Pub Date : 2013-11-10DOI: 10.1108/CGIJ-12-2012-0044
Kay Donnellon, G. Hurford, D. Cox
Purpose – The purpose of this study is to analyse the effect on clinical practice of auditing doctors, advanced nurse practitioners and pharmacist consultations within an out of hours primary care organisation and the resultant effects this may have on clinical practice and the quality of care provision.Design/methodology/approach – The study utilises a multi method time series case study approach using the results from the Royal College of General Practitioners (RCGP) audit tool analysis, alongside focus group analysis and participant observation.Findings – The results demonstrate that there is a clear link between implementation of a clinical audit strategy within a wider clinical governance framework and improved standards of all clinician's work. This study also demonstrates how the analysis can inform a definition of quality.Research limitations/implications – The definition of quality is limited and is one of the limitations of the study since it is related to out of hours primary care only.Practica...
{"title":"It's good to talk: auditing clinicians' interactions with patients in a primary care setting","authors":"Kay Donnellon, G. Hurford, D. Cox","doi":"10.1108/CGIJ-12-2012-0044","DOIUrl":"https://doi.org/10.1108/CGIJ-12-2012-0044","url":null,"abstract":"Purpose – The purpose of this study is to analyse the effect on clinical practice of auditing doctors, advanced nurse practitioners and pharmacist consultations within an out of hours primary care organisation and the resultant effects this may have on clinical practice and the quality of care provision.Design/methodology/approach – The study utilises a multi method time series case study approach using the results from the Royal College of General Practitioners (RCGP) audit tool analysis, alongside focus group analysis and participant observation.Findings – The results demonstrate that there is a clear link between implementation of a clinical audit strategy within a wider clinical governance framework and improved standards of all clinician's work. This study also demonstrates how the analysis can inform a definition of quality.Research limitations/implications – The definition of quality is limited and is one of the limitations of the study since it is related to out of hours primary care only.Practica...","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134187390","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}
Pub Date : 2013-11-10DOI: 10.1108/CGIJ-05-2012-0016
M. Amin, Siti Zaroha Nasharuddin
Purpose – The purpose of this study is to investigate hospital service quality and its effect on patient satisfaction and behavioural intention.Design/methodology/approach – A convenience sampling technique was used in this study. A total of 350 questionnaires were distributed and 216 were returned (61.7 per cent response rate).Findings – The results confirm that the five dimensions – admission, medical service, overall service, discharge and social responsibility – are a distinct construct for hospital service quality. Each dimension has a significant relationship with hospital service quality. The findings of this study indicate that the establishment of higher levels of hospital service quality will lead customers to have a high level of satisfaction and behavioural intention.Research limitations/implications – This research examined the concept of hospital service quality, patient satisfaction and behavioural intention from the perspective of patients. However, this study did not explore the perspecti...
{"title":"Hospital service quality and its effects on patient satisfaction and behavioural intention","authors":"M. Amin, Siti Zaroha Nasharuddin","doi":"10.1108/CGIJ-05-2012-0016","DOIUrl":"https://doi.org/10.1108/CGIJ-05-2012-0016","url":null,"abstract":"Purpose – The purpose of this study is to investigate hospital service quality and its effect on patient satisfaction and behavioural intention.Design/methodology/approach – A convenience sampling technique was used in this study. A total of 350 questionnaires were distributed and 216 were returned (61.7 per cent response rate).Findings – The results confirm that the five dimensions – admission, medical service, overall service, discharge and social responsibility – are a distinct construct for hospital service quality. Each dimension has a significant relationship with hospital service quality. The findings of this study indicate that the establishment of higher levels of hospital service quality will lead customers to have a high level of satisfaction and behavioural intention.Research limitations/implications – This research examined the concept of hospital service quality, patient satisfaction and behavioural intention from the perspective of patients. However, this study did not explore the perspecti...","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128977902","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}
Pub Date : 2013-11-10DOI: 10.1108/14777271311317918
A. Soni-Jaiswal, N. Parry, Nirmal Kumar
Purpose – The published evidence in support of a tonsillectomy is equivocal relying on historical studies using objective outcome measures. Based on this, NICE have suggested that tonsillectomy is a “low clinical value treatment” and its funding curtailed by PCTs. This paper aims to prospectively evaluate the effect of a tonsillectomy on quality of life (QOL) of children affected by recurrent infective tonsillitis using a qualitative patient reported outcome measure (PROM). Design/methodology/approach – Parents of children under the age of 16, undergoing a tonsillectomy, were enrolled. Parents completed a paediatric throat disorders outcome (PTDO) test prior to their child's surgery and then six months post‐operatively. Results were analysed using the Mann‐Whitney U test. The power of the study was 0.8 to detect a difference of 10 in a total score of 70. Findings – A total of 63 children participated and an 86 per cent response rate was received at six months. The mean total score improved from 31.29 pre‐op to 7.41 post‐op (p<0.001). The mean score for the first two subgroups remained static but for the remaining 12 sub‐groups significantly improved post‐op. Originality/value – The study demonstrates that performing tonsillectomies in a carefully selected cohort of children, significantly improves their QOL. It adds to a growing body of evidence that tonsillectomy is not a “low clinical value procedure” and has a substantial impact on the patients' symptoms.
