Patient Education and Counseling最新文献

{"title":"Evaluating the feasibility and utility of machine translation for patient education materials written in plain language to increase accessibility for populations with limited english proficiency","authors":"Mohamed Ugas ,&nbsp;Maria Anna Calamia ,&nbsp;Jessica Tan ,&nbsp;Ben Umakanthan ,&nbsp;Christine Hill ,&nbsp;Karen Tse ,&nbsp;Angela Cashell ,&nbsp;Zaynab Muraj ,&nbsp;Meredith Giuliani ,&nbsp;Janet Papadakos","doi":"10.1016/j.pec.2024.108560","DOIUrl":"10.1016/j.pec.2024.108560","url":null,"abstract":"<div><h3>Background</h3><div>Populations with limited English proficiency (LEP) face comprehension barriers with health information as navigating healthcare systems involves encountering health information that is written at high reading grade levels, utilizes complex medical jargon, and unfamiliar or abstract terms and concepts. Despite the serious consequences of language discordance there is limited funding available for the translation of patient education material in the public healthcare setting. In response to the imperative need to provide equal access to patient education materials to all patients, regardless of English language proficiency, some have raised the feasibility of leveraging machine translation software. This study investigates the feasibility and utility of using machine translation (Google Translate) to translate patient education materials written in plain language.</div></div><div><h3>Methods</h3><div>A sample of 5 patient education pamphlets were selected for inclusion based on their high usage and importance. These were assessed for their readability and translated by both human translators and using Google Translate into Spanish, Portuguese, Punjabi, Simplified Chinese, and Vietnamese. Medical translators conducted blinded appraisal of both sets of translations on four domains.</div></div><div><h3>Results</h3><div>Spanish and Vietnamese language pamphlets achieved the highest overall scores. There were significant differences between human and machine translation in favour of the former for all of the languages, although machine translation scored above 3/5 in 90 % of the domains tested. There was no correlation between readability scores and translation scores.</div></div><div><h3>Discussion</h3><div>Google Translate performs well in multiple translation domains despite its continued inferiority relative to professional human translation. The high scoring of machine translated pamphlets, particularly in the most crucial domain of severity however, points to its potential adoption in a limited capacity in healthcare settings, with processes in place, like pre-screening for high-risk content that may pose a threat to patient well-being.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"131 ","pages":"Article 108560"},"PeriodicalIF":2.9,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142702747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with communication preferences in transgender and/or gender-diverse individuals – a survey study","authors":"Rieka von der Warth ,&nbsp;Mirjam Körner ,&nbsp;Erik Farin-Glattacker","doi":"10.1016/j.pec.2024.108552","DOIUrl":"10.1016/j.pec.2024.108552","url":null,"abstract":"<div><h3>Introduction</h3><div>As communication should be adapted to the individual, the aim of this study was to explore possible factors related to communication preferences in transgender and/or gender-diverse individuals.</div></div><div><h3>Methods</h3><div>A survey study was conducted in September 2022. Communication preferences were assessed using the CommTrans questionnaire, which included two scales: emotional resonance and gender-related communication. Additionally, we assessed gender, age, relationship status, number of self-reported minorities, health literacy, mental health, and own communication style. Analyses were conducted using multiple linear regression analyses.</div></div><div><h3>Results</h3><div>A total of 223 individuals completed the survey, of whom 139 (58.2 %) identified as non-binary. Participants valued emotional resonance moderately high (Mean.: 70.6; SD.: 19.5) and gender-related preferences in the middle range (Mean 57.4; SD.: 27.2). As regards emotional resonance, not identifying with a minority was associated with a lower importance of doctors’ response to patients emotions. Furthermore, having a self-confident communication style as a transgender and/or gender-diverse individual was related to a lower perceived importance in gender-related communication, while identifying as non-binary was related with a greater importance.</div></div><div><h3>Conclusion</h3><div>Our findings might help to expand doctors’ knowledge, and thus help them to provide patient-centered care for transgender and/or gender-diverse individuals.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"131 ","pages":"Article 108552"},"PeriodicalIF":2.9,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Myths and misinformation associated with vaccine incompleteness: A survey study","authors":"Lucas Kallas-Silva ,&nbsp;Marcia Thereza Couto ,&nbsp;Maria Eduarda Muniz Soares ,&nbsp;Sofia Natalia Ferreira-Silva ,&nbsp;Vivian I. Avelino-Silva","doi":"10.1016/j.pec.2024.108556","DOIUrl":"10.1016/j.pec.2024.108556","url":null,"abstract":"<div><h3>Objective</h3><div>Vaccine hesitancy is a relevant driver of backslides in immunization rates globally. Myths and misinformation are key contributors to vaccine hesitancy. We aimed to investigate associations between beliefs in popular vaccine myths and vaccine incompleteness.