Hospital Topics最新文献

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Hospitals and Superutilization. 医院和超级利用。
Hospital Topics Pub Date : 2026-01-01 Epub Date: 2024-09-18 DOI: 10.1080/00185868.2024.2404700
Michael Howley, Prashant Srivastava
{"title":"Hospitals and Superutilization.","authors":"Michael Howley, Prashant Srivastava","doi":"10.1080/00185868.2024.2404700","DOIUrl":"10.1080/00185868.2024.2404700","url":null,"abstract":"<p><p>A small percentage of patients consume most of the health services in the US. These cases of superutilization affect hospitals, but little is known about what it is, the impact on hospitals, or how hospitals can identify potential cases of superutilization. We conducted exploratory research using the Medical Expenditure Panel Survey (MEPS) datasets for 2019 to examine superutilization as it relates to hospitals. Using total charges for health services to identify superutilization, we found a surprising amount of superutilization was not related to hospital care. When superutilization did occur in hospitals, there was reduced reimbursement for care in superutilization as measured by the reimbursement relative to charges. Demographic variables had limited utility in predicting superutilization. Our demographic analysis suggested that there are potential cases of superutilization that are not accessing hospital care. Our analyses suggest that given the amount of care that cases of superutilization require, the decreased reimbursement for the high levels of care and the untapped potential of superutilization, hospitals should consider developing capabilities to manage these challenging cases.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"52-59"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301799","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}
引用次数: 0
Performance Assessment of Public Hospitals with the Entropy-Weighted TOPSIS Method: The Case of Turkey. 用熵加权 TOPSIS 法对公立医院进行绩效评估:土耳其案例。
Hospital Topics Pub Date : 2026-01-01 Epub Date: 2024-09-18 DOI: 10.1080/00185868.2024.2404694
Deniz Tugay Arslan, Gözde Yeşilaydın
{"title":"Performance Assessment of Public Hospitals with the Entropy-Weighted TOPSIS Method: The Case of Turkey.","authors":"Deniz Tugay Arslan, Gözde Yeşilaydın","doi":"10.1080/00185868.2024.2404694","DOIUrl":"10.1080/00185868.2024.2404694","url":null,"abstract":"<p><p><b>Background:</b> Hospitals make up the main cost factor of health systems and also face increasing pressure to improve efficiency. Improving the performance of hospitals, which are vital for public health, is very important for developing countries such as Turkey. <b>Aims</b>: We conducted this study to assess the performance of 544 secondary-level public hospitals in Turkey by geographical region. <b>Methods:</b> In the study, we used the entropy weighting method to obtain the objective weights of indicators with the evaluation criteria, and then we utilized the TOPSIS (Technique for Order Preference by Similarity to Ideal Solution) method to rank the performance of hospitals by geographical region. <b>Results:</b> The comparison of hospital performances by geographical region indicated that the highest and the lowest mean scores belonged to the Mediterranean Region and the Eastern Anatolia Region, respectively. <b>Conclusions:</b> The socio-economic differences between geographical regions in Turkey were in parallel with the findings of the study. Although there is a need for professional management in resource allocation and use to improve the performance of public hospitals, it is necessary to focus on the origin of the problems first.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"43-51"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301800","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}
引用次数: 0
Decision Making of Healthcare Consumers Based on Factors Associated with Online Review and Ratings. 基于在线评论和评级相关因素的医疗消费者决策。
Hospital Topics Pub Date : 2026-01-01 Epub Date: 2024-09-18 DOI: 10.1080/00185868.2024.2404703
Meenal Kulkarni, Ankit Singh, Neha Ahire
{"title":"Decision Making of Healthcare Consumers Based on Factors Associated with Online Review and Ratings.","authors":"Meenal Kulkarni, Ankit Singh, Neha Ahire","doi":"10.1080/00185868.2024.2404703","DOIUrl":"10.1080/00185868.2024.2404703","url":null,"abstract":"<p><p>The study deals with understanding of the factors associated with online ratings and reviews that help the healthcare consumers in better decision making. Data was collected from 303 participants using mixed methods. The results indicate the factors that help in decision making which includes use of ratings as a reference, impact of positive and negative ratings, whether these ratings depict the actual worth of healthcare service provider and the relevance of these websites in decision making. This study concludes that there is significant relevance of online rating and review websites on healthcare consumers in selecting a healthcare provider.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"60-66"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301797","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}
引用次数: 0
Teaching Hospital Governance Model for Service Quality Performance: Case Study of Indonesian Central General Hospital. 提高服务质量的教学医院管理模式:印度尼西亚中央综合医院案例研究》。
Hospital Topics Pub Date : 2026-01-01 Epub Date: 2024-09-14 DOI: 10.1080/00185868.2024.2403667
Lianna Wijaya, Muhammad Alfarizi
