various portal functions, including viewing test results, messaging providers, and scheduling appointments.</p><p><strong>Results: </strong>Our findings reveal that about three-quarters of respondents had used portals to view test results and to access health records, about half have used to message a provider, schedule an appointment, or pay a bill. However, we found significant differences in portal usage with women, non-Hispanic white people, people with college degrees, and those with higher self-reported technological proficiency all more likely to use portals.</p><p><strong>Conclusions: </strong>These results highlight the need for targeted interventions to enhance accessibility and usability of patient portals, ensuring access to health care resources for all individuals, particularly those from underrepresented populations.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"754-760"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147518314","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":"Exploring Telehealth Utilization Among Seniors in Community Wellness Centers in DC During the Pandemic.","authors":"Brigitte Kwinze Smith, Mary K Awuonda, Adaku Ofoegbu, Earl B Ettienne, La'Marcus Wingate, Carrie Crowther Brown, Kany Bonnaire, Weetsnie Eloy, Ivan Mbami","doi":"10.1177/15305627261436127","DOIUrl":"10.1177/15305627261436127","url":null,"abstract":"<p><strong>Background: </strong>Telehealth utilization (TU) increased during the pandemic. Currently, there is limited literature on telehealth use among older adults. This study aims to examine the prevalence and predictive factors of telehealth use among seniors from wellness centers in Washington, DC and to explore barriers associated with TU during the pandemic.</p><p><strong>Methods: </strong>A cross-sectional study was done among members of senior wellness centers in DC who were ≥60 years old. Descriptive statistical analysis was conducted for all study variables. Logistic regression analyses were conducted to assess predictive factors of TU during the COVID-19 pandemic. Bivariable associations between telehealth barriers and study factors were also evaluated. All statistical analysis was conducted using SPSS version 28 at an alpha level of 0.05.</p><p><strong>Results: </strong>A total of 105 seniors were included in the study. Of them, 72.4% were female, 57.7% had public health insurance, 88.6% were African American, and 48.6% reported they have remote visits using any type of device. Multivariable analysis showed that gender (<i>p</i> = 0.010), computer access (<i>p</i> < 0.001), communal housing (<i>p</i> = 0.039), and computer self-efficacy (CSE) (<i>p</i> = 0.047) were significant predictors of TU. Fear of fraud, navigation, and computer access were barriers identified as factors associated with gender, age, and having a remote connection, respectively.</p><p><strong>Conclusions: </strong>Findings showed that only 48.6% of seniors in DC used telehealth during the pandemic, with gender, computer access, communal housing, and CSE playing a significant role. More studies are needed to confirm our study findings. Targeted policies are needed to sustain telehealth use after the pandemic.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"730-738"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147518313","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":"Application of Telemedicine for Mission Support-Importance of a Cost-Benefit Analysis.","authors":"Patrick L Scheid, David Padi, Hynek Schvach, Simon E Scheid","doi":"10.1177/15305627261440753","DOIUrl":"10.1177/15305627261440753","url":null,"abstract":"<p><strong>Background: </strong>Digital health is more relevant now than ever before, and interventions have a clear potential to improve the quality of care while reducing health care costs. Telemedicine has emerged as a transformative approach to health care delivery, particularly accelerated by the COVID-19 pandemic. In mission environments, telemedicine increasingly supports the management of acute injuries, chronic conditions, predeployment screening, and follow-up assessments, often using low-bandwidth store-and-forward modalities.</p><p><strong>Method: </strong>By reviewing existing literature and considering several different (heterogeneous) programs for \"telemedicine for mission support,\" the key performance indicators are explored to evaluate telemedicine in missions, following its implementation. Both acute and chronic care use cases, as well as operational, clinical, and technical determinants of feasibility, were considered.</p><p><strong>Results: </strong>This article presents the clinical, operational, and economic benefits of \"telemedicine in missions\" and the metrics for a comprehensive cost-effectiveness analysis or cost-benefit analysis, considering its economic and clinical impacts.</p><p><strong>Conclusions: </strong>Telemedicine in missions shows considerable differences from other telemedicine applications depending on the actors and the resulting circumstances. Considering the heterogeneity of the metrics provided, even within the field of \"telemedicine in missions,\" the analyses have to be conducted in accordance with the encountered conditions. Nevertheless, a set of metrics can be applied to nearly all use cases across the different applications and actors. A mission-adaptable minimum data set is proposed to support standardized evaluation across diverse operational contexts.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"682-691"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147641101","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}