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[PMID]:27224584
[Ti] Título:[In Process Citation].
[Ti] Título:Abrechnung wahlärztlicher Leistungen im Krankenhaus durch externe Radiologen..
[So] Source:Rofo;188(6):603-4, 2016 Jun.
[Is] ISSN:1438-9010
[Cp] País de publicação:Germany
[La] Idioma:ger
[Mh] Termos MeSH primário: Custos Hospitalares/legislação & jurisprudência
Seguro Saúde/economia
Seguro Saúde/legislação & jurisprudência
Seguro de Hospitalização/economia
Seguro de Hospitalização/legislação & jurisprudência
Programas Nacionais de Saúde/economia
Programas Nacionais de Saúde/legislação & jurisprudência
Radiologia/economia
Radiologia/legislação & jurisprudência
Encaminhamento e Consulta/economia
Encaminhamento e Consulta/legislação & jurisprudência
Mecanismo de Reembolso/economia
Mecanismo de Reembolso/legislação & jurisprudência
[Mh] Termos MeSH secundário: Feminino
Alemanha
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170123
[Lr] Data última revisão:
170123
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160526
[St] Status:MEDLINE
[do] DOI:10.1055/s-0042-107957


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[PMID]:25263817
[Au] Autor:Golberstein E; Busch SH; Zaha R; Greenfield SF; Beardslee WR; Meara E
[Ad] Endereço:From the Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis; the Department of Health Policy and Management, Yale School of Public Health, New Haven, Conn.; the Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine, Lebanon, N.H.; the Department of Psychiatry, McLean Hospital, Belmont, Mass., and Harvard Medical School, Boston; the Department of Psychiatry, Boston Children's Hospital and Harvard Medical School, Boston; and the National Bureau of Economic Research, Cambridge, Mass.
[Ti] Título:Effect of the Affordable Care Act's young adult insurance expansions on hospital-based mental health care.
[So] Source:Am J Psychiatry;172(2):182-9, 2015 Feb 01.
[Is] ISSN:1535-7228
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Insurance coverage for young adults has increased since 2010, when the Affordable Care Act (ACA) required insurers to permit children to remain on parental policies until age 26 as dependents. This study estimated the association between the dependent coverage provision and changes in young adults' use of hospital-based services for substance use disorders and non-substance use psychiatric disorders. METHOD: The authors conducted a quasi-experimental comparison of a national sample of non-childbirth-related inpatient admissions to general hospitals (a total of 2,670,463 admissions, 430,583 of which had primary psychiatric diagnoses) and California emergency department visits with psychiatric diagnoses (N=11,139,689), using data spanning 2005 to 2011. Analyses compared young adults who were targeted by the ACA dependent coverage provision (19- to 25-year-olds) and those who were not (26- to 29-year-olds), estimating changes in utilization before and after implementation of the dependent coverage provision. Primary outcome measures included quarterly inpatient admissions for primary diagnoses of any psychiatric disorder per 1,000 population; emergency department visits with any psychiatric diagnosis per 1,000 population; and payer source. RESULTS: Dependent coverage expansion was associated with 0.14 more inpatient admissions for psychiatric diagnoses per 1,000 for 19- to 25-year-olds (targeted by the ACA) than for 26- to 29-year-olds (not targeted by the ACA). The coverage expansion was associated with 0.45 fewer psychiatric emergency department visits per 1,000 in California. The probability that inpatient admissions nationally and emergency department visits in California were uninsured decreased significantly. CONCLUSIONS: ACA dependent coverage provisions produced modest increases in general hospital psychiatric inpatient admissions and higher rates of insurance coverage for young adults nationally. Lower rates of emergency department visits were observed in California.
[Mh] Termos MeSH primário: Serviço Hospitalar de Emergência
Hospitalização
Cobertura do Seguro/estatística & dados numéricos
Transtornos Mentais
Patient Protection and Affordable Care Act
[Mh] Termos MeSH secundário: Adulto
California
Serviço Hospitalar de Emergência/estatística & dados numéricos
Serviço Hospitalar de Emergência/utilização
Feminino
Hospitalização/economia
Hospitalização/tendências
Hospitais Gerais/estatística & dados numéricos
Hospitais Gerais/utilização
Seres Humanos
Seguro de Hospitalização
Masculino
Pessoas sem Cobertura de Seguro de Saúde/estatística & dados numéricos
Transtornos Mentais/economia
Transtornos Mentais/epidemiologia
Transtornos Mentais/terapia
Saúde Mental/tendências
Avaliação de Resultados (Cuidados de Saúde)
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1504
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:140930
[St] Status:MEDLINE
[do] DOI:10.1176/appi.ajp.2014.14030375