{"title":"Teaching Hospital Governance Model for Service Quality Performance: Case Study of Indonesian Central General Hospital.","authors":"Lianna Wijaya, Muhammad Alfarizi","doi":"10.1080/00185868.2024.2403667","DOIUrl":"10.1080/00185868.2024.2403667","url":null,"abstract":"<p><p>This study aims to investigate the effect of teaching hospital management practices on the quality performance of health services by involving elements such as hospital accreditation standards, quality management, and JCI Academic Hospital-specific standards that are indirectly connected. This study chose a survey-based quantitative approach to clinical professional students in vertical teaching hospitals under the direct management of the Ministry of Health of the Republic of Indonesia. Six proposed hypotheses were tested by Partial Least Square-Structural Equation Modeling (PLS-SEM) analysis. The test results showed a positive influence between hospital teaching governance and hospital accreditation compliance, quality assurance and JCI Academic Hospital standards. Third, compliance with teaching hospital standards was also found to have a significant positive effect on the performance of teaching hospital service quality. Understanding the role of governance in encouraging the performance of teaching hospital service quality can help develop effective managerial strategies in achieving complete service quality for patients and clinical profession participants. This research resulted in contributions to existing practices and literature as governance modeling in dual quality standards charged to teaching hospitals.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"14-32"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301801","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}
引用次数: 0
Evidence-Based Medicine as Perceived by Healthcare Professionals: A Cross-Sectional Study in the United Arab Emirates. 医疗保健专业人员眼中的循证医学:阿拉伯联合酋长国的一项横断面研究。
Hospital Topics Pub Date : 2026-01-01 Epub Date: 2024-11-04 DOI: 10.1080/00185868.2024.2422118
Abdul Muhaimen Hakam, Mohammad M Al-Ahmad
{"title":"Evidence-Based Medicine as Perceived by Healthcare Professionals: A Cross-Sectional Study in the United Arab Emirates.","authors":"Abdul Muhaimen Hakam, Mohammad M Al-Ahmad","doi":"10.1080/00185868.2024.2422118","DOIUrl":"10.1080/00185868.2024.2422118","url":null,"abstract":"<p><strong>Background: </strong>To investigate evidence-based medicine (EBM) use by physicians and pharmacists in the United Arab Emirates (UAE).</p><p><strong>Method: </strong>A cross-sectional study using a validated questionnaire. Results: Overall, 70.7% of physicians and 35.3% of pharmacists had positive attitude toward EBM. Physicians with 10-15 years of professional experience scored highest on EBM implementation; no statistical association was found (<i>p</i> = 0.099). Younger pharmacists aged 25-35 years were more interested in implementing EBM compared to older pharmacists (<i>p</i> = 0.011). Physicians in Al Ain performed better than those in other cities (<i>p</i> < 0.0001), and pharmacists in Abu Dhabi implemented EBM better than others (<i>p</i> = 0.014).</p><p><strong>Conclusion: </strong>Age and years of experience could influence implementing EBM.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"81-91"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570576","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}
引用次数: 0
Self-Efficacy of Nurses and Physicians in the Emergency Department and Its Influence on the Outcomes of Trauma Patients. 急诊科护士和医生的自我效能感及其对创伤患者治疗效果的影响。
Hospital Topics Pub Date : 2026-01-01 Epub Date: 2024-11-14 DOI: 10.1080/00185868.2024.2427640
Muayyad Ahmad, Ali Qurneh
{"title":"Self-Efficacy of Nurses and Physicians in the Emergency Department and Its Influence on the Outcomes of Trauma Patients.","authors":"Muayyad Ahmad, Ali Qurneh","doi":"10.1080/00185868.2024.2427640","DOIUrl":"10.1080/00185868.2024.2427640","url":null,"abstract":"<p><p>The purpose of this study was to examine the effect of self-efficacy on the implementation of the adult trauma clinical practice guidelines (ATCPGs) on improving trauma patient outcomes, including missed injuries, and ED LOS. Nurses' and physicians' self-efficacy in performing ATCPGs skills were evaluated three months prior to and three months after the intervention's implementation. Multiple strategies of ATCPGs implementation improved the length of stay (LOS) in the ED for multiple trauma patients. The quasi-experimental design has been implemented in this interventional study. Post-intervention, the self-efficacy of ED healthcare providers in performing ATCPGs skills has increased. Implementation of the ATCPGs has improved the outcomes of patients with multiple traumas. There were 66 patients in this study, and 53 (80.3%) of them were male. The ATCPGs intervention resulted in a statistically significant decrease in the amount of time spent in the ED, as shown by a comparison of the ED LOS in minutes between the two groups (<i>t</i> = 2.56; <i>p</i> = 0.013). Implementing the ATCPGs has improved multiple trauma patients' outcomes. The results will help decision-makers at hospitals to facilitate interdisciplinary ATCPGs training sessions and establish policies and procedures to introduce adult trauma sheet in the ED to improve multiple trauma patients' outcomes.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"92-100"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633541","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}
引用次数: 0
The Effect of Healthcare Professionals' Gender Perceptions on Their Reporting of Intimate Partner Violence Against Women. 医疗保健专业人员的性别观念对其报告亲密伴侣暴力侵害妇女行为的影响》(The Effect of Healthcare Professionals' Gender Perceptions on Their Reporting of Intimate Partner Violence Against Women.
