Australian and New Zealand Journal of Public Health最新文献

{"title":"How do we fund Public Health in Australia? How should we?","authors":"Alan Shiell ,&nbsp;Kate Garvey ,&nbsp;Shane Kavanagh ,&nbsp;Victoria Loblay ,&nbsp;Penelope Hawe","doi":"10.1016/j.anzjph.2024.100187","DOIUrl":"10.1016/j.anzjph.2024.100187","url":null,"abstract":"<div><h3>Objective</h3><div>To map how public health is funded in Australia. To assess whether changes to funding methods might improve system performance.</div></div><div><h3>Methods</h3><div>Review of publicly accessible documents and discussions with public health key informants.</div></div><div><h3>Results</h3><div>Australia spent $140 per person on public health in 2019-20, (1.8% of total health spending). But there is considerable state and territory variation. This money flows through multiple channels and payment mechanisms. Responsibility for what is funded is largely delegated to authorities close to the problems. This makes it easier to choose the best mechanism for funding an activity. Much information is hidden from view, however. This makes it impossible to assess whether the potential for population benefit is fully realised.</div></div><div><h3>Conclusions</h3><div>Australia avoids some of the difficulties experienced elsewhere because funding is largely devolved to states in block grants; they shape their own investments. The US, by contrast, prefers categorical funds for specific purposes. Three suggestions for making the funding system here more visible, useful and accountable are canvassed, including ‘satellite accounts’.</div></div><div><h3>Implications for Public Health</h3><div>Funding needs to be more transparent before it is possible to assess whether public health system performance could be improved through changes to the way public health is funded.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"48 5","pages":"Article 100187"},"PeriodicalIF":2.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142279898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emergency contraception access in Fijian community pharmacies: A descriptive study","authors":"Lieu Thi Thuy Trinh ,&nbsp;Jane Estoesta ,&nbsp;Virginia Macdonald ,&nbsp;Deborah Bateson ,&nbsp;Clare Boerma ,&nbsp;Claire Rogers ,&nbsp;Rashika Gounder ,&nbsp;Angela Dawson","doi":"10.1016/j.anzjph.2024.100191","DOIUrl":"10.1016/j.anzjph.2024.100191","url":null,"abstract":"<div><h3>Objective</h3><div>To assess pharmacists’ knowledge regarding emergency contraceptive pills (ECPs), their attitudes towards women obtaining ECPs, and ECP counselling and dispensing practices.</div></div><div><h3>Methods</h3><div>An online cross-sectional survey using Qualtrics was distributed via pharmacy emails and networks to recruit registered pharmacists working in community-based pharmacies.</div></div><div><h3>Results</h3><div>There were 22 valid respondents, predominantly female pharmacists (68%), with an average of 7.5 years of registration. All pharmacists knew the correct time frame after unprotected sex for ECPs to be effective, and 73% knew how ECPs worked, but only 50% knew that there were no contraindications. Most pharmacists (86%) knew that ECPs should be available to all women and girls, but only 59% thought that a married woman should not have to get permission from her husband to buy ECPs. Information or education for clients on the correct use of ECPs was mainly provided by pharmacists (59%), mostly through verbal communication (96%). Only 5% of pharmacists had used the emergency contraception methods wheels.</div></div><div><h3>Conclusions</h3><div>There were gaps in pharmacists’ knowledge regarding ECPs. Biases, judgemental attitudes, and suboptimal practices existed.</div></div><div><h3>Implications for public health</h3><div>Targeted education and training for pharmacists is needed to improve access to ECPs in Fiji.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"48 5","pages":"Article 100191"},"PeriodicalIF":2.6,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142322634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preventive healthcare practice by allied health professionals: Results from a cross-sectional survey in rural and regional Victoria","authors":"Stephen Barrett ,&nbsp;Stephen Begg ,&nbsp;Sally Harris ,&nbsp;Paul O’Halloran ,&nbsp;Breanne Kunstler ,&nbsp;Bruce Bolam ,&nbsp;Kevin Masman ,&nbsp;Michael Kingsley","doi":"10.1016/j.anzjph.2024.100192","DOIUrl":"10.1016/j.anzjph.2024.100192","url":null,"abstract":"<div><h3>Objectives</h3><div>To describe the frequency of preventive healthcare practice (assess, advice, refer for support) provided by allied health professionals (AHPs) practicing in regional and rural healthcare settings to address smoking, diet and physical inactivity. To identify factors that influence the delivery of preventive healthcare practice.</div></div><div><h3>Methods</h3><div>AHPs working in public healthcare services in the Loddon Mallee region of Victoria were surveyed. Clinicians reported on the proportion of clients where they had provided preventive care. Likert scale questions measured factors influencing preventive healthcare practice.