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[PMID]:28453037
[Au] Autor:Gorbanev I; Agudelo-Londoño S; Cortes A; Yepes FJ
[Ad] Endereço:Pontificia Universidad Javeriana, Bogotá, Colombia, ariel.cortes@javeriana.edu.co.
[Ti] Título:[Innovative culture and diagnosis related groups in a high complexity hospital, Colombia].
[Ti] Título:Cultura innovadora y grupos relacionados de diagnóstico en un hospital de alta complejidad, Colombia..
[So] Source:Rev Salud Publica (Bogota);18(2):251-262, 2016 Apr.
[Is] ISSN:0124-0064
[Cp] País de publicação:Colombia
[La] Idioma:spa
[Ab] Resumo:Objectives To characterize the perception of Diagnosis-Related Groups (DRGs) as an innovation among physicians, nurses and administrative staff in a hospital in Colombia. Methods A case study of innovative culture in a hospital. Surveys and focus groups were carried out with the medical, nursing and administrative staff. Descriptive statistics were calculated for the perceptions of innovative culture. Comparative analysis was done between professional groups. The results of the focus groups were transcribed and analyzed to deepen the findings of the surveys. Results Significant differences were found in perceptions of the innovative culture. The nursing staff were more enthusiastic than doctors when evaluating the innovative culture and leadership. Physicians felt more autonomy when discussing professional issues. Administrative staff assessed the Hospital's disposition to acquire new medical technologies as higher than that of physicians. The three groups know little about DRG's. Conclusions When implementing a health innovation it is advisable to analyze its effect on the professionals who participate in the implementation. Physicians perceive DRGs as a threat to their professional autonomy, while nurses see it as a pro-innovation force. It is important to involve nursing and administrative staff when implementing this kind of innovation.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Grupos Diagnósticos Relacionados
Administradores Hospitalares
Corpo Clínico Hospitalar
Recursos Humanos de Enfermagem no Hospital
Inovação Organizacional
[Mh] Termos MeSH secundário: Colômbia
Grupos Focais
Seres Humanos
Autonomia Profissional
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


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[PMID]:29328582
[Au] Autor:Birk K; Paden L; Markic M
[Ti] Título:Adverse event reporting in Slovenia - the influence of safety culture, supervisors and communication.
[So] Source:Vojnosanit Pregl;73(8):714-22, 2016 Aug.
[Is] ISSN:0042-8450
[Cp] País de publicação:Serbia
[La] Idioma:eng
[Ab] Resumo:Background/Aim: The provision of safe healthcare is considered a priority in European Union (EU) member states. Along with other preventative measures in healthcare, the EU also strives to eliminate the "causes of harm to human health". The aim of this survey was to determine whether safety culture, supervisors and communication between co-workers influence the number of adverse event reports submitted to the heads of clinical departments and to the management of an institution. Methods: This survey is based on cross-sectional analysis. It was carried out in the largest Slovenian university hospital. We received 235 completed questionnaires. Respondents included professionals in the fields of nursingcare, physiotherapy, occupational therapy and radiological technology. Results: Safety culture influences the number of adverse event reports submitted to the head of a clinical department from the organizational point of view. Supervisors and communication between co-workers do not influence the number of adverse event reports. Conclusion: It can be concluded that neither supervisors nor the level of communication between co-workers influence the frequency of adverse event reporting, while safety culture does influence it from an organizational point of view. The presumed factors only partly influence the number of submitted adverse event reports, thus other causes of under-reporting must be sought elsewhere.
[Mh] Termos MeSH primário: Comunicação
Administradores Hospitalares/psicologia
Hospitais Universitários/organização & administração
Corpo Clínico Hospitalar/psicologia
Segurança do Paciente
Gestão de Riscos/organização & administração
Gestão da Segurança
[Mh] Termos MeSH secundário: Seres Humanos
Eslovênia
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180113
[St] Status:MEDLINE
[do] DOI:10.2298/VSP141231137B