{"title":"Paediatric tonsillectomy: Impact assessment using a validated patient reported outcome measure (PROM)","authors":"A. Soni-Jaiswal, N. Parry, Nirmal Kumar","doi":"10.1108/14777271311317918","DOIUrl":"https://doi.org/10.1108/14777271311317918","url":null,"abstract":"Purpose \u0000 \u0000 \u0000 \u0000– The published evidence in support of a tonsillectomy is equivocal relying on historical studies using objective outcome measures. Based on this, NICE have suggested that tonsillectomy is a “low clinical value treatment” and its funding curtailed by PCTs. This paper aims to prospectively evaluate the effect of a tonsillectomy on quality of life (QOL) of children affected by recurrent infective tonsillitis using a qualitative patient reported outcome measure (PROM). \u0000 \u0000 \u0000 \u0000 \u0000Design/methodology/approach \u0000 \u0000 \u0000 \u0000– Parents of children under the age of 16, undergoing a tonsillectomy, were enrolled. Parents completed a paediatric throat disorders outcome (PTDO) test prior to their child's surgery and then six months post‐operatively. Results were analysed using the Mann‐Whitney U test. The power of the study was 0.8 to detect a difference of 10 in a total score of 70. \u0000 \u0000 \u0000 \u0000 \u0000Findings \u0000 \u0000 \u0000 \u0000– A total of 63 children participated and an 86 per cent response rate was received at six months. The mean total score improved from 31.29 pre‐op to 7.41 post‐op (p<0.001). The mean score for the first two subgroups remained static but for the remaining 12 sub‐groups significantly improved post‐op. \u0000 \u0000 \u0000 \u0000 \u0000Originality/value \u0000 \u0000 \u0000 \u0000– The study demonstrates that performing tonsillectomies in a carefully selected cohort of children, significantly improves their QOL. It adds to a growing body of evidence that tonsillectomy is not a “low clinical value procedure” and has a substantial impact on the patients' symptoms.","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131678790","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}
Pub Date : 2013-11-05DOI: 10.1108/CGIJ.2013.24818BAA.001
N. Harrop, A. Gillies
{"title":"Is clinical governance a black box","authors":"N. Harrop, A. Gillies","doi":"10.1108/CGIJ.2013.24818BAA.001","DOIUrl":"https://doi.org/10.1108/CGIJ.2013.24818BAA.001","url":null,"abstract":"","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124579320","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}
Pub Date : 2013-10-14DOI: 10.1108/CGIJ-03-2013-0009
P. Mpogiatzidis
Purpose – The aim of this paper is to investigate the prescribing behavior and applied practices of doctors who are the heads of clinical departments in the National Health System in Greece. Moreover, this paper aims to evaluate a set of factors influencing them in this conduct through both their scientific and managerial status. Design/methodology/approach – The sample consisted of 123 clinical department-heads in 15 hospitals and a questionnaire specifically designed for the purposes of this research effort was used. Prescribing criteria were divided into three categories: scientific, functional and behavioral. Demographic data were also included. The data were processed using SPSS17 statistical package. Multivariate Analysis of Variance (MANOVA) of the mean of the parameters identified was applied. Findings – The survey assessed, revealed and evaluated the most important factors affecting the selection process of selecting pharmaceuticals on a department head level. Existing gaps in scientific information and rational management of procedure implementation were detected. Different perceptions of doctors-department heads towards prescribing criteria emanating from their previous experience on decision-making positions, age and hospital spatial characteristics (urban-provincial) were also highlighted. Originality/value – The results of this survey provide both researchers and health policy makers with a better insight of the factors influencing prescribing behavior, and decision-making processes of doctors-department heads in the context of a Public Health Care System.