</div></div><div><h3>Results</h3><div>In total, 115 clinicians completed the survey. AHPs reported that they assess for smoking and physical activity behaviours but not diet. Preventive health practice that included providing advice or referrals for follow-on support was rarely undertaken. Availability of screening tools and automated referral letters increased the likelihood of preventive healthcare practice.</div></div><div><h3>Conclusions</h3><div>Greater attention to addressing modifiable lifestyle behaviours by AHPs might be warranted to match the rates of risk factors in rural and regional Victoria. Integrating support systems, for example, embedding screening questions within clinical assessments can assist preventive healthcare practice.</div></div><div><h3>Implication for public health</h3><div>Many AHPs are not promoting healthy behaviours to prevent poor health. We present some strategies that could potentially improve this.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"48 5","pages":"Article 100192"},"PeriodicalIF":2.6,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1326020024000682/pdfft?md5=069546b47e98039eb960724a5d4547d9&pid=1-s2.0-S1326020024000682-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142315387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Revising a right to food road map—perspectives of Australian key informants","authors":"Rebecca Lindberg ,&nbsp;Vivien Yii ,&nbsp;Elizabeth Millen ,&nbsp;Stephanie Godrich","doi":"10.1016/j.anzjph.2024.100189","DOIUrl":"10.1016/j.anzjph.2024.100189","url":null,"abstract":"<div><h3>Objective</h3><p>In Australia, an estimated 1 in 10 households experiences food insecurity. The objective of this study was to devise a visual synthesis to summarise the activities, processes and principles that support the right to food for everyone in Australia.</p></div><div><h3>Methods</h3><p>Semi-structured key informant interviews (n=30) were conducted during 2019–20. Content analysis synthesised perspectives and assisted co-authors in revising an initial draft (shared during the interview) to finalise the road map through semantic realist data analysis and re-design.</p></div><div><h3>Results</h3><p>The six components of the right to food road map summarise the actions, processes, and principles to address the human right to food. These include i) policy leadership, ii) advocate and enact, iii) empowerment, iv) resourcing, v) monitoring and accountability and vi) healthy, equitable and sustainable food systems.</p></div><div><h3>Conclusions</h3><p>When all the right to food actions, processes and principles are present, the “cogs” within the map are hypothesised to interact and realise the right to food for all Australians.</p></div><div><h3>Implications for Public Health</h3><p>Considering the cost of living pressures and unrelenting demand for food relief, better solutions are needed for food insecurity. Human rights - this language, their international recognition and as a “method of working”, offer an alternative to the dominant responses to food insecurity.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"48 5","pages":"Article 100189"},"PeriodicalIF":2.6,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1326020024000657/pdfft?md5=1cb7e1326e875e76ec931f9a56e49f93&pid=1-s2.0-S1326020024000657-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142274803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Freedom to move through the house”: How a healthy housing initiative improves quality of life in Aotearoa New Zealand","authors":"Elinor Chisholm ,&nbsp;Amber Logan ,&nbsp;Clare Aspinall ,&nbsp;Cheryl Davies ,&nbsp;Philippa Howden-Chapman ,&nbsp;Ellie Johnson ,&nbsp;Nevil Pierse","doi":"10.1016/j.anzjph.2024.100190","DOIUrl":"10.1016/j.anzjph.2024.100190","url":null,"abstract":"<div><h3>Objective</h3><p>This study explores experiences of the Healthy Housing Initiative (HHI). Aimed at children at risk of housing-related illness, the HHI package includes the provision of items such as curtains, heaters, bedding, and insulation, advocacy to encourage landlords to install improvements, and education and advice to help people optimise their home environment.</p></div><div><h3>Methods</h3><p>We conducted semi-structured, in-depth interviews with 20 people living in rental housing who received the HHI intervention.</p></div><div><h3>Results</h3><p>Participants felt heard and supported by HHI assessors. They reported that the intervention increased the warmth and dryness of the home, improved their respiratory and mental health, reduced their bills, and enabled the use of more parts of their home. However, some continued to live in cold and damp conditions due to structural inadequacies and energy poverty.</p></div><div><h3>Conclusions</h3><p>The qualitative evidence presented in this study shows how health-focussed interventions also benefit quality of life.</p></div><div><h3>Implications for public health</h3><p>This research emphasises that healthy housing interventions can yield extensive benefits by adopting a holistic and home-based approach. Such interventions have the potential to create improvements in individuals' lives far beyond health.