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[PMID]:28455391
[Au] Autor:Rimmer A
[Ad] Endereço:BMJ Careers.
[Ti] Título:NHS managers should face same regulation as doctors, says Francis.
[So] Source:BMJ;357:j2101, 2017 04 28.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Administradores Hospitalares
Médicos
Medicina Estatal
[Mh] Termos MeSH secundário: Atitude do Pessoal de Saúde
Seres Humanos
Cultura Organizacional
Medicina Estatal/legislação & jurisprudência
Reino Unido
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180101
[Lr] Data última revisão:
180101
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170430
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j2101


  4 / 6212 MEDLINE  
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[PMID]:28614184
[Au] Autor:Zuchowski JL; Chrystal JG; Hamilton AB; Patton EW; Zephyrin LC; Yano EM; Cordasco KM
[Ad] Endereço:*VA HSR&D Center for the Study of Healthcare Innovation, Implementation, and Policy, VA Greater Los Angeles Healthcare System, North Hills †Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA ‡Department of Obstetrics and Gynecology, Boston Medical Center, Boston University School of Medicine, Boston §Department of Surgery, Division of Gynecology, VA Boston Healthcare System, Jamaica Plain, MA ∥VA Women's Health Services, Office of Patient Care Services, Veterans Health Administration, Washington, DC ¶VA New York Harbor Healthcare System #New York University School of Medicine and College of Global Health, New York, NY **Department of Health Policy & Management, UCLA Fielding School of Public Health ††Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA.
[Ti] Título:Coordinating Care Across Health Care Systems for Veterans With Gynecologic Malignancies: A Qualitative Analysis.
[So] Source:Med Care;55 Suppl 7 Suppl 1:S53-S60, 2017 Jul.
[Is] ISSN:1537-1948
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Veterans concurrently using both Veterans Affairs (VA) and community providers and facilities have increased coordination needs related to bridging their care across health care settings. Women Veterans commonly require a combination of VA and community care if they have women-specific specialty care needs, such as gynecologic malignancies. OBJECTIVES: We assessed VA women's health providers' and administrators' perceptions of coordination challenges for Veterans' gynecologic cancer care, and potential approaches for addressing these challenges. RESEARCH DESIGN AND PARTICIPANTS: We carried out semistructured qualitative interviews with field-based key informants (VA gynecologists, women's health medical directors, and other staff directly involved in women's health care coordination) at 15 VA facilities. Transcripts were summarized in a template to capture key points. Themes were identified and iteratively revised (inductively/deductively) via a collaborative decision-making process utilizing matrices to compare content across interviews. RESULTS: Key informants (n=23) noted that services for patients with gynecologic cancers are provided through a combination of VA and community care with wide variation in care arrangements by facility. Care coordination challenges included care fragmentation, lack of role clarity and care tracking, and difficulties associated with VA and community provider communication, patient communication, patient records exchange, and authorizations. Care coordination roles suggested for addressing challenges included: care tracker, provider point-of-contact, patient liaison, and records administrator. CONCLUSIONS: Experiences in coordinating care for women Veterans with gynecologic malignancies receiving concurrent VA and community cancer care reveal challenges inherent in delivering care across health care systems, as well as potential approaches for addressing them.
[Mh] Termos MeSH primário: Continuidade da Assistência ao Paciente
Neoplasias dos Genitais Femininos
Veteranos
Saúde da Mulher
[Mh] Termos MeSH secundário: Assistência à Saúde
Feminino
Conhecimentos, Atitudes e Prática em Saúde
Administradores Hospitalares/psicologia
Hospitais de Veteranos/utilização
Seres Humanos
Entrevistas como Assunto
Pesquisa Qualitativa
Estados Unidos
United States Department of Veterans Affairs
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170724
[Lr] Data última revisão:
170724
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170615
[St] Status:MEDLINE
[do] DOI:10.1097/MLR.0000000000000737