{"title":"Prescribing behavior on a clinical department leadership level in public hospitals","authors":"P. Mpogiatzidis","doi":"10.1108/CGIJ-03-2013-0009","DOIUrl":"https://doi.org/10.1108/CGIJ-03-2013-0009","url":null,"abstract":"Purpose – The aim of this paper is to investigate the prescribing behavior and applied practices of doctors who are the heads of clinical departments in the National Health System in Greece. Moreover, this paper aims to evaluate a set of factors influencing them in this conduct through both their scientific and managerial status. Design/methodology/approach – The sample consisted of 123 clinical department-heads in 15 hospitals and a questionnaire specifically designed for the purposes of this research effort was used. Prescribing criteria were divided into three categories: scientific, functional and behavioral. Demographic data were also included. The data were processed using SPSS17 statistical package. Multivariate Analysis of Variance (MANOVA) of the mean of the parameters identified was applied. Findings – The survey assessed, revealed and evaluated the most important factors affecting the selection process of selecting pharmaceuticals on a department head level. Existing gaps in scientific information and rational management of procedure implementation were detected. Different perceptions of doctors-department heads towards prescribing criteria emanating from their previous experience on decision-making positions, age and hospital spatial characteristics (urban-provincial) were also highlighted. Originality/value – The results of this survey provide both researchers and health policy makers with a better insight of the factors influencing prescribing behavior, and decision-making processes of doctors-department heads in the context of a Public Health Care System.","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"203 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116357133","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}
Pub Date : 2013-10-14DOI: 10.1108/CGIJ-03-2012-0010
E. Molyneux, Q. Dube
Purpose – The purpose of this paper is to provide an “inside” account of efforts to enhance the quality of care in a paediatric hospital department in Malawi. Design/methodology/approach – The authors describe the problems they face as health workers in an overcrowded, under-resourced emergency departments in a low-income setting. Where it is helpful, the authors combine reports of their experience with reference to reports emanating from other African countries. Findings – There is increased awareness of the need for a good health system to be able to provide quality care. The authors emphasise the importance of teamwork and the need for cross cutting activities that are not disease-centred or vertically driven. Task sharing and multi-tasking have helped fill the gaps left by inadequate staffing but specialists in emergency medicine are needed to advocate for the specialty and be role models in departments. Practical implications – This paper is aimed at a broad audience of fellow clinicians, funders and...
{"title":"Promoting quality emergency care in a resource-constrained setting","authors":"E. Molyneux, Q. Dube","doi":"10.1108/CGIJ-03-2012-0010","DOIUrl":"https://doi.org/10.1108/CGIJ-03-2012-0010","url":null,"abstract":"Purpose – The purpose of this paper is to provide an “inside” account of efforts to enhance the quality of care in a paediatric hospital department in Malawi. Design/methodology/approach – The authors describe the problems they face as health workers in an overcrowded, under-resourced emergency departments in a low-income setting. Where it is helpful, the authors combine reports of their experience with reference to reports emanating from other African countries. Findings – There is increased awareness of the need for a good health system to be able to provide quality care. The authors emphasise the importance of teamwork and the need for cross cutting activities that are not disease-centred or vertically driven. Task sharing and multi-tasking have helped fill the gaps left by inadequate staffing but specialists in emergency medicine are needed to advocate for the specialty and be role models in departments. Practical implications – This paper is aimed at a broad audience of fellow clinicians, funders and...","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116694127","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}
Pub Date : 2013-10-14DOI: 10.1108/CGIJ-12-2012-0045
Scott Brown, R. Shankar, David Cox, B. Mclean, Caryn Jory
Purpose – Clinical risks can be contained through risk management initiatives, and can also be used to demonstrate effective clinical governance. The purpose of this paper is to outline a new risk assessment tool that monitors the risk factors of sudden unexpected death in epilepsy (SUDEP). Design/methodology/approach – A systematic review of the literature was undertaken to determine the contributory risk factors of SUDEP. A total of 18 factors were identified, of which 11 were modifiable and therefore have the potential to influence the risk of SUDEP. Findings – The factors identified from the literature review have been populated into a Microsoft Excel® spreadsheet with drop-down boxes for the responses to each factor. No attempt has been made to rank these risk factors. Neuropsychiatrists piloting the tool in clinical practice have found the tool simple and quick to use. A printout of the checklist is placed in the patient's medical notes as evidence. Where an overall SUDEP risk rating is increasing, ...
