Inquiry-The Journal of Health Care Organization Provision and Financing最新文献

{"title":"Pediatric Oncology Knowledge Mobilization in Canada: A Environmental Scan.","authors":"Catherine Foulem, Emily K Drake, Angelina Lui, Sharon Dias, Ekaterini Damoulianos, Stephanie Reid, Patrick Cossette, Michel Duval, Kirsten Efremov, James Foster, Karen Haas, Argerie Tsimicalis","doi":"10.1177/00469580261468769","DOIUrl":"10.1177/00469580261468769","url":null,"abstract":"<p><p>IntroductionNon-profit organizations play a key role in supporting knowledge dissemination activities. However, their contribution to these activities in-person and online in the pediatric oncology field remains unclear. Our study aims to provide an overview of the pediatric oncology charitable organizational landscape and describe their knowledge mobilization efforts related to dissemination, highlighting existing strengths, gaps, and opportunities to strengthen and unite efforts.MethodsA bilingual environmental scan was conducted using an internet-based search strategy to identify Canadian pediatric oncology non-profit organizations. Eligible organizations were screened, and data on their characteristics and knowledge dissemination strategies were extracted. Extracted data were analyzed descriptively and presented in tables, spatially, and narratively with figures.ResultsThe scan identified 906 results, and 25 organizations were eligible for inclusion in the study. Eleven organizations (44%) are based in Ontario. The decade where the highest number of organizations were founded is 2000-2009 (n = 9, 36%), offering primarily English-only content (n = 18, 72%). Only six (26.1%) provided bilingual resources. Among the knowledge dissemination strategies, digital knowledge dissemination activities were utilized often, with all organizations using websites and social media (particularly Facebook, n=25 (100%), and Instagram, n =24 (96%)).ConclusionThis study identified the current list and knowledge dissemination efforts of non-profit organizations in the pediatric oncology community in Canada but reveals gaps in bilingual content and in other major languages spoken in the country, geographic physical location, and centralized resources.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261468769"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13373428/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148450656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and Facilitators of Continuous Labor Companion Support in Ethiopia: Qualitative Formative Study on Facility Readiness and Respectful Maternity Care.","authors":"Gedamu Abera Zegeye, Muluemebet Abera Wordofa, Afework Mulugeta","doi":"10.1177/00469580261433850","DOIUrl":"10.1177/00469580261433850","url":null,"abstract":"<p><p>In Ethiopia, women strongly desire continuous support during childbirth. Despite its benefits, this practice remains uncommon. The study aimed to evaluate health facility readiness and explore the preferences and experiences of women and providers to identify the factors affecting the implementation of continuous labor support in Ethiopia. This formative qualitative study utilized the COM-B model and Theoretical Domain Framework (TDF) to map barriers. Data were collected through 25 in-depth interviews and 12 facility observations, focusing on 'role-oriented support' to understand the physical and psychological needs of laboring women. Using purposive sampling, 25 in-depth interviews were conducted with 7 pregnant women, 5 postpartum women, 5 maternity heads, and 8 healthcare providers, along with assessments of the readiness of the 12 healthcare facilities. Data were analyzed through thematic analysis and narrative summaries, with findings mapped using behavioral models of Capability, Opportunity, and Motivation for behavior change, combined with a Theoretical Domain Framework to enhance understanding. Six primary themes were identified: (1) lack of emotional support skills among companions; (2) insufficient knowledge of support roles; (3) restrictive health facility policies; (4) cultural expectations impacting companionship; (5) undefined roles leading to inefficient support; and (6) limited responses by healthcare providers affecting labor companions. The key barriers to effective continuous support are systemic and institutional restrictions from health facilities and staff, aggravated by companions' limited knowledge and skills. Addressing multifaceted barriers to continuous labor support requires an inclusive approach. Such systemic changes are essential for creating a supportive birthing environment that ultimately improves maternal outcomes and overall birth experience.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261433850"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13033059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147534500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Self-Reported Dietary Recalls and Real-Time Tools to Track Mealtimes in Older Adults: A Pilot Study.","authors":"Leinys S Santos-Báez, Omer Kazmi, Diana Díaz-Rizzolo, Collin J Popp, Emily N C Manoogian, Satchidananda Panda, Bin Cheng, Blandine Laferrère","doi":"10.1177/00469580261419162","DOIUrl":"10.1177/00469580261419162","url":null,"abstract":"<p><strong>Introduction: </strong>Meal timing can influence metabolism and health. Correct meal timing data is crucial to accurately assess eating patterns and develop effective interventions. However, commonly used methods like dietary recalls are often inaccurate for caloric and nutrient intake. In this pilot study, we aimed to assess the mealtime agreement between dietary recalls and documentation in real-time.