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[PMID]:28602858
[Au] Autor:Partridge B; Affleck J
[Ad] Endereço:Research Development Unit, Caboolture Hospital, McKean Street, Caboolture, Queensland, 4501, Australia; Adjunct Senior Fellow, School of Clinical Medicine- PCH-Northside Clinical Unit, The University of Queensland, Herston, 4029, Australia. Electronic address: bradley.partridge@health.qld.gov.au.
[Ti] Título:Verbal abuse and physical assault in the emergency department: Rates of violence, perceptions of safety, and attitudes towards security.
[So] Source:Australas Emerg Nurs J;20(3):139-145, 2017 Aug.
[Is] ISSN:1574-6267
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Emergency Department (ED) workers are prone to occupational violence, however the extent and impact of this may not be evenly felt across all roles in the ED. AIMS: Explore: 1) the rate of verbal abuse and physical assaults experienced by ED staff, 2) perceptions of safety, 3) attitudes towards security officers, and 4) formal reporting of incidents. METHODS: 330 ED workers were surveyed at four public hospitals in one metropolitan health service district in Queensland, Australia, including 179 nurses, 83 medical staff, 44 administration staff, 14 allied health, and 9 operational. RESULTS: Nurses were more likely to have been physically assaulted in the last six months and were less likely to feel safe. Most ED staff across all roles experienced verbal abuse. Nurses were better than medical staff at reporting instances of occupational violence although overall reporting across all roles was low. Staff who thought that security officers respond to incidents quickly and are a visible presence in the ED were more likely to feel safe in the ED. CONCLUSIONS: Workers in the ED, particularly nurses, experience high rates of verbal abuse and physical aggression and there may be a case for having designated security guards in the ED.
[Mh] Termos MeSH primário: Serviço Hospitalar de Emergência/organização & administração
Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos
Saúde do Trabalhador/estatística & dados numéricos
Gestão de Riscos/estatística & dados numéricos
Gestão da Segurança/organização & administração
Violência no Trabalho/estatística & dados numéricos
[Mh] Termos MeSH secundário: Atitude do Pessoal de Saúde
Enfermagem em Emergência
Feminino
Administradores Hospitalares/psicologia
Seres Humanos
Masculino
Corpo Clínico Hospitalar/psicologia
Corpo Clínico Hospitalar/estatística & dados numéricos
Recursos Humanos de Enfermagem no Hospital/psicologia
Percepção
Queensland
Risco
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:170613
[St] Status:MEDLINE


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[PMID]:28475430
[Au] Autor:Bhardwaj A
[Ad] Endereço:a Department of Neurology , University of Texas Medical Branch , Galveston , TX , USA.
[Ti] Título:Alignment between physicians and hospital administrators: historical perspective and future directions.
[So] Source:Hosp Pract (1995);45(3):81-87, 2017 Aug.
[Is] ISSN:2154-8331
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Unfortunately, the working relationship between physicians and hospital administrators is often not congruent and can even become contentious, resulting in antagonism across many Healthcare Organizations (HCOs). This treatise provides a broad, literature-based, descriptive overview in an evolving historical context, coupled with observations based on extensive professional experience. It highlights the root causes of the nonalignment between physicians and hospital administrators. Most importantly, this manuscript proposes a framework for short and long-term solutions toward a more cohesive and collaborative team approach, based on understanding the respective roles, as well as the strengths, and contributions of the two groups.
[Mh] Termos MeSH primário: Comportamento Cooperativo
Administradores Hospitalares/organização & administração
Administradores Hospitalares/psicologia
Médicos/organização & administração
Médicos/psicologia
[Mh] Termos MeSH secundário: Atitude do Pessoal de Saúde
Comunicação
Meio Ambiente
Seres Humanos
Renda
Cultura Organizacional
Percepção
Papel do Médico
Autonomia Profissional
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170809
[Lr] Data última revisão:
170809
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170506
[St] Status:MEDLINE
[do] DOI:10.1080/21548331.2017.1327302