{"title":"Clinical governance: risk assessment in SUDEP","authors":"Scott Brown, R. Shankar, David Cox, B. Mclean, Caryn Jory","doi":"10.1108/CGIJ-12-2012-0045","DOIUrl":"https://doi.org/10.1108/CGIJ-12-2012-0045","url":null,"abstract":"Purpose – Clinical risks can be contained through risk management initiatives, and can also be used to demonstrate effective clinical governance. The purpose of this paper is to outline a new risk assessment tool that monitors the risk factors of sudden unexpected death in epilepsy (SUDEP). Design/methodology/approach – A systematic review of the literature was undertaken to determine the contributory risk factors of SUDEP. A total of 18 factors were identified, of which 11 were modifiable and therefore have the potential to influence the risk of SUDEP. Findings – The factors identified from the literature review have been populated into a Microsoft Excel® spreadsheet with drop-down boxes for the responses to each factor. No attempt has been made to rank these risk factors. Neuropsychiatrists piloting the tool in clinical practice have found the tool simple and quick to use. A printout of the checklist is placed in the patient's medical notes as evidence. Where an overall SUDEP risk rating is increasing, ...","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"97 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116543446","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}
Pub Date : 2013-10-14DOI: 10.1108/CGIJ-03-2012-0008
Suzanne Shale
Purpose – There is growing focus on the importance of attending to “patient experience” in delivery of health services, and the design of clinical quality indicators. “Patient experience” (also termed “user experience”) has been augmented by “staff” and “carer” experience in the “service experience” quality indicator for emergency care in England. But “patient experience” is a contested concept which patients, clinicians, politicians, managers and academics view differently. Design/methodology/approach – The purpose of this paper is to examine approaches to thinking about patient experience. The author describes three key approaches to conceptualising patient experience and identify their philosophical origins, then asks what aspects of patient experience ought to be treated as key to measuring the quality of emergency care. The discussion is illustrated with extracts from a patient interview describing emergency care following placental abruption.The author demonstrates that differing purposes and differ...
{"title":"Patient experience as an indicator of clinical quality in emergency care","authors":"Suzanne Shale","doi":"10.1108/CGIJ-03-2012-0008","DOIUrl":"https://doi.org/10.1108/CGIJ-03-2012-0008","url":null,"abstract":"Purpose – There is growing focus on the importance of attending to “patient experience” in delivery of health services, and the design of clinical quality indicators. “Patient experience” (also termed “user experience”) has been augmented by “staff” and “carer” experience in the “service experience” quality indicator for emergency care in England. But “patient experience” is a contested concept which patients, clinicians, politicians, managers and academics view differently. Design/methodology/approach – The purpose of this paper is to examine approaches to thinking about patient experience. The author describes three key approaches to conceptualising patient experience and identify their philosophical origins, then asks what aspects of patient experience ought to be treated as key to measuring the quality of emergency care. The discussion is illustrated with extracts from a patient interview describing emergency care following placental abruption.The author demonstrates that differing purposes and differ...","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131068182","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}
Pub Date : 2013-10-14DOI: 10.1108/CGIJ-04-2013-0010
I. Sammy, J. Paul, H. Watson, J. Williams-Johnson, Colin Bullard
Purpose – Emergency medicine is a new specialty in the Caribbean. With the development of specialist training over the past 20 years, the issues of quality assurance and governance have become more prominent. The purpose of this paper is to explore the successes and challenges of implementing systems of quality assurance in this unique environment, highlighting issues peculiar to the Caribbean setting. Design/methodology/approach – This paper is a review of current practice in the emergency departments (ED) of the four major teaching hospitals of the University of the West Indies. Information was gathered through interviews with key stakeholders (including the respective ED residency directors, senior residents and senior nursing and administrative staff), review of departmental protocols and guidelines and reviews of current published and unpublished literature. Findings – Examples of good practice were identified in all six components of the clinical governance framework (clinical audit, clinical effect...
{"title":"Quality assurance in emergency medicine: a Caribbean perspective","authors":"I. Sammy, J. Paul, H. Watson, J. Williams-Johnson, Colin Bullard","doi":"10.1108/CGIJ-04-2013-0010","DOIUrl":"https://doi.org/10.1108/CGIJ-04-2013-0010","url":null,"abstract":"Purpose – Emergency medicine is a new specialty in the Caribbean. With the development of specialist training over the past 20 years, the issues of quality assurance and governance have become more prominent. The purpose of this paper is to explore the successes and challenges of implementing systems of quality assurance in this unique environment, highlighting issues peculiar to the Caribbean setting. Design/methodology/approach – This paper is a review of current practice in the emergency departments (ED) of the four major teaching hospitals of the University of the West Indies. Information was gathered through interviews with key stakeholders (including the respective ED residency directors, senior residents and senior nursing and administrative staff), review of departmental protocols and guidelines and reviews of current published and unpublished literature. Findings – Examples of good practice were identified in all six components of the clinical governance framework (clinical audit, clinical effect...","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125659312","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}
Pub Date : 2013-10-14DOI: 10.1108/CGIJ-07-2013-0024
N. Harrop
{"title":"The four hour target is dead; long live the four hour target!","authors":"N. Harrop","doi":"10.1108/CGIJ-07-2013-0024","DOIUrl":"https://doi.org/10.1108/CGIJ-07-2013-0024","url":null,"abstract":"","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132768835","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}
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