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[PMID]:26591118
[Au] Autor:Kemicer-Chmielewska E; Rotter I; Kotwas A; Karakiewicz B
[Ti] Título:[POLISH CITIZENS' OPINIONS CONCERNING CO-PAYMENT FOR HOSPITALIZATION AND SUBSIDIES FOR NON-STANDARD BENEFITS].
[Ti] Título:OPINIE POLAKÓW O WSPÓLPLACENIU ZA LECZENIE SZPITALNE ORAZ O DOPLATACH DO SWIADCZEN PONADSTANDARDOWYCH..
[So] Source:Ann Acad Med Stetin;60(2):110-2, 2014.
[Is] ISSN:1427-440X
[Cp] País de publicação:Poland
[La] Idioma:pol
[Ab] Resumo:INTRODUCTION: Co-payment in the health sector operates in most healthcare systems in European countries. The aim of this study was knowledge of Polish citizens' opinions concerning healthcare services co-payment with respect to selected socio-demographic factors. MATERIAL AND METHODS: The study was conducted using a diagnostic survey of 636 respondents, representing residents of the West Pomeranian region, Poland. RESULTS: The majority of respondents did not accept co-payment for health services. CONCLUSIONS: Material situation and educational background impact on decisions concerning co-payment for hospital treatment.
[Mh] Termos MeSH primário: Atitude Frente à Saúde
Gastos em Saúde/estatística & dados numéricos
Seguro de Hospitalização/economia
[Mh] Termos MeSH secundário: Adulto
Escolaridade
Inquéritos Epidemiológicos
Seres Humanos
Polônia
[Pt] Tipo de publicação:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Mês de entrada:1601
[Cu] Atualização por classe:151120
[Lr] Data última revisão:
151120
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151124
[St] Status:MEDLINE


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[PMID]:25244539
[Au] Autor:Mosallam RA; Guirguis WW; Hassan MH
[Ad] Endereço:Health Administration and Behavioral Sciences, High Institute of Public Health, Alexandria University, Egypt.
[Ti] Título:Hospitalization for ambulatory care sensitive conditions at health insurance organization hospitals in Alexandria, Egypt.
[So] Source:Int J Health Plann Manage;29(4):e394-405, 2014 Oct-Dec.
[Is] ISSN:1099-1751
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:This study aimed at estimating the percentage of hospital discharges and days of care accounted for by Ambulatory Care Sensitive Conditions (ACSCs) at Health Insurance Organization (HIO) hospitals in Alexandria, calculating hospitalization rates for ACSCs among HIO population and identifying determinants of hospitalization for those conditions. A sample of 8300 medical records of patients discharged from three hospitals affiliated to HIO at Alexandria was reviewed. The rate of monthly discharges for ACSCs was estimated on the basis of counting number of combined ACSCs detected in the three hospitals and the hospitals' average monthly discharges. ACSCs accounted for about one-fifth of hospitalizations and days of care at HIO hospitals (21.8% and 20.8%, respectively). Annual hospitalization rates for ACSCs were 152.5 per 10,000 insured population. The highest rates were attributed to cellulitis/abscess (47.3 per 10,000 population), followed by diabetes complications and asthma (42.8 and 20.8 per 10,00 population). Logistic regression indicated that age, number of previous admissions, and admission department are significant predictors for hospitalization for an ACSC.
[Mh] Termos MeSH primário: Assistência Ambulatorial
Hospitalização/estatística & dados numéricos
Seguro de Hospitalização/estatística & dados numéricos
[Mh] Termos MeSH secundário: Abscesso/epidemiologia
Adolescente
Adulto
Asma/epidemiologia
Celulite (Flegmão)/epidemiologia
Complicações do Diabetes/epidemiologia
Egito
Feminino
Pesquisa sobre Serviços de Saúde
Seres Humanos
Cobertura do Seguro
Masculino
Meia-Idade
Alta do Paciente/estatística & dados numéricos
Fatores Socioeconômicos
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1609
[Cu] Atualização por classe:141111
[Lr] Data última revisão:
141111
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:140923
[St] Status:MEDLINE
[do] DOI:10.1002/hpm.2269