</div></div><div><h3>Methods</h3><div>In this survey, participants were asked questions on current vaccination status; barriers and motivations for vaccination; and beliefs regarding popular myths: the measles vaccine causes autism in children; acquiring the disease is preferable to facing vaccine side effects; and natural immunity developed from getting the disease is better than the immunity elicited by vaccination. We assessed the effect of failing to disagree with the myths on current vaccination status.</div></div><div><h3>Results</h3><div>Of 4305 participants, 933 (22 %) were partially vaccinated and 61 (1 %) were fully unvaccinated; 403 (10 %) failed to disagree with the autism myth; 411 (10 %) failed to disagree with the side effects myth; and 904 (22 %) failed to disagree with the natural immunity myth. Failing to disagree with the myths was significantly associated with vaccine incompleteness.</div></div><div><h3>Conclusion</h3><div>Vaccine-related myths are associated with both partial and total vaccine incompleteness in Brazil.</div></div><div><h3>Practice implications</h3><div>Strategies to improve adherence to vaccination recommendations should include interventions to limit the spread or elucidate vaccine-related myths and misconceptions.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"131 ","pages":"Article 108556"},"PeriodicalIF":2.9,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142696049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health disparities and health literacy challenges experienced by individuals with hearing loss: A scoping review","authors":"Joshua Sohmer,&nbsp;Diana Lobaina,&nbsp;Vama Jhumkhawala,&nbsp;Meera Rao,&nbsp;Julianne Baker,&nbsp;Sabina Fridman,&nbsp;Michelle Knecht,&nbsp;Lea Sacca","doi":"10.1016/j.pec.2024.108549","DOIUrl":"10.1016/j.pec.2024.108549","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this scoping review is to explore health disparities and health literacy challenges encountered by U.S. adults with hearing loss when trying to seek specialized care and access to medical devices such as hearing aids.</div></div><div><h3>Methods</h3><div>The Arksey and O’Malley (2005) York methodology was used for this review: (1) identifying research questions; (2) searching for relevant studies; (3) selecting studies relevant to the research questions; (4) charting the data; (5) collating, summarizing, and reporting results.</div></div><div><h3>Results</h3><div>A total of 52 articles were retained for analysis. Significant associations were reported between health literacy and health disparities when assessing the relationship between health literacy and poor health outcomes, social support surrounding health, communication with health professionals, accessibility of health information, immediacy of care, income, healthcare costs, age, and gender.</div></div><div><h3>Conclusion</h3><div>Findings will inform evidence-based strategies to increase equitable access to affordable and quality care among patients with hearing loss.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"131 ","pages":"Article 108549"},"PeriodicalIF":2.9,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Two sides of trust: How cancer survivors’ communication with healthcare providers and on social media predicted healthy behaviors during COVID-19","authors":"Qiwei Luna Wu ,&nbsp;Yue Liao ,&nbsp;Grace Ellen Brannon","doi":"10.1016/j.pec.2024.108553","DOIUrl":"10.1016/j.pec.2024.108553","url":null,"abstract":"<div><h3>Objectives</h3><div>COVID-19 exacerbated pre-existing social inequalities. Using three theories linking clinical and media contexts to patients’ health outcomes, our study investigated (1) potential factors of cancer patients’ trust in healthcare providers and social media; (2) how such trust may influence healthy lifestyles during COVID-19.</div></div><div><h3>Methods</h3><div>Using structural equation modeling, we investigated effects of key patient-provider communication variables and media factors on healthy behaviors among cancer survivors (N = 1130) using a nationally representative dataset (HINTS-SEER restricted use files, January-July 2021).</div></div><div><h3>Results</h3><div>More healthy behaviors since COVID-19 began were associated with more trust in healthcare providers, lower trust in social media about COVID-19, and more use of social media for health purposes. More trust in social media about COVID-19 was associated with more use of social media for health purposes (p &lt; .01). More trust in healthcare providers about COVID-19 was associated with increased perceptions of patient-provider communication (p &lt; .01).</div></div><div><h3>Conclusions</h3><div>Findings can inform interventions to connect at-risk cancer patients (e.g., those younger and with lower educational background) with providers in trust-enhancing conversations during situations like COVID-19.</div></div><div><h3>Practice Implications</h3><div>Partnership building between providers and patients can be supplemented with scientific videos on popular social media sites like YouTube during public health crises and emergencies.