Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen最新文献

{"title":"Liste der Affiliierten Institute und Fachgesellschaften / List of Affiliations","authors":"","doi":"10.1016/S1865-9217(25)00231-4","DOIUrl":"10.1016/S1865-9217(25)00231-4","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"198 ","pages":"Page OBC"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145625014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"„Übersichtlich an Daten kommen, die spezifisch für die Region sind“ – Implementierung und Evaluation einer Onlineplattform für Forschungsdaten der Metropolregion Rheinland am Beispiel der Versorgungsforschung im letzten Lebensjahr","authors":"Kathleen Boström ,&nbsp;Katja Blaschke ,&nbsp;Thomas Dojan ,&nbsp;Ingo Meyer ,&nbsp;Kerstin Kremeike","doi":"10.1016/j.zefq.2025.08.002","DOIUrl":"10.1016/j.zefq.2025.08.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Healthcare research results often do not find their way into practice due to missing or under-utilized communication channels. Consequently, these results fail to impact the healthcare system. To bridge this “translation gap,” solutions tailored to the needs and habits of users are required.</div></div><div><h3>Methods</h3><div>We conceptualized and implemented an online platform to communicate the results of two completed healthcare research projects to both professionals and the public in Cologne. This was achieved using a co-design approach with end users. The platform was evaluated for user satisfaction, efficiency, effectiveness, conformity with expectations, and usage through participant observation, an online survey, and web statistics analysis. A final redesign was conducted based on the evaluation.</div></div><div><h3>Results</h3><div>The platform was implemented according to the co-design concept. Most online survey participants found the site easy to use and engaging in terms of content. However, criticisms included the lack of multimedia and interactive content, the large amount of text used, and the absence of specific expected information.</div></div><div><h3>Discussion</h3><div>After the redesign, the platform met part of the requirements emerging from the evaluation. Nonetheless, improvements are needed in multimedia and interactive content presentation, as identified in the evaluation. The lack of specific expected content highlights unanswered research questions of the underlying projects.</div></div><div><h3>Conclusion</h3><div>The developed platform has been online since the end of the development phase and continues to be used. The study demonstrated that a co-design approach can yield usable results in the field of science.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"198 ","pages":"Pages 18-26"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ambulante Formen von Palliativversorgung als Prädiktoren für Ergebnisqualität und Kosten regionaler Versorgung am Lebensende in Deutschland: eine GKV-Routinedaten-basierte Kosten-Konsequenz-Analyse","authors":"Antje Freytag ,&nbsp;Markus Krause ,&nbsp;Andreas Schmid ,&nbsp;Bianka Ditscheid ,&nbsp;Ursula Marschall ,&nbsp;Ulrich Wedding ,&nbsp;Franziska Meissner","doi":"10.1016/j.zefq.2025.04.001","DOIUrl":"10.1016/j.zefq.2025.04.001","url":null,"abstract":"<div><h3>Background</h3><div>The quality of outcomes and cost-effectiveness of regional hospice and palliative care (PC) services vary greatly. This study examines the relationship between the different regional outpatient forms of PC and these two dimensions.</div></div><div><h3>Methods</h3><div>The retrospective analysis is based on the study population of 145,372 persons who were insured with the BARMER health insurance fund, who died between 2016 and 2019 and received PC in the last year of their life. The association of primary palliative care (AAPV), specially qualified and coordinated PC (BQKPmV), and specialist palliative homecare (SAPV) with quality- and cost-related outcomes was determined through multiple regression analyses, taking into account regional variability of these associations and controlling for other forms of PC as well as patient and residential district characteristics.</div></div><div><h3>Results</h3><div>AAPV in Rhineland-Palatinate, BQKPmV in Thuringia, and SAPV in Saxony-Anhalt and Berlin achieve an above-average impact on the quality of outcomes compared to the national average. The total costs of care in the last three months of life (except for the costs of ambulatory palliative care) are significantly reduced by AAPV. For SAPV, costs usually exceed potential savings, especially in North Rhine-Westphalia, with Berlin and Westphalia-Lippe being counter-examples. Whilst Westphalia-Lippe relies on a solidly effective, integrated, low-cost AAPV–SAPV model that benefits many people, Berlin represents a highly effective, low-cost SAPV model which, however, reaches fewer people.</div></div><div><h3>Conclusion</h3><div>New evidence of good practice regions offers starting points for tackling the challenge of quality-of-life-oriented, resource-efficient palliative care for a demographically growing number of people in need. Approaches that result in fewer people receiving care and higher costs and at best increase the quality of care for a few, should be critically scrutinized.