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"48 5","pages":"Article 100190"},"PeriodicalIF":2.6,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1326020024000669/pdfft?md5=0066529367a5ec7c6cb51a4d9db3259d&pid=1-s2.0-S1326020024000669-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142239397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Act fast, stop COVID: The successful implementation of the first decentralised Victorian COVID-19 contact tracing and monitoring unit","authors":"Bridgette J. McNamara ,&nbsp;Jessica McDonald ,&nbsp;Kelvin Heard ,&nbsp;N. Deborah Friedman ,&nbsp;Frances Diver ,&nbsp;Eugene Athan ,&nbsp;Amanda J. Wade ,&nbsp;Fiona Brennan ,&nbsp;Melissa Warburton ,&nbsp;Caroline Bartolo ,&nbsp;Callum Maggs ,&nbsp;Nicole Miller ,&nbsp;Megan Smith ,&nbsp;John Stenos ,&nbsp;Daniel P. O’Brien","doi":"10.1016/j.anzjph.2024.100186","DOIUrl":"10.1016/j.anzjph.2024.100186","url":null,"abstract":"<div><h3>Objectives</h3><p>To describe the operational model, epidemiology and outcomes of COVID-19 cases managed by the first decentralised Victorian Public Health Unit (PHU) in the Barwon South-West (BSW) region in 2020.</p></div><div><h3>Methods</h3><p>The Barwon Health team used a clinician-led, locally-based interprofessional model of care, combining clinical care and monitoring, contact tracing and public health measures.</p></div><div><h3>Results</h3><p>From 7th March to 5th October 2020, 575 confirmed COVID-19 cases (82 in Wave 1; 493 in Wave 2) were identified in residents of the BSW region. Overall, 4.7% were admitted to local hospitals (0.7% to intensive care units) and 1.7% died. COVID-19 incidence in the region was 129 cases/100,000. Wave 2 in the region featured community transmission in high-risk settings and among culturally and linguistically diverse and mobile populations. Within 3 months of the initial local case in Wave 2, SARS-COV-2 was eliminated from the community.</p></div><div><h3>Conclusions</h3><p>A local interprofessional model of care was key to the containment of community transmission and complex outbreaks with the elimination of COVID-19 in the community.</p></div><div><h3>Implications for Public Health</h3><p>Key successes and learnings from the BSW PHU contributed to the improvement of statewide systems and responses and provided an impetus for the implementation of a decentralised public health model for Victoria.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"48 5","pages":"Article 100186"},"PeriodicalIF":2.6,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1326020024000621/pdfft?md5=309560f4019f8330e433fa8f1aaf3f22&pid=1-s2.0-S1326020024000621-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142162397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Establishing the Vaccine Safety Health Link: A large, linked data resource for the investigation of vaccine safety concerns","authors":"Hannah J. Morgan ,&nbsp;Hazel J. Clothier ,&nbsp;Philip Witowski ,&nbsp;James H. Boyd ,&nbsp;Gonzalo Sepulveda Kattan ,&nbsp;Gerardo Luis Dimaguila ,&nbsp;Aishwarya N. Shetty ,&nbsp;Jim P. Buttery","doi":"10.1016/j.anzjph.2024.100188","DOIUrl":"10.1016/j.anzjph.2024.100188","url":null,"abstract":"<div><h3>Objective</h3><p>Post-licensure vaccine safety surveillance of adverse events following immunisation is critical to ensure public safety and confidence in vaccines. This paper aims to describe the governance structure and data linkage methodology behind the establishment of the largest linked vaccine safety surveillance data resource in Australia – The Vaccine Safety Health Link (VSHL).</p></div><div><h3>Methods</h3><p>The Vaccine Safety Health Link contains linked records from the Australian Immunisation Register with records from hospital, perinatal, mortality, and notifiable disease datasets in near real-time. Linkage is done by the Centre for Victorian Data Linkage who receive the datasets in an identifiable format which then undergo standardisation, enrichment, linkage, quality assurance and de-identification, prior to being supplied for analysis.</p></div><div><h3>Results</h3><p>The VSHL data resource allows sensitive and rapid analysis of a broad spectrum of suspected adverse events to ensure the safety of all vaccines administered. It is also used to refute spurious concerns where no associations are found, upholding trust, and maintaining vaccine confidence.</p></div><div><h3>Conclusions</h3><p>The Vaccine Safety Health Link's surveillance design complements existing vaccine safety surveillance methods. Challenges encountered and lessons learnt using Vaccine Safety Health Link would benefit linkage projects globally.</p></div><div><h3>Implications for public health</h3><p>In its first two years, The Vaccine Safety Health Link has been used for 14 vaccine safety investigations. Studies into these conditions would not have otherwise been possible. The Vaccine Safety Health Link also partners with the Global Vaccine Data Network™ for approved collaborative studies with a combined population of over 300 million people.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"48 5","pages":"Article 100188"},"PeriodicalIF":2.6,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1326020024000645/pdfft?md5=0af56a2e57d7231086bad6cdb1352b25&pid=1-s2.0-S1326020024000645-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142162399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Estimating levels of mental health service need by small geographic area: A case study for Aboriginal and Torres Strait Islander adults living in South East Queensland","authors":"Imogen S. Page ,&nbsp;Claudia Pagliaro ,&nbsp;Alize J. Ferrari ,&nbsp;Harvey Whiteford ,&nbsp;Sandra Diminic","doi":"10.1016/j.anzjph.2024.100185","DOIUrl":"10.1016/j.anzjph.2024.100185","url":null,"abstract":"<div><h3>Objective</h3><p>The objective of this study was to determine regional variation in need for mental health care for Aboriginal and Torres Strait Islander adults (18+ years).