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"131 ","pages":"Article 108553"},"PeriodicalIF":2.9,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrated oncological treatment decision-making: Creating a practice of patient-centred decision-making","authors":"Hanneke van der Wal-Huisman ,&nbsp;Barbara L. van Leeuwen ,&nbsp;Anne M. Stiggelbout ,&nbsp;Floor M. van Nuenen ,&nbsp;Trudy van der Weijden ,&nbsp;Suzanne Festen ,&nbsp;Lieke Welling","doi":"10.1016/j.pec.2024.108555","DOIUrl":"10.1016/j.pec.2024.108555","url":null,"abstract":"<div><div>The growing burden of cancer, with its costly and difficult to endure therapies, underscores the urgent need for individualized care that enhances patients' quality of life. Effective individualized treatment planning requires collaboration between healthcare professionals and patients (and their relatives), focusing on patients' personal values and preferences through shared decision-making. In practice, oncology care predominantly follows clinical guidelines, which, while reducing practice variation, may not account for individual patient differences in health status and preferences. Moreover, guidelines often emphasize medical endpoints such as disease-free survival, overlooking quality of life and treatment burden considerations crucial to many patients. This can result in unfitting treatment choices and decisional regret. The Integrated Oncological Decision-making Model (IODM) addresses these challenges by incorporating three essential domains for treatment decision<strong>-</strong>making: medical treatment options, patient goals and preferences, and general health status. The IODM aims to integrate these domains into the decision-making process, ensuring that treatment plans are tailored to individual patient needs. Initial implementation of the IODM is shown promising results, with a significant proportion of patients receiving less invasive, more appropriate treatments without compromising survival outcomes. The IODM has demonstrated its potential to facilitate patient-centred care, reduce unnecessary treatments, and improve patient outcomes. Continued implementation and evaluation of the IODM across various oncological settings are essential to refine the model and ensure its integration into routine clinical practice, ultimately enhancing the quality and effectiveness of cancer care.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"131 ","pages":"Article 108555"},"PeriodicalIF":2.9,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142696045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interruptions in multidisciplinary tumor conferences with patient participation: A video interaction analysis","authors":"Barbara Schellenberger ,&nbsp;Christian Heuser ,&nbsp;Annika Diekmann ,&nbsp;Emily Krüger ,&nbsp;Leonie Schreiber ,&nbsp;Lena Ansmann ,&nbsp;Bernt Schnettler ,&nbsp;Nadine Scholten ,&nbsp;Nicole Ernstmann","doi":"10.1016/j.pec.2024.108550","DOIUrl":"10.1016/j.pec.2024.108550","url":null,"abstract":"<div><h3>Objective</h3><div>To identify a) interruptions (secondary activities disrupting the workflow of the main task) occurring during case discussions in multidisciplinary tumor conferences (MTCs) with patient participation, and b) observable reactions among patients and healthcare professionals (HCPs).</div></div><div><h3>Methods</h3><div>Within the non-interventional mixed-methods study PINTU, we video-recorded five case discussions during MTCs with patient participation at one breast and gynecological cancer center. A qualitative sequential video interaction analysis was used to identify interruptions and related interactions.</div></div><div><h3>Results</h3><div>Occurring interruptions resulted in reactions of patients and/or HCPs. Work organization and seating arrangement led to interruptions, e.g., turning around to face individuals. Some interruptions caused reactions only among patients and not among HCPs.</div></div><div><h3>Conclusion</h3><div>Interruptions occur regularly in case discussions during MTCs with patient participation. Certain interruptions, which did not cause observable reactions among HCPs and seem to be commonplace, attracted the patient’s attention. As interruptions can be associated with patients' unmet need for information, HCPs’ awareness of interruptions should be raised.</div></div><div><h3>Practice Implications</h3><div>When patients participate in MTCs, interruptions should be reduced to improve HCP–patient interactions. Our findings can lead to recommendations for improving organization of MTCs with patient participation aiming to cause fewer interruptions and thus better quality of patient care.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"131 ","pages":"Article 108550"},"PeriodicalIF":2.9,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The implementation of design methodologies for supporting shared decision making in healthcare services: A systematic review.","authors":"Yeray Sañudo ,&nbsp;Canan Akoglu ,&nbsp;Judith A.C. Rietjens ,&nbsp;Dirk Snelders ,&nbsp;Anne M. Stiggelbout ,&nbsp;Jorge Sierra-Pérez","doi":"10.1016/j.pec.2024.108551","DOIUrl":"10.1016/j.pec.2024.108551","url":null,"abstract":"<div><h3>Objectives</h3><div>This systematic review examines how design methodologies support Shared Decision Making (SDM), identifies the most suitable for future use, explores types of methodologies used, challenges faced, and the impact on patients, clinicians, and care pathways.</div></div><div><h3>Methods</h3><div>Studies were searched on Medline, Web of Science, Scopus and grey literature (Google Scholar, CORDIS) up to July 2024, following PRISMA guidelines.</div></div><div><h3>Results</h3><div>were analysed to identify patient involvement, design strategies, SDM solutions, and their impact on care paths, professionals, and patients.