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"198 ","pages":"Pages 102-111"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144132023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of a brief didactics training for peer teachers of medical history taking","authors":"Jonas Nagel ,&nbsp;Christine Zelenak ,&nbsp;Stella Fangauf ,&nbsp;Corinna Seemann ,&nbsp;Lena Bläsing ,&nbsp;Holger Kappe ,&nbsp;Iris Demmer ,&nbsp;Christoph Herrmann-Lingen","doi":"10.1016/j.zefq.2025.09.002","DOIUrl":"10.1016/j.zefq.2025.09.002","url":null,"abstract":"<div><h3>Objectives</h3><div>The practical training of communicative competences in medical education is staff-intensive. We evaluate a brief didactics training for peer teachers (advanced students instructing fellow students from lower course levels) intended to efficiently enhance their teaching skills.</div></div><div><h3>Methods</h3><div>In a 9-hour didactics training, <em>N</em> = 139 peer teachers were prepared for instructing practical medical history taking exercises in small groups of undergraduate medical students. We assessed the participants’ satisfaction with the training, their subjective increase in didactic skills, and their evaluation of the peer teachers (compared to how the same students evaluated experienced lecturers).</div></div><div><h3>Results</h3><div>Participants evaluated the training positively and reported an increase in key didactic skills immediately after the training (0.17 ≤ <em>r</em> ≤ 0.20) and after their first term of teaching (0.12 ≤ <em>r</em> ≤ 0.20). Before the introduction of the training, students had rated their peer teachers less favorably than their faculty lecturers, but this gap disappeared after the introduction of the training (contribution to learning success: <em>d</em> = –0.84; quality of feedback: <em>d</em> = –0.43). Peer teachers were also perceived to be more activating in teaching compared to faculty lecturers (<em>d</em> = 0.34).</div></div><div><h3>Conclusions</h3><div>With a brief didactics training, peer teachers can become effective instructors for practical exercises of medical history taking interviews.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"198 ","pages":"Pages 92-99"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Berufsbezogene Teilhabeeinschränkungen von Rehabilitand*innen mit Long COVID im zeitlichen Verlauf – Befunde einer qualitativen Untersuchung","authors":"Mercedes Rutsch,&nbsp;Ruth Deck","doi":"10.1016/j.zefq.2025.09.004","DOIUrl":"10.1016/j.zefq.2025.09.004","url":null,"abstract":"<div><h3>Background</h3><div>People who are affected by long COVID (LC) and have limitations in their ability to work can apply for a multi-professional rehabilitation programme. This qualitative study analysed the development of occupational participation, health limitations at work and factors supporting occupational participation in LC rehabilitants.</div></div><div><h3>Methods</h3><div>Guided telephone interviews were conducted with LC rehabilitants aged 18–65 years, who were undergoing pneumological rehabilitation, at three time points (shortly after the end of rehabilitation, and six and twelve months after rehabilitation). Data were analysed using qualitative content analysis according to Mayring.</div></div><div><h3>Results</h3><div>Between 04/2021 and 07/2022, a total of 30 interviews were conducted with 11 rehabilitants (N = 7 women; average age: 50 years). Three health-related stress dimensions were identified: cognitive (e. g., word-finding difficulties, concentration problems), psychosocial (e. g., anxiety, worry), and physical (e. g., physical exhaustion, shortness of breath) limitations. The reintegration prepared by social services, the general conditions at the workplace (e. g., flexible working hours, empathy in the workplace) and personality traits, such as acceptance of personal limitations, were described as conducive to occupational participation. Respondents used compensatory techniques (e. g., mnemonics) and pacing to cope with the demands of work despite existing limitations.</div></div><div><h3>Conclusion</h3><div>The results of the study show that “returning to work” is not the same as “regaining the ability to work”. In both rehabilitation and aftercare, the restoration of physical, psychosocial, and cognitive work ability should play an essential role in counteracting the manifestation of participation restrictions.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"198 ","pages":"Pages 62-71"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145313761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ambulante psychotherapeutische Versorgung von Patient*innen mit chronischer körperlicher und gleichzeitig vorliegender psychischer Erkrankung – die Sicht von Psychotherapeut*innen und Hausärzt*innen","authors":"Milena Borchers ,&nbsp;Martin Hegelow ,&nbsp;Lisa Leikeim ,&nbsp;Beate Wild ,&nbsp;Gereon Heuft ,&nbsp;Hanna Kampling ,&nbsp;Johannes Kruse ,&nbsp;Hans-Christoph Friederich ,&nbsp;Mechthild Hartmann","doi":"10.1016/j.zefq.2025.09.005","DOIUrl":"10.1016/j.zefq.2025.09.005","url":null,"abstract":"<div><h3>Background</h3><div>Patients with both mental illness and chronic physical conditions (medically complex patients) represent a large (more than 5 million people in Germany) and particularly burdened group of patients. This study describes how psychotherapists and general practitioners perceive the current care for these patients and the impact of the 2017 structural reform of psychotherapy guidelines for patients with complex disorders.