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[PMID]:28260407
[Au] Autor:Ma S; Xu X; Trigo V; Ramalho NJ
[Ad] Endereço:Instituto Universitario de Lisboa (ISCTE-IUL) , Business Research Unit (UNIDE-IUL), Lisbon, Portugal.
[Ti] Título:Doctor-patient relationships (DPR) in China.
[So] Source:J Health Organ Manag;31(1):110-124, 2017 Mar 20.
[Is] ISSN:1758-7247
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Purpose The purpose of this paper is twofold: first, to develop and test theory on how commitment human resource (HR) practices affect hospital professionals' job satisfaction that motivates them to generate desirable patient care and subsequently improve doctor-patient relationships (DPR) and second, to examine how commitment HR practices influence hospital managers and clinicians in different ways. Design/methodology/approach Using a cross-sectional survey, the authors collected data from 508 clinicians and hospital managers from 33 tertiary public hospitals in China. Structural equation model was employed to test the relationships of the variables in the study. Findings Commitment HR practices positively affect the job satisfaction of the healthcare professionals surveyed and a positive relationship is perceived between job satisfaction and DPR. Overall, the model shows a reversal on the strongest path linking job satisfaction and DPR whereby managers' main association operates through extrinsic job satisfaction while for clinicians it occurs through intrinsic satisfaction only. Practical implications DPR might be improved by applying commitment HR practices to increase healthcare professional's intrinsic and extrinsic satisfaction. In addition, while recognizing the importance of compensation and benefits to address the underpayment issue of Chinese healthcare professionals, empowerment and autonomy in work, and the use of subjects' expertise and skills may serve as stronger motivators for clinicians rather than hard economic incentives in achieving DPR improvements. Originality/value This study contributes to the small but growing body of research on human resource management (HRM) in the healthcare sector with new evidence supporting the link between commitment HR practice and work attitudes, as well as work attitudes and patient care from the perspective of clinicians and hospital managers. This study represents an initial attempt to examine the associations among commitment HR practices, job satisfaction and DPR in the Chinese healthcare sector. The findings provide evidence to support the value of commitment HR practices in Chinese hospital context, and demonstrate the importance of effective HRM in improving both hospital managers and clinicians' work attitudes.
[Mh] Termos MeSH primário: Relações Médico-Paciente
[Mh] Termos MeSH secundário: Atitude do Pessoal de Saúde
China
Estudos Transversais
Administração Hospitalar
Administradores Hospitalares
Seres Humanos
Satisfação no Emprego
Melhoria de Qualidade
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171006
[Lr] Data última revisão:
171006
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:170307
[St] Status:MEDLINE
[do] DOI:10.1108/JHOM-09-2016-0165


  8 / 6212 MEDLINE  
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[PMID]:27918860
[Au] Autor:Soklaridis S; Romano D; Fung WL; Martimianakis MA; Sargeant J; Chambers J; Wiljer D; Silver I
[Ad] Endereço:a Department of Psychiatry , University of Toronto , Toronto , Ontario , Canada.
[Ti] Título:Where is the client/patient voice in interprofessional healthcare team assessments? Findings from a one-day forum.
[So] Source:J Interprof Care;31(1):122-124, 2017 Jan.
[Is] ISSN:1469-9567
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:There is a growing interest in interprofessional care (IPC) as a way to provide better healthcare. However, it is difficult to evaluate this mode of healthcare delivery because identifying the appropriate measurement tool is a challenge, given the wide diversity in team composition and settings. Adding to this complexity is a key gap in the IPC evaluation research: the client/patient perspective. This perspective has generally not been included in the development of IPC healthcare team evaluations. The authors received a Canadian Institute for Health Research Planning Grant to host a one-day forum with 24 participants from across Canada representing health professions such as social work, medicine, occupational therapy, and physical therapy, in addition to researchers, client/patient advocates, and hospital administrators. The overarching goal of the forum was to create a demonstration project that supports the development of an IPC assessment tool for healthcare teams that includes clients/patients. Using a concept mapping methodology, participants discussed client/patient inclusion in IPC assessments, and through a consensus process, chose a demonstration project for further development.
[Mh] Termos MeSH primário: Relações Interprofissionais
Equipe de Assistência ao Paciente/normas
Indicadores de Qualidade em Assistência à Saúde
[Mh] Termos MeSH secundário: Comportamento Cooperativo
Processos Grupais
Pessoal de Saúde/psicologia
Administradores Hospitalares/psicologia
Seres Humanos
Pacientes/psicologia
Projetos de Pesquisa
Pesquisadores/psicologia
Assistentes Sociais/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170515
[Lr] Data última revisão:
170515
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161206
[St] Status:MEDLINE