</p></div><div><h3>Methods</h3><p>Three Australian Indigenous health surveys were analysed, and prevalence rates of high/very high psychological distress (as per the Kessler-5 tool) by the Index of Relative Socio-economic Disadvantage were computed and combined via meta-analysis. These estimates were applied to census population data to estimate regional needs and summed to geographic planning regions. Final estimates were assessed for face validity by comparing with other existing estimates of mental health need.</p></div><div><h3>Results</h3><p>The Index of Relative Socioeconomic Disadvantage had a dose–response relationship with high/very high psychological distress, whereby the more disadvantaged an area, the greater the levels of reported distress. This methodology resulted in varying levels of need within South East Queensland.</p></div><div><h3>Conclusions</h3><p>The approach was found to have good face validity and provides a data-driven method to determine relative levels of need.</p></div><div><h3>Implications for Public Health</h3><p>To ensure equity of mental health service provision, planners should account for variation in levels of need within a catchment. This method may be used throughout Australia to determine regional variation in need for care where other data are lacking to ensure evidence-based investment planning decisions at the local level.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"48 5","pages":"Article 100185"},"PeriodicalIF":2.6,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S132602002400061X/pdfft?md5=39e53a2353ce46de6e49e5bd298f316e&pid=1-s2.0-S132602002400061X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142145001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying Service, Research and Policy priorities for preventing the impacts of family adversity on children’s mental health: An Australian national resource allocation study with professional and lived experience experts","authors":"Harriet Hiscock ,&nbsp;Ashraful Kabir ,&nbsp;Suzy Honisett ,&nbsp;Tamara Morris ,&nbsp;Leanne Constable ,&nbsp;Suzie Forell ,&nbsp;Sue Woolfenden ,&nbsp;Sharon Goldfeld ,&nbsp;Anthony Jorm","doi":"10.1016/j.anzjph.2024.100184","DOIUrl":"10.1016/j.anzjph.2024.100184","url":null,"abstract":"<div><h3>Objectives</h3><p>The objective of this study was to develop Service, Research and Policy priorities to prevent the impact of family adversity on child mental health and determine comparative priorities of diverse stakeholders to those with lived experience of adversity.</p></div><div><h3>Methods</h3><p>Value-weighting approach conducted in a staged process: (i) professionals and experts with lived experience from health, education, justice and social care sectors attended a national symposium to identify priorities for family adversity and mental health and (ii) a subsequent resource allocation survey gathered views from participants and external experts on symposium priorities.</p></div><div><h3>Results</h3><p>Consensus was reached on priorities. Service priorities included establishing intersectoral hubs for children and families and early childhood nurse home-visiting programs. Research priorities included scaling up evidence-based interventions and evaluating cross-sector, flexible funding models for services addressing childhood adversity. Policy priorities included developing evidence-based policies with evaluation and implementation plans and flexible funding models to support integrated care.</p></div><div><h3>Conclusions</h3><p>Our results provide detailed and actionable clarity on next steps to address family adversities.</p></div><div><h3>Implications for Public Health</h3><p>The priorities call for a focus on cross-sectoral approaches to preventing or mitigating the effects of family adversity. The current Australian policy environment provides a timely opportunity to action the proposed interventions.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"48 5","pages":"Article 100184"},"PeriodicalIF":2.6,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1326020024000608/pdfft?md5=816ade3be1cece2dc71015be4ea8acab&pid=1-s2.0-S1326020024000608-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142098514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Traditional community-based knowledge for envisioning climate change action for the Torres Strait","authors":"Francis Nona","doi":"10.1016/j.anzjph.2024.100182","DOIUrl":"10.1016/j.anzjph.2024.100182","url":null,"abstract":"","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"48 5","pages":"Article 100182"},"PeriodicalIF":2.6,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S132602002400058X/pdfft?md5=39d77137163d5a0653fc30b2e16785bd&pid=1-s2.0-S132602002400058X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142098579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}