</p><p><strong>Methods: </strong>This is an observational 2-week study in older adults with prediabetes and obesity. Participants reported their diet with (1) 2-6 non-consecutive dietary recalls (Automated Self-Administered 24-h (ASA24^®) Dietary Assessment Tool), and (2) time-stamped photographs of all caloric eating and drinking events via the myCircadianClock (mCC) mobile application. Data analysis was performed on days when both methods were used to assess the first eating occasion (FEO) and the last eating occasion (LEO) of the day. Significance set at <i>P</i> < .05.</p><p><strong>Results: </strong>Adults (n = 43, 14 men, age 60 ± 7 years, body mass index (BMI) 33.0 ± 6.2 kg/m²) documented 4 ± 1 ASA24 recalls over 2 weeks. Agreement between tools ranged between 62% to 73% for the FEO and 49% to 61% for the LEO. The FEO and LEO agreement were positively correlated (β = .4, <i>P</i> = .01). Differences between tools were higher with fewer recalls (β = -.3, <i>P</i> = .04) for the LEO, but were not associated with age, sex, or body composition for neither the FEO or the LEO. The FEO agreement between tools was higher when the FEO was consumed earlier, when agreement was defined by ±45 min (estimate = -0.94, <i>P</i> = .001) and ±60 min (estimate = -1.11, <i>P</i> < .001).</p><p><strong>Conclusions: </strong>Our results suggest that mealtime agreement between dietary recalls and a time-stamped tool is consistently below 75%, and lowers for meals recorded later in the day. The inter-tool agreement is higher with increased overlap tolerance and greater number of dietary recalls.</p><p><strong>Clinical trials registration number: </strong>NCT04465721https://clinicaltrials.gov/study/NCT04465721.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261419162"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12921157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146222133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing Internship Supervision in Saudi Arabia: A Qualitative Study Interpreted Through Self-Determination Theory.","authors":"Fahad M Althobaiti, Fahad A Alsufyani, Jamil Aljuaid, Maaidah M Algamdi","doi":"10.1177/00469580261468782","DOIUrl":"10.1177/00469580261468782","url":null,"abstract":"<p><p>IntroductionMost studies of nursing interns in Saudi Arabia have focused on students' perspectives, often neglecting the experiences of supervisors, who play a critical role in guiding and supporting interns. To address this gap, the present study explored the motivations, challenges, and strategies related to nursing student supervision in hospital settings.MethodsThis qualitative descriptive study utilized in-depth, semi-structured interviews with ten supervisors working in Taif Health Cluster hospitals in Saudi Arabia to explore the experiences of nursing student supervisors during internships. Thematic analysis was employed to identify core themes and insights.ResultsThree overarching themes were identified: motivations for supervisory roles, factors influencing performance, and strategies to improve supervisory quality. Through the lens of self-determination theory, these findings suggest that supporting supervisors' autonomy, competence, and relatedness can strengthen motivation and improve the quality of internship supervision.ConclusionStrengthening university-hospital collaboration, revising training plans, and ensuring sufficient facilities and incentives are critical to sustaining supervisors' motivation and effectiveness. Addressing these challenges can enhance supervision quality and prepare competent, confident, and committed nursing graduates.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261468782"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13365699/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Willingness to Utilize Psychological Health Applications Among Saudis: A Study Guided by the Unified Theory of Acceptance and Use of Technology (UTAUT).","authors":"Hessah F Alhugbani","doi":"10.1177/00469580261437649","DOIUrl":"10.1177/00469580261437649","url":null,"abstract":"<p><p>Digital mental health interventions are increasingly used to address gaps in access to psychological services in Saudi Arabia. However, cultural, technological, and usability factors may shape public acceptance of these tools. This study examines the willingness of Saudis to use the Labayh mental health application, guided by the Unified Theory of Acceptance and Use of Technology (UTAUT), focusing on the roles of performance expectancy, effort expectancy, social influence, and facilitating conditions. A cross-sectional online survey was administered to adult participants (n = 307). Validated UTAUT measures were used, and multiple regression analyses tested the effects of the 4 constructs on behavioral intention to use the application. The findings supported 3 of the 4 UTAUT constructs. Performance expectancy was the strongest predictor of behavioral