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[PMID]:26644076
[Au] Autor:Axelsson R; Axelsson SB; Gustafsson J; Seemann J
[Ad] Endereço:Institute of Sociology and Social Work, Aalborg University, Aalborg, Denmark.
[Ti] Título:Great expectations - introduction of flow managers in a university hospital.
[So] Source:Int J Health Plann Manage;32(1):e72-e82, 2017 Jan.
[Is] ISSN:1099-1751
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:A major reorganization of a university hospital included the clinical structure as well as the administrative structure of the hospital. The focus of the reorganization was to improve the coordination of patient flows through the hospital. An important part of the organizational change was the introduction of flow managers. The aim of the article is to describe and analyze the challenges of the flow managers in the implementation of the reorganization. The description is based on a number of individual and focus group interviews with professionals and managers on different organizational levels. The analysis is guided by a broad conceptual framework, focusing on the processes of change in a professional organization like a hospital. The results show that the flow managers started with a lot of uncertainty regarding their responsibilities. There was also a lot of resistance to the reorganization, which the flow managers came to personify. They proceeded by building relationships and shaping their role and tasks. They tried to balance proactive and reactive strategies of change. There were some positive results, but they felt that that the expectations placed on them had been unrealistic. The introduction of flow managers in a university hospital has touched upon many elements of the conceptual framework. There were a number of structural, cultural, financial and strategic barriers influencing the change process. The main conclusion of the analysis is that the flow managers need more power and legitimacy in the organization to deal with these barriers. Copyright © 2015 John Wiley & Sons, Ltd.
[Mh] Termos MeSH primário: Administradores Hospitalares/psicologia
Hospitais Universitários
Fluxo de Trabalho
[Mh] Termos MeSH secundário: Grupos Focais
Seres Humanos
Entrevistas como Assunto
Pesquisa Qualitativa
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:151209
[St] Status:MEDLINE
[do] DOI:10.1002/hpm.2328


  10 / 6212 MEDLINE  
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[PMID]:28334558
[Au] Autor:van Dusseldorp L; Huisman-de Waal G; Hamers H; Westert G; Schoonhoven L
[Ad] Endereço:PhD Student, IQ healthcare, Scientific Center for Quality of Healthcare, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, the Netherlands; Nurse Scientist, Atlant Care Group, Apeldoorn, the Netherlands. Electronic address: Loes.vanDusseldorp@radboudumc.nl.
[Ti] Título:Feasibility and Added Value of Executive WalkRounds in Long Term Care Organizations in the Netherlands.
[So] Source:Jt Comm J Qual Patient Saf;42(12):545-AP3, 2016 12.
[Is] ISSN:1553-7250
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Currently available tools for the management of safety in health care are largely based on quantitative management information. Executive WalkRounds (WalkRounds [WR]) seems useful as a leadership tool to detect "soft signals"-alerts of unsafe situations or practices-and to enhance the mutual trust between frontline staff and the board of directors. The majority of the research on WR has been performed in hospitals. Therefore, a study was conducted to assess how the boards of directors of long term care organizations value WR as a leadership tool to perceive soft signals, and whether soft signals are of added value to enhance patient safety. METHODS: WRs were introduced in a convenience sample of six organizations-two mental health care institutions, two nursing homes and home care organizations, and two institutions for the physically and intellectually disabled-between July 2012 and December 2013. Data were gathered from observation and reporting forms. Feasibility was evaluated by open-group interviews. A mixed-method analysis was performed using descriptive statistics and content analysis. RESULTS: WRs were considered feasible, and the added value for the boards of directors consisted of an increased sense of urgency and safety awareness. The dialogue between the board of directors and frontline staff in each organization was essential for a collective patient safety culture. In total, WRs were used 68 times, and 298 soft signals were identified; most addressed care delivery and communication. Overall, 245 improvement activities were reported, of which 109 related to work environment. CONCLUSION: WRs were considered useful and feasible for detecting soft signals in long term care organizations. These signals are valuable for enhancing patient safety and can be used by the board of directors in addition to the current quality management systems.
[Mh] Termos MeSH primário: Administradores Hospitalares
Assistência de Longa Duração
Garantia da Qualidade dos Cuidados de Saúde
Gestão da Segurança/organização & administração
[Mh] Termos MeSH secundário: Estudos de Viabilidade
Seres Humanos
Entrevistas como Assunto
Liderança
Países Baixos
Cultura Organizacional
Segurança do Paciente
Comportamento de Redução do Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171030
[Lr] Data última revisão:
171030
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170324
[St] Status:MEDLINE



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