Hospital Topics Pub Date : 2026-01-01 Epub Date: 2024-09-18 DOI: 10.1080/00185868.2024.2404693
Fatma Erçetin, Hatice Serap Koçak
{"title":"The Effect of Healthcare Professionals' Gender Perceptions on Their Reporting of Intimate Partner Violence Against Women.","authors":"Fatma Erçetin, Hatice Serap Koçak","doi":"10.1080/00185868.2024.2404693","DOIUrl":"10.1080/00185868.2024.2404693","url":null,"abstract":"<p><p>The research was conducted as a descriptive, cross-sectional study aimed at determining the factors influencing the effect of healthcare professionals' gender perceptions on their reporting of intimate partner violence against women. The sample of the study consisted of 191 people working in the emergency departments of public hospitals affiliated to the GaziantepG Provincial Health Directorate. A personal information form, the Gender Perception Scale, and the Scale of Health Professionals' Intentions/Behaviors Regarding Reporting Intimate Partner Violence were used as data collection tools. Data were evaluated using descriptive statistics, the Mann-Whitney U Test and the Kruskal-Wallis Test. The healthcare professionals' mean Gender Perception Scale score was determined as 90.79 ± 18.28, while their mean score on the Scale of Health Professionals' Intentions/Behaviors Regarding Reporting Intimate Partner Violence was determined as 107.05 ± 24.32. A positive and significant relationship was found between the healthcare professionals' gender perceptions and the behavior scale for reporting intimate partner violence against women (<i>r</i> = 0.178; <i>p</i> < 0.05), and it was determined that healthcare professionals with higher gender perception levels had a higher intention to report intimate partner violence against women.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"33-42"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301802","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}
引用次数: 0
Proning for COVID-19 Patients: A Task-Shifting Feasibility Study. 为 COVID-19 患者进行前倾:任务转移可行性研究
Hospital Topics Pub Date : 2026-01-01 Epub Date: 2024-10-15 DOI: 10.1080/00185868.2024.2408533
Zerubabbel K Asfaw, Priscilla Loanzon, Joseph P Mathew, Zahraa F Al-Sharshahi, Konstantinos Margetis, Jignesh S Patel, Ernest J Barthélemy
{"title":"Proning for COVID-19 Patients: A Task-Shifting Feasibility Study.","authors":"Zerubabbel K Asfaw, Priscilla Loanzon, Joseph P Mathew, Zahraa F Al-Sharshahi, Konstantinos Margetis, Jignesh S Patel, Ernest J Barthélemy","doi":"10.1080/00185868.2024.2408533","DOIUrl":"10.1080/00185868.2024.2408533","url":null,"abstract":"<p><p>The COVID-19 crisis severely impacted healthcare centers in the pandemic's epicenter. The shortage of healthcare workers (HCW) frequently utilized for complex interventions in the intensive care unit (ICU), such as proning for acute respiratory distress syndrome (ARDS), inspired a team of ICU professionals to implement a task-shifting initiative. Thirty-three HCW from various departments participated in the training. The interdisciplinary team performed multiple proning sessions on 90 patients with COVID-19-related ARDS. Participants indicated that the training session equipped them with adequate skills to safely prone patients. The training emphasized effective teamwork and communication while also increasing trainees' awareness of proning benefits.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"67-75"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481779","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}
引用次数: 0
First Insights on the Experiences, Barriers and Challenges of Remote Patient Monitoring for Chronic Heart Failure Management in a Multisite Hospital Setting in France. 在法国多站点医院环境中对慢性心力衰竭管理的远程患者监测的经验、障碍和挑战的首次见解。
Hospital Topics Pub Date : 2025-12-31 DOI: 10.1080/00185868.2025.2608694
Helene Benchimol, Laure Bousquet, Véronique Moreau, Frédéric Pavie, Sophie Nisse-Durgeat, Nicolas Pages