</div></div><div><h3>Methods</h3><div>We used a nationwide survey to assess the perceptions of psychotherapists (N = 2,015) and general practitioners (N = 1,364) regarding psychotherapeutic care for complex patients.</div></div><div><h3>Results</h3><div>Most psychotherapists and general practitioners agree that complex patients are still undersupplied with psychotherapy (&gt;80 % agreement). The structural reform of the German psychotherapy guideline in 2017 has led to merely small improvements of care. From the perspective of care providers, further structural changes, such as the expansion of group therapy services, the consolidation of video-assisted therapy services, and the billability of consultative case discussions, could improve care.</div></div><div><h3>Conclusion</h3><div>Even after the structural reform, providers continue to consider the care provided to patients with complex disorders to be inadequate. Psychotherapists show a great willingness to meet the special needs of these patients. Nevertheless, further low-threshold services and networking between the professional groups involved are required. Given the size of the group of complex patients, we need to focus more on improving care structures.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"198 ","pages":"Pages 35-44"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145423131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Wir brauchen weniger, dafür bessere systematische Reviews! Ein Aufruf zum Handeln","authors":"Cordula Braun ,&nbsp;Kathrin Grummich ,&nbsp;Ralph Möhler ,&nbsp;Corinna Schaefer ,&nbsp;Dawid Pieper","doi":"10.1016/j.zefq.2025.10.008","DOIUrl":"10.1016/j.zefq.2025.10.008","url":null,"abstract":"<div><div>Systematic reviews (SR) are an important source for evidence-informed decision-making in the context of health-related questions. Examples of their use include acting as the evidence base for guidelines and health information products, for planning clinical studies, and informing health policy decisions. Accordingly, it is crucial that SR provide trustworthy, reliable summaries of the available evidence. This is why they need to be of high quality in terms of both methods and content. SR suffering from quality deficiencies carry the risk of delivering biased or erroneous and therefore untrustworthy results. For years, the international research literature has highlighted problems with the quantity and quality of SR that undermine their “usefulness”, including “mass production” of SR and evidence that a large proportion of all SR is untrustworthy. This poses a considerable challenge to users searching for and selecting suitable SR. In consequence, SR are commonly used uncritically, and health-relevant decisions are made on the basis of biased or erroneous results. This prompts an important question to everyone involved in the production of SR: Why are so many flawed SR being produced and published? The aim of this paper is to point out the importance of SR and the requirements for producing high-quality SR to inform evidence-informed healthcare, to describe the key problems with their quantity and quality, to specify possible reasons for these problems, and to outline approaches to solutions. There is an urgent need for action to make SR “useful” (again).</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"198 ","pages":"Pages 1-8"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Akzeptanz des Einsatzes von Künstlicher Intelligenz im Anamneseprozess: Ergebnisse einer Bevölkerungsbefragung in Deutschland","authors":"Edda Currle,&nbsp;Sonja Haug,&nbsp;Karsten Weber","doi":"10.1016/j.zefq.2025.10.003","DOIUrl":"10.1016/j.zefq.2025.10.003","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Digital tools for medical history-taking, such as chatbots, are increasingly being developed and evaluated but have not yet been implemented across the board in medical practices in Germany. The aim of this study was to survey the acceptance of AI-supported tools for medical history-taking among the German population, thereby allowing conclusions to be drawn about the use of these tools and their suitability as part of digitalization strategies in medical practices.</div></div><div><h3>Method</h3><div>The study is based on an online survey among the German population (fieldwork November 18 to 24, 2024, n = 1,000). Based on the ‘Unified Theory of Acceptance and Use of Technology’ (UTAUT), three central hypotheses on the use of artificial intelligence (AI) in the medical history-taking process were generated and tested using linear regression models.</div></div><div><h3>Results</h3><div>In the two scenarios examined — patients using a chatbot at home and at the doctor’s office — there was a high level of acceptance for the use of AI-supported systems. The expected relationships between Performance Expectancy, Effort Expectancy and expected Social Influence with the behavioral intention to use a chatbot either in the doctor’s office or before visiting the doctor’s office have been confirmed. However, influential factors such as age, gender, or experience with technology do not show the expected correlations.