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[PMID]:23961956
[Au] Autor:Devadasan N; Seshadri T; Trivedi M; Criel B
[Ad] Endereço:Institute of Public Health, 250, 2nd C Main, Girinagar 1st Phase, Bangalore 560085, India. deva@iphindia.org.
[Ti] Título:Promoting universal financial protection: evidence from the Rashtriya Swasthya Bima Yojana (RSBY) in Gujarat, India.
[So] Source:Health Res Policy Syst;11:29, 2013 Aug 20.
[Is] ISSN:1478-4505
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: India's health expenditure is met mostly by households through out-of-pocket (OOP) payments at the time of illness. To protect poor families, the Indian government launched a national health insurance scheme (RSBY). Those below the national poverty line (BPL) are eligible to join the RSBY. The premium is heavily subsidised by the government. The enrolled members receive a card and can avail of free hospitalisation care up to a maximum of US$ 600 per family per year. The hospitals are reimbursed by the insurance companies. The objective of our study was to analyse the extent to which RSBY contributes to universal health coverage by protecting families from making OOP payments. METHODS: A two-stage stratified sampling technique was used to identify eligible BPL families in Patan district of Gujarat, India. Initially, all 517 villages were listed and 78 were selected randomly. From each of these villages, 40 BPL households were randomly selected and a structured questionnaire was administered. Interviews and discussions were also conducted among key stakeholders. RESULTS: Our sample contained 2,920 households who had enrolled in the RSBY; most were from the poorer sections of society. The average hospital admission rate for the period 2010-2011 was 40/1,000 enrolled. Women, elderly and those belonging to the lowest caste had a higher hospitalisation rate. Forty four per cent of patients who had enrolled in RSBY and had used the RSBY card still faced OOP payments at the time of hospitalisation. The median OOP payment for the above patients was US$ 80 (interquartile range, $16-$200) and was similar in both government and private hospitals. Patients incurred OOP payments mainly because they were asked to purchase medicines and diagnostics, though the same were included in the benefit package. CONCLUSIONS: While the RSBY has managed to include the poor under its umbrella, it has provided only partial financial coverage. Nearly 60% of insured and admitted patients made OOP payments. We plea for better monitoring of the scheme and speculate that it is possible to enhance effective financial coverage of the RSBY if the nodal agency at state level would strengthen its stewardship and oversight functions.
[Mh] Termos MeSH primário: Financiamento Pessoal/economia
Programas Nacionais de Saúde/economia
Cobertura Universal/economia
[Mh] Termos MeSH secundário: Estudos Transversais
Saúde da Família/economia
Feminino
Financiamento Pessoal/estatística & dados numéricos
Hospitalização/economia
Hospitalização/estatística & dados numéricos
Seres Humanos
Índia
Seguro de Hospitalização/economia
Masculino
Programas Nacionais de Saúde/estatística & dados numéricos
Mecanismo de Reembolso
Religião
Fatores Socioeconômicos
Cobertura Universal/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1312
[Cu] Atualização por classe:161021
[Lr] Data última revisão:
161021
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:130822
[St] Status:MEDLINE
[do] DOI:10.1186/1478-4505-11-29


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[PMID]:23587567
[Au] Autor:Mudur G
[Ti] Título:Private hospitals threaten to pull out of model health insurance programme in India.
[So] Source:BMJ;346:f2391, 2013 Apr 15.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Financiamento Governamental
Hospitais Privados/economia
Seguro de Hospitalização/economia
[Mh] Termos MeSH secundário: Financiamento Governamental/métodos
Financiamento Governamental/organização & administração
Seres Humanos
Índia
Negociação
Inovação Organizacional/economia
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1306
[Cu] Atualização por classe:130416
[Lr] Data última revisão:
130416
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:130417
[St] Status:MEDLINE