intention. Effort expectancy also had a significant effect, indicating that ease of use increased adoption. Social influence significantly predicted intention, particularly among younger respondents, underscoring the role of peers, family, and clinicians. By contrast, facilitating conditions were not significant, likely reflecting a ceiling effect whereby most participants already possessed sufficient access and technical readiness, making this factor less relevant. These results indicate that acceptance of digital mental health applications in Saudi Arabia is primarily driven by perceived usefulness, ease of use, and social endorsement, whereas infrastructure plays a limited role. Efforts to increase adoption should prioritize culturally sensitive communication, usability-centered design, and engagement with trusted social and clinical influencers to encourage sustained uptake across diverse groups of users nationwide. No clinical trial registration applies.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261437649"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13070158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tanzania's NCD Transition: A Comparative Analysis of Healthy Lifestyle Behaviors for Hypertension Prevention Between Rural and Urban Adults.","authors":"Salim J Mpimbi, Mangi J Ezekiel, Idda H Mosha, Gilbert Fokou, Bonfoh Bassirou","doi":"10.1177/00469580261460386","DOIUrl":"10.1177/00469580261460386","url":null,"abstract":"<p><p>IntroductionHypertension remains a major public health concern in Tanzania, yet evidence on the combined adoption of healthy lifestyle behaviors across rural and urban populations remains limited. This study assessed healthy lifestyle adoption and associated socio-demographic factors among adults in contrasting rural and urban settings in Morogoro Region, Tanzania, using a composite healthy lifestyle index (HLI) approach.MethodsAn analytical cross-sectional study involving 838 adults was conducted in Kilombero District Council and Morogoro Municipal Council. A composite HLI incorporating body mass index, physical activity, smoking, alcohol use, and fruit and vegetable intake was constructed. Participants were divided into high or low behavior adoption groups, and stratified multivariable logistic regression models were used to estimate adjusted odds ratios (aORs) with 95% confidence intervals (CIs).ResultsHigh healthy lifestyle adoption was more common in rural Kilombero than urban Morogoro (55.5% vs. 47.0%; p=0.017). In rural areas, lifestyle adoption varied by income, employment, and age, while in urban Morogoro, income was the primary socio-demographic factor associated with healthy lifestyle adoption. The findings also suggest that behavioral transitions commonly associated with urbanization may already be emerging in rural settings.ConclusionsHealthy lifestyle adoption differed between rural and urban populations, highlighting the need for context-specific and integrated prevention strategies. Urban interventions should prioritize improving access to healthy foods and opportunities for physical activity, while rural strategies should support the preservation of currently favorable lifestyle behaviors alongside prevention of emerging behavioral risks.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261460386"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13260984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Divergent Regulatory and Reimbursement Pathways for Digital Therapeutics: A Scoping Review With Implications for Korea.","authors":"Mincheol Kim, Gaeun Kim","doi":"10.1177/00469580261467451","DOIUrl":"10.1177/00469580261467451","url":null,"abstract":"<p><p>IntroductionDigital therapeutics (DTx) represent an emerging class of software-based medical devices delivering evidence-based therapeutic interventions. Several countries have developed regulatory and reimbursement frameworks for DTx, while Korea's evaluation system remains in its early stages. This scoping review compared regulatory and reimbursement frameworks for DTx across the United States, Germany, the United Kingdom, and Korea, and separately derived author-led policy implications for a Korean DTx evaluation framework.MethodsFollowing the Arksey and O'Malley framework and PRISMA-ScR guidelines, we searched 11 databases for literature published between January 2015 and December 2025 (final search: 15 February 2026). DTx was operationalized using the Digital Therapeutics Alliance anchor definition with jurisdiction-specific application rules. Data were synthesized along five analytical dimensions: regulation, evidence assessment, reimbursement, postmarket evidence, and governance linkage.ResultsOf 2,847 records, 42 sources (19 articles, 23 policy documents) were included. Jurisdictions diverged most clearly on statutory codification of DTx, the existence of a dedicated reimbursement pathway, and regulator-payer integration. Germany's DiGA Fast-Track had 61 products listed cumulatively (50 active, 11 removed), exceeding one million prescriptions and €234 million expenditure (GKV-SV reporting period through 31 December 2024). Korea provisionally listed four DTx products since 2023.ConclusionsGermany's DiGA system shares more institutional features with Korea's evolving system than do the US or UK frameworks. We propose, as an author-derived synthesis informed by the review, a five-phase Korean DTx framework, while acknowledging substantive system-level differences (payer pluralism, pricing, benefit design, HTA procedure) that constrain direct transferability.