</div></div><div><h3>Discussion and conclusion</h3><div>Practicability is crucial for a favorable attitude towards AI applications. There were no apparent gender differences. When implementing chatbots in the medical history-taking process, the aspects of practicability, data protection, and data security should play a key role. Given that a large number of the elderly in Germany still have limited experience with digital technologies, usability is highly relevant for both this population group and for people with disabilities.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"198 ","pages":"Pages 9-17"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145514602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Delegating clinical tasks to medical practice assistants: qualitative analysis of experiences from the DELIVER CARE study].","authors":"Kathrin Damm, Juliana Hoeper, Maike Kriependorf, Lukas Noll, Torsten Witte, Kirsten Hoeper","doi":"10.1016/j.zefq.2025.10.006","DOIUrl":"https://doi.org/10.1016/j.zefq.2025.10.006","url":null,"abstract":"<p><strong>Background: </strong>The primary objective of the DELIVER-CARE study was to evaluate a generic model for the delegation of clinical tasks to medical practice assistants (MPAs) in the outpatient treatment of chronic inflammatory diseases in the form of an MPA consultation. In addition to proving that the model is not inferior to standard care, permanent implementation also requires a positive evaluation by those involved and knowledge of the barriers and success factors. Therefore, the aim of this study was to investigate the perspectives of those involved from the specialist fields of rheumatology, gastroenterology, and dermatology on the delegation of medical activities to MPAs and to identify both success factors and barriers to transferring the model to standard care. The focus here will be on the experience of setting up and running an MPA consultation.</p><p><strong>Material and methods: </strong>Qualitative, semi-structured guided interviews were conducted with doctors, medical assistants and patients in the fields of rheumatology, gastroenterology, and dermatology (convenience sample). Qualitative content analysis of interview transcripts was used.</p><p><strong>Results: </strong>In 2022, 61 interviews were conducted with physicians (n = 21), medical assistants (n = 18), and patients (n = 22). In addition to the general willingness expressed by the majority of participants to continue using the delegation or MPA consultation model, aspects from the following areas were identified: (1) goals and motives for participating, (2) the participants' experiences with the intervention as well as current barriers to and challenges of long-term implementation. In summary, the interviewees were mostly pleased with the model and saw advantages, such as easing the workload of doctors, appreciating the work of medical assistants, and improving patient care). However, lack of a funding concept and general staffing conditions (fluctuation, lack of specialist staff) have made it difficult to implement the model.</p><p><strong>Discussion: </strong>Considering the shortage of medical resources, MPA visits can be a key element in the transformation of outpatient care. However, further research and discussion is needed to specify the delegation model before it can be permanently integrated into standard care (i. e., regarding the mandatory face-to-face encounter between doctors and patients, remuneration for services, and the competency framework for medical assistants).</p>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Potentials and risks of using AI in qualitative research].","authors":"Christian Kempny, Yüce Yilmaz-Aslan, Patrick Brzoska","doi":"10.1016/j.zefq.2025.10.004","DOIUrl":"https://doi.org/10.1016/j.zefq.2025.10.004","url":null,"abstract":"<p><p>With the increasing availability of powerful large language models (LLMs), the use of artificial intelligence (AI) in qualitative research is gaining growing attention. This article critically examines the potential and limitations of such systems along key research steps, such as category development, coding, and interpretation. Drawing on our own experiences and recent studies, we discuss both functional benefits and methodological, ethical, and data protection-related challenges. The findings suggest that AI-based systems can be meaningfully employed as complementary tools for reflection - for example, to generate alternative perspectives or serve as a second or third opinion in individual projects. At the same time, it becomes evident that the core principles of qualitative research cannot be automated. We therefore advocate for a research-driven, critically reflective use of AI, grounded in methodological rigor, ethical responsibility, and ongoing scholarly discourse.</p>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145530835","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}