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[PMID]:23479344
[Au] Autor:Hampp C; Asal N; Lipowski E; Kauf T; Schneider E; Kubilis P; Winterstein A
[Ad] Endereço:Division of Epidemiology I, Office of Pharmacovigilance and Epidemiology, Office of Surveillance and Epidemiology, Center for Drug Evaluation and Research, Food and Drug Administration, Department of Health and Human Services, Silver Spring, MD 20993, USA. christian.hampp@fda.hhs.gov
[Ti] Título:Validity of laboratory-based surveillance for detection of respiratory syncytial virus seasons.
[So] Source:Am J Epidemiol;177(8):841-51, 2013 Apr 15.
[Is] ISSN:1476-6256
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In this study, we validated the Centers for Disease Control and Prevention's use of a 10% threshold of median proportion of positive laboratory tests (median proportion positive (MPP)) to identify respiratory syncytial virus (RSV) seasons against a standard based on hospitalization claims. Medicaid fee-for-service recipients under 2 years of age from California, Florida, Illinois, and Texas (1999-2004), continuously eligible since birth, were categorized for each week as high-risk or low-risk with regard to RSV-related hospitalization based on medical and pharmacy claims data and birth certificates. Weeks were categorized as on-season if the RSV hospitalization incidence rate in high-risk children exceeded the seasonal peak of the incidence rate in low-risk children. Receiver operating characteristic (ROC) curves were used to measure the ability of MPP to discriminate between on-season and off-season weeks as determined from hospitalization data. Areas under the ROC curve ranged from 0.88 (95% confidence interval: 0.83, 0.92) in Illinois to 0.96 (95% confidence interval: 0.94, 0.98) in California. Requiring at least 5 positive tests in addition to the 10% MPP threshold optimized accuracy, as indicated by minimized root mean square errors. The 10% MPP with the added requirement of at least 5 positive tests is a valid method for identifying clinically significant RSV seasons across geographically diverse states.
[Mh] Termos MeSH primário: Seguro de Hospitalização/estatística & dados numéricos
Infecções por Vírus Respiratório Sincicial/diagnóstico
Infecções por Vírus Respiratório Sincicial/epidemiologia
Vírus Sincicial Respiratório Humano/isolamento & purificação
Vigilância de Evento Sentinela
[Mh] Termos MeSH secundário: Anticorpos Monoclonais Humanizados/economia
Anticorpos Monoclonais Humanizados/uso terapêutico
Antivirais/economia
Antivirais/uso terapêutico
California/epidemiologia
Centers for Disease Control and Prevention (U.S.)
Surtos de Doenças
Feminino
Florida/epidemiologia
Seres Humanos
Illinois/epidemiologia
Incidência
Lactente
Seguro de Hospitalização/economia
Laboratórios/economia
Masculino
Medicaid/estatística & dados numéricos
Palivizumab
Prevalência
Curva ROC
Reprodutibilidade dos Testes
Infecções por Vírus Respiratório Sincicial/tratamento farmacológico
Infecções por Vírus Respiratório Sincicial/economia
Estações do Ano
Texas/epidemiologia
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T; VALIDATION STUDIES
[Nm] Nome de substância:
0 (Antibodies, Monoclonal, Humanized); 0 (Antiviral Agents); DQ448MW7KS (Palivizumab)
[Em] Mês de entrada:1306
[Cu] Atualização por classe:151119
[Lr] Data última revisão:
151119
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:130313
[St] Status:MEDLINE
[do] DOI:10.1093/aje/kws304


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[PMID]:22871252
[Au] Autor:Gouma DJ; Laméris HJ; Rauws EA; Busch OR
[Ad] Endereço:Academisch Medisch Centrum, Afd. Chirurgie, Amsterdam, the Netherlands. d.j.gouma@amc.uva.nl
[Ti] Título:[The centralisation of highly complex operations].
[Ti] Título:Centralisatie van hoogcomplexe chirurgie..
[So] Source:Ned Tijdschr Geneeskd;156(32):A4887, 2012.
[Is] ISSN:1876-8784
[Cp] País de publicação:Netherlands
[La] Idioma:dut
[Ab] Resumo:The relationship between hospital volume and outcome of care after pancreatic surgery, particularly mortality, has been described extensively in the past. Today, this relationship is frequently being used by healthcare providers and/or insurance companies to select hospitals for various surgical procedures. This concept, however, has many limitations. The conceptual model concerning the relationship between how hospital facilities are arranged and the different aspects of the process of providing healthcare is discussed in three case histories describing complicated postoperative courses after pancreatic resections. The conclusion is that, besides hospital volume, the manner in which the various facilities in hospitals are arranged as well as the process of care giving, particularly the effectiveness of multidisciplinary meetings, are of crucial importance to the quality of care. Data per illness, with adequate correction for case mix, are of crucial importance for comparing the differences in quality of care between hospitals.
[Mh] Termos MeSH primário: Avaliação de Resultados (Cuidados de Saúde)
Pancreatectomia/normas
Complicações Pós-Operatórias/epidemiologia
Qualidade da Assistência à Saúde
[Mh] Termos MeSH secundário: Idoso
Feminino
Mortalidade Hospitalar
Hospitais/estatística & dados numéricos
Seres Humanos
Seguro de Hospitalização/estatística & dados numéricos
Masculino
Meia-Idade
Países Baixos
Pancreatectomia/estatística & dados numéricos
[Pt] Tipo de publicação:CASE REPORTS; ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Mês de entrada:1210
[Cu] Atualização por classe:120808
[Lr] Data última revisão:
120808
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:120809
[St] Status:MEDLINE