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261467451"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13346739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148407005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cancer-Related Fatigue, Psychological Symptoms, and Sleep Quality and Influencing Factors in Cancer Patients Receiving Chemotherapy.","authors":"Nizar B Said, Aseel Alsayed","doi":"10.1177/00469580261422596","DOIUrl":"10.1177/00469580261422596","url":null,"abstract":"<p><p>Cancer-Related Fatigue, Psychological Symptoms (Anxiety and depression), and poor sleep quality are prevalent among patients with cancer undergoing chemotherapy. These psychological symptoms can significantly impair the overall well-being and treatment adherence of patients. To examine cancer-related fatigue, anxiety, depression, and sleep quality among patients receiving chemotherapy, and to determine how these symptoms vary according to selected demographic and clinical characteristics. A quantitative, cross-sectional study was conducted at An Najah National University Hospital. A convenience sample of 150 cancer patients receiving chemotherapy was recruited. Among 150 cancer patients receiving chemotherapy, fatigue was the most prevalent symptom (24.93 ± 13.05), with higher levels reported by males compared to females, <i>t</i>(147) = 2.49, <i>P</i> = .014, and by married patients (<i>P</i> < .001). Anxiety and depression affected 69.3% and 67.1% of patients, respectively, with 25.2% experiencing moderate to severe anxiety and 28.1% experiencing moderate to severe depression. 52.7% of patients reported poor sleep quality. Fatigue was strongly correlated with sleep quality (r = .644, <i>P</i> < .001) and moderately correlated with anxiety (r = .390, <i>P</i> < .01) and depression (r = .372, <i>P</i> < .01). Symptom severity varied significantly according to cancer stage (<i>P</i> < .01), type (<i>P</i> < .05), duration (<i>P</i> < .01), income, and education (<i>P</i> < .05). The findings underscore the critical need for comprehensive cancer care that addresses not only the physical aspects of fatigue and sleep disturbances but also the psychological impacts of anxiety and depression.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261422596"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12924911/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146776939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sponsor's Perspective: Extreme Risk Protection Orders and Building the Evidence Base for Risk-Based Firearm Violence Prevention.","authors":"Ruhi Bengali","doi":"10.1177/00469580251412726","DOIUrl":"10.1177/00469580251412726","url":null,"abstract":"","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580251412726"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12833158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Policy to Practice: How Site Visits Support Effective Implementation of Extreme Risk Protection Orders.","authors":"Spencer Cantrell, Rachel Jacoby, Tierra Lemon, Eric Rinehart, Elizabeth Leahy, Lisa Geller","doi":"10.1177/00469580251386249","DOIUrl":"10.1177/00469580251386249","url":null,"abstract":"<p><p>Extreme risk protection orders (ERPOs) are law in 22 states, the District of Columbia, and the U.S. Virgin Islands. ERPOs are an evidence-informed policy that allows for temporary removal of firearms when a judicial officer finds that individuals are at risk of harm to themselves and/or others. Illinois passed its ERPO law, called a firearm restraining order (FRO), in 2018. Additional implementation support is necessary for the law to be utilized. This paper discusses the process for planning an implementation site visit and the lessons learned from the site visit. Site visits serve as a valuable implementation tool to build connections, highlight opportunities for improvement in implementation, and coordinate effective policies to save lives. The site visit in Lake County, Illinois serves as an example of a successful site visit to further FRO implementation. ERPO site visits are dynamic meetings where best practices are shared, conversations with key implementers are facilitated, and challenges to ERPO implementation can be highlighted and overcome. Following the site visit to Lake County, Illinois, several lessons were learned: the importance of their Firearm Risk Reduction Coordinator, the challenge and need for standardized data collection, ongoing education and training needs, and the importance of partnership and connectivity. Following the site visit, Lake County, Illinois saw an increase in ERPO cases. Site visits are a useful tool to implement ERPO laws around the country. By bringing people together, ERPO implementers can coordinate services, highlight opportunities to improve implementation, and ensure coordination on firearm relinquishment.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580251386249"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12833186/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}