{"title":"First Insights on the Experiences, Barriers and Challenges of Remote Patient Monitoring for Chronic Heart Failure Management in a Multisite Hospital Setting in France.","authors":"Helene Benchimol, Laure Bousquet, Véronique Moreau, Frédéric Pavie, Sophie Nisse-Durgeat, Nicolas Pages","doi":"10.1080/00185868.2025.2608694","DOIUrl":"https://doi.org/10.1080/00185868.2025.2608694","url":null,"abstract":"<p><strong>Background: </strong>Remote patient monitoring (RPM) involves the digital transmission and follow-up of health data. While its implementation has impacted healthcare professionals (HCPs), real-word evidence remains limited. We provide insights on the experiences, barriers and challenges faced by HCPs using RPM for chronic heart failure (CHF) management in a multisite hospital setting.</p><p><strong>Methods: </strong>A descriptive pilot study was conducted from October 31, 2022 to April 11, 2023 in three hospitals in Nouvelle Aquitaine, France. Patients with CHF were manually enrolled in a web-based RPM platform (Satelia<sup>®</sup> Cardio). HCPs were invited to participate in semi-structured interviews to describe their experiences and perceptions of RPM implementation.</p><p><strong>Results: </strong>A total of 379 patients were enrolled to use RPM, most were male (61.5%) with a mean age of 75.2 years. Three HCPs (one cardiologist and two ambulatory care nurses) were interviewed. Key challenges identified were limited human resources, difficulty managing alerts due to scheduling constraints and the transition from traditional care models. The need to recruit and train dedicated RPM-specialised nurses was emphasized to support the growing volume of patients, particularly following the COVID-19 pandemic. Initial resistance encountered from hospital administration was reported, largely due to concerns about changing established care practices.</p><p><strong>Conclusions: </strong>Our findings offer practical first insights into the implementation of RPM for CHF. RPM was generally well accepted by HCPs in a multisite hospital setting. Addressing staffing needs and investing in training could be essential for scaling up RPM as reimbursement becomes integrated into the French healthcare system.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145866596","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}
引用次数: 0
Nurses' Knowledge, Attitudes, and Perceptions Toward Hospital Accreditation: A Cross-Sectional Study. 护士对医院认证的知识、态度和认知:一项横断面研究。
Hospital Topics Pub Date : 2025-12-22 DOI: 10.1080/00185868.2025.2604715
Naser Derakhshani, Ramin Rezapour, Marzie Zarqi, Sulmaz Pourhamzeh, Seyedeh Narges Pouyan, Hassan Abolghasem Gorji, Hassan Almaspoor
{"title":"Nurses' Knowledge, Attitudes, and Perceptions Toward Hospital Accreditation: A Cross-Sectional Study.","authors":"Naser Derakhshani, Ramin Rezapour, Marzie Zarqi, Sulmaz Pourhamzeh, Seyedeh Narges Pouyan, Hassan Abolghasem Gorji, Hassan Almaspoor","doi":"10.1080/00185868.2025.2604715","DOIUrl":"https://doi.org/10.1080/00185868.2025.2604715","url":null,"abstract":"<p><p>Hospital accreditation serves as a systematic approach to improving the quality of healthcare services and ensuring patient safety. The success of such programs depends heavily on the awareness, attitude, and perception of healthcare providers, particularly nurses. This study, conducted in 2024 at Imam Khomeini Educational-Therapeutic Hospital in Khalkhal, assessed these factors among 156 nurses using a self-administered questionnaire. The results revealed that the mean scores for knowledge, attitude, and perception were 25.66 (SD = 8.38), 26.23 (SD = 8.91), and 31.58 (SD = 9.53), respectively. Most participants were female (73.7%), held a bachelor's degree (98.1%), and were aged between 30 and 40 years. Knowledge levels varied significantly with age and education, with nurses aged 40-50 and those with postgraduate qualifications demonstrating higher scores. Attitudes toward accreditation were more positive among male nurses, those aged 30-40, and those with less than five years of experience. Interestingly, perception scores were highest among nurses with more than ten years of work experience. These findings suggest that while general awareness of accreditation was moderate, attitudes and perceptions were relatively favorable, particularly among specific demographic subgroups. Given that the effectiveness of accreditation relies on informed and engaged nursing staff, these variations highlight the need for targeted interventions, such as continuous education and motivational programs, to improve knowledge levels and sustain positive attitudes across all groups. Strengthening these areas is essential for the successful implementation of accreditation standards and for driving continuous quality improvement in hospital care.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145805385","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}
引用次数: 0
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