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[PMID]:22442428
[Au] Autor:Englot DJ; Ouyang D; Garcia PA; Barbaro NM; Chang EF
[Ad] Endereço:UCSF Epilepsy Center, University of California, San Francisco, CA, USA.
[Ti] Título:Epilepsy surgery trends in the United States, 1990-2008.
[So] Source:Neurology;78(16):1200-6, 2012 Apr 17.
[Is] ISSN:1526-632X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To examine national time trends of resective surgery for the treatment of medically refractory epilepsy before and after Class I evidence demonstrating its efficacy and subsequent practice guidelines recommending early surgical evaluation. METHODS: We performed a population-based cohort study with time trends of patients admitted to US hospitals for medically refractory focal epilepsy between 1990 and 2008 who did or did not undergo lobectomy, as reported in the Nationwide Inpatient Sample. RESULTS: Weighted data revealed 112,026 hospitalizations for medically refractory focal epilepsy and 6,653 resective surgeries (lobectomies and partial lobectomies) from 1990 to 2008. A trend of increasing hospitalizations over time was not accompanied by an increase in surgeries, producing an overall trend of decreasing surgery rates (F = 13.6, p < 0.01). Factors associated with this trend included a decrease in epilepsy hospitalizations at the highest-volume epilepsy centers, and increased hospitalizations to lower-volume hospitals that were found to be less likely to perform surgery. White patients were more likely to have surgery than racial minorities (relative risk [RR], 1.13; 95% confidence interval [CI], 1.10-1.17), and privately insured individuals were more likely to receive lobectomy than those with Medicaid or Medicare (RR, 1.28; 95% CI, 1.25-1.30). CONCLUSION: Despite Class I evidence and subsequent practice guidelines, the utilization of lobectomy has not increased from 1990 to 2008. Surgery continues to be heavily underutilized as a treatment for epilepsy, with significant disparities by race and insurance coverage. Patients who are medically refractory after failing 2 antiepileptic medications should be referred to a comprehensive epilepsy center for surgical evaluation.
[Mh] Termos MeSH primário: Lobectomia Temporal Anterior/tendências
Epilepsia/cirurgia
Fidelidade a Diretrizes/tendências
Hospitalização/tendências
[Mh] Termos MeSH secundário: Adulto
Resistência a Medicamentos
Grupo com Ancestrais do Continente Europeu/estatística & dados numéricos
Feminino
Seres Humanos
Seguro de Hospitalização/estatística & dados numéricos
Masculino
Medicaid/estatística & dados numéricos
Medicare/estatística & dados numéricos
Grupos Minoritários/estatística & dados numéricos
Guias de Prática Clínica como Assunto
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1206
[Cu] Atualização por classe:150225
[Lr] Data última revisão:
150225
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:120324
[St] Status:MEDLINE
[do] DOI:10.1212/WNL.0b013e318250d7ea


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[PMID]:22413583
[Au] Autor:Millar C
[Ad] Endereço:FDA Services, USA. insurance@fdaservices.com
[Ti] Título:Controlling your healthcare costs: low-cost group plans.
[So] Source:Todays FDA;23(7):36-7, 39, 2011 Nov-Dec.
[Is] ISSN:1048-5317
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Planos de Assistência de Saúde para Empregados/economia
Administração da Prática Odontológica/economia
[Mh] Termos MeSH secundário: Planos de Seguro Blue Cross Blue Shield/economia
Controle de Custos
Dedutíveis e Cosseguros/economia
Sistemas Pré-Pagos de Saúde/economia
Seres Humanos
Seguro de Hospitalização/economia
Seguro Cirúrgico/economia
Administração da Prática Odontológica/organização & administração
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1205
[Cu] Atualização por classe:120314
[Lr] Data última revisão:
120314
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:120315
[St] Status:MEDLINE



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