</div></div><div><h3>Results</h3><div>Out of 2499 studies and 39 grey literature projects identified, 22 studies (reported in 35 publications) were selected, primarily from the USA and Europe (2015 onward). User-Centered Design predominated, involving health professionals more than patients. IPDAS standards were common. Evaluations showed improved patient experience and SDM role, with a potential increase in healthcare professionals' workload.</div></div><div><h3>Conclusion</h3><div>Although design methodologies are used in SDM implementation, improvement is needed. Service Design can enhance implementation by analysing the entire SDM process, while co-creative approaches develop patient-focused solutions that integrate smoothly into health professionals' workflows.</div></div><div><h3>Practical implications</h3><div>Introducing SDM in healthcare is complex, but design methodologies can help by analysing stakeholder needs, providing a broader care path view, and facilitating SDM implementation.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"131 ","pages":"Article 108551"},"PeriodicalIF":2.9,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Informal caregivers’ roles and needs regarding shared decision-making in severe aortic stenosis","authors":"Judith J.A.M. van Beek-Peeters ,&nbsp;Miriam C. Faes ,&nbsp;Mirela Habibovic ,&nbsp;Jop B.L. van der Meer ,&nbsp;Ruth E. Pel-Littel ,&nbsp;Martijn W.A. van Geldorp ,&nbsp;Ben J.L. Van den Branden ,&nbsp;Nardo J.M. van der Meer ,&nbsp;Mirella M.N. Minkman","doi":"10.1016/j.pec.2024.108554","DOIUrl":"10.1016/j.pec.2024.108554","url":null,"abstract":"<div><h3>Objective</h3><div>To provide insight into experiences, preferences and needs of informal caregivers (ICs) regarding shared decision-making (SDM) in severe aortic stenosis (AS) of patients ≥ 70 years, and the effect of the level of perceived SDM on ICs’ quality of life (QOL) and distress.</div></div><div><h3>Methods</h3><div>Multiple methods study consisting of a questionnaire at baseline and 3-month follow-up and focus groups.</div></div><div><h3>Results</h3><div>Ninety-nine ICs (67.6 ± 11.7 years) completed the baseline questionnaire, eighty-two ICs the follow-up questionnaire<strong>,</strong> ten ICs (70.6 ± 12.6 years) participated in two focus groups. ICs perceived that identifying them as discussion partners and addressing patients’ daily lives were least discussed with professionals (26.3 %; 59.6 %). Most ICs (63.9 %) preferred a collaborative decision-making (DM) role. The level of perceived SDM was positively associated with baseline QOL social relations (p = .038), and follow-up QOL psychological health (p = .048) and environment (p = .024). ICs experienced three roles in SDM: supporters in DM, stimulators in clarifying patient’s personal context, and DM partners.</div></div><div><h3>Conclusion</h3><div>ICs play valuable roles in SDM for severe AS, but feel professionals do not consistently identify them as discussion partners.</div></div><div><h3>Practice implications</h3><div>Professionals should involve ICs in SDM for discussing older patient’s QOL and personal context, which can inform personalized decisions regarding severe AS treatment.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"131 ","pages":"Article 108554"},"PeriodicalIF":2.9,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and validation of the chronic condition physician-patient relationship scale (CC-PPR): A patient-informed measurement tool","authors":"Jessica A. Eigeland ,&nbsp;Nicola Sheeran ,&nbsp;Liz Jones ,&nbsp;Robyn L. Moffitt","doi":"10.1016/j.pec.2024.108492","DOIUrl":"10.1016/j.pec.2024.108492","url":null,"abstract":"<div><h3>Objective</h3><div>Several tools exist to measure the physician-patient relationship; however few are specific to those with chronic physical health conditions, and none to date have been derived from the patient’s perspective. This research aimed to develop and validate a patient-informed tool for measuring the physician-patient relationship with patients who have a chronic physical health condition.</div></div><div><h3>Methods</h3><div><strong>Study 1:</strong> An Australian sample of participants with a diagnosed chronic physical health condition and a self-reported good physician-patient relationship completed a three round Delphi poll to determine items of the chronic condition physician-patient relationship scale (CC-PPR). Fifty-two participants completed round one, 33 completed round two, and 24 completed all three rounds. <strong>Study 2:</strong> Exploratory and confirmatory factor analysis were conducted on a separate sample (<em>N</em> = 226) to explore the factor structure of the CC-PPR.</div></div><div><h3>Results</h3><div>The CC-PPR comprised 22 items within a single-factor structure which demonstrated high internal consistency (Cronbach’s α = 0.97) and sound convergent validity.</div></div><div><h3>Discussion</h3><div>The CC-PPR reliably measures observable, concrete, and specific physician behaviours that patients with chronic physical health conditions believe are critical in forming a good physician-patient relationship. The CC-PPR has potential application in research, educational, and self-assessment contexts, including for the evaluation and development of competence in post-graduate and professional settings.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"131 ","pages":"Article 108492"},"PeriodicalIF":2.9,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}