Stakeholder perspectives on the impact of COVID-19 on oncology services: a qualitative study
Background As COVID-19 spread across the globe, cancer services were required to rapidly pivot to minimise risks without compromising outcomes for patients or staff. The aim of this study was to document changes to oncology services as a result of COVID-19 from the perspectives of both providers and...
Gespeichert in:
Veröffentlicht in: | Supportive care in cancer 2023-08, Vol.31 (8), p.491-491, Article 491 |
---|---|
Hauptverfasser: | , , , , , , , , , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 491 |
---|---|
container_issue | 8 |
container_start_page | 491 |
container_title | Supportive care in cancer |
container_volume | 31 |
creator | Butow, Phyllis Havard, Polly E. Butt, Zoe Juraskova, Ilona Sharpe, Louise Dhillon, Haryana Beatty, Lisa Beale, Philip Cigolini, Maria Kelly, Brian Chan, Raymond J. Kirsten, Laura Best, Megan C. Shaw, Joanne |
description | Background
As COVID-19 spread across the globe, cancer services were required to rapidly pivot to minimise risks without compromising outcomes for patients or staff. The aim of this study was to document changes to oncology services as a result of COVID-19 from the perspectives of both providers and receivers of care during the initial phase of the pandemic.
Methods
Participants were recruited between June and December 2020 through an email invitation via professional or consumer organisations, two hospital-based oncology services and snowballing. Semi-structured interviews focused on health service changes and their impacts, which were then analysed by thematic analysis.
Results
Thirty-two patients, 16 carers and 29 health professionals were recruited. Fifteen patients (
n
= 47%) had localised disease, and 19 (
n
= 59%) were currently receiving treatment. Oncology staff included oncologists, palliative care physicians, nurses, allied health and psychosocial practitioners. Four themes arose from the data: safety, increased stress and burnout, communication challenges and quality of cancer care.
Conclusions
There is an ongoing need for cancer-specific information from a single, trusted source to inform medical practitioners and patients/carers. More data are required to inform evidence-based guidelines for cancer care during future pandemics. All stakeholders require ongoing support to avoid stress and burnout. |
doi_str_mv | 10.1007/s00520-023-07916-y |
format | Article |
fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10366245</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A758381292</galeid><sourcerecordid>A758381292</sourcerecordid><originalsourceid>FETCH-LOGICAL-c454t-1743f7b503c36ab39f92508544d4a64bdf59bcd484274226c612efab8cb5283e3</originalsourceid><addsrcrecordid>eNp9kUtv1DAURi1ERYfCH2CBLLFhE-pnbLNB1fBopUpd8FghWY5zM-OSiVM7GSn_nqTTB7Bg5cV37vG9-hB6Rck7Sog6zYRIRgrCeEGUoWUxPUErKjgvFOfmKVoRI2ghuJTH6HnO14RQpSR7ho65EloLaVbo59fB_YJtbGtIuIeUe_BD2EPGscPDFnDY9c4PODZ4ffXj4mNBzZLEzsc2biacIe2Dh_weO3wzujYMbhnHeRjr6QU6alyb4eXde4K-f_70bX1eXF59uVifXRZeSDEUVAneqEoS7nnpKm4awyTRUohauFJUdSNN5WuhBVOCsdKXlEHjKu0ryTQHfoI-HLz9WO2g9tANybW2T2Hn0mSjC_bvpAtbu4l7SwkvSybkbHh7Z0jxZoQ82F3IHtrWdRDHbJkWVGuiGZvRN_-g13FM3XzfLcWIVEo_UhvXgg1dE-eP_SK1Z0pqrikzi4sdKJ9izgmah50psUvH9tCxnTu2tx3baR56_ee1DyP3pc4APwB5jroNpMcN_6P9DXwKsWI</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2841205778</pqid></control><display><type>article</type><title>Stakeholder perspectives on the impact of COVID-19 on oncology services: a qualitative study</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Butow, Phyllis ; Havard, Polly E. ; Butt, Zoe ; Juraskova, Ilona ; Sharpe, Louise ; Dhillon, Haryana ; Beatty, Lisa ; Beale, Philip ; Cigolini, Maria ; Kelly, Brian ; Chan, Raymond J. ; Kirsten, Laura ; Best, Megan C. ; Shaw, Joanne</creator><creatorcontrib>Butow, Phyllis ; Havard, Polly E. ; Butt, Zoe ; Juraskova, Ilona ; Sharpe, Louise ; Dhillon, Haryana ; Beatty, Lisa ; Beale, Philip ; Cigolini, Maria ; Kelly, Brian ; Chan, Raymond J. ; Kirsten, Laura ; Best, Megan C. ; Shaw, Joanne</creatorcontrib><description>Background
As COVID-19 spread across the globe, cancer services were required to rapidly pivot to minimise risks without compromising outcomes for patients or staff. The aim of this study was to document changes to oncology services as a result of COVID-19 from the perspectives of both providers and receivers of care during the initial phase of the pandemic.
Methods
Participants were recruited between June and December 2020 through an email invitation via professional or consumer organisations, two hospital-based oncology services and snowballing. Semi-structured interviews focused on health service changes and their impacts, which were then analysed by thematic analysis.
Results
Thirty-two patients, 16 carers and 29 health professionals were recruited. Fifteen patients (
n
= 47%) had localised disease, and 19 (
n
= 59%) were currently receiving treatment. Oncology staff included oncologists, palliative care physicians, nurses, allied health and psychosocial practitioners. Four themes arose from the data: safety, increased stress and burnout, communication challenges and quality of cancer care.
Conclusions
There is an ongoing need for cancer-specific information from a single, trusted source to inform medical practitioners and patients/carers. More data are required to inform evidence-based guidelines for cancer care during future pandemics. All stakeholders require ongoing support to avoid stress and burnout.</description><identifier>ISSN: 0941-4355</identifier><identifier>EISSN: 1433-7339</identifier><identifier>DOI: 10.1007/s00520-023-07916-y</identifier><identifier>PMID: 37488459</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Analysis ; Burn out (Psychology) ; Burnout, Psychological ; Cancer ; Communication ; Communications equipment ; Consumer groups ; COVID-19 ; Electronic Mail ; Evidence-based medicine ; Health care reform ; Humans ; Medical personnel ; Medicine ; Medicine & Public Health ; Nursing ; Nursing Research ; Oncology ; Pain Medicine ; Palliative treatment ; Pandemics ; Qualitative Research ; Quality of care ; Rehabilitation Medicine ; Stakeholders</subject><ispartof>Supportive care in cancer, 2023-08, Vol.31 (8), p.491-491, Article 491</ispartof><rights>The Author(s) 2023</rights><rights>2023. The Author(s).</rights><rights>COPYRIGHT 2023 Springer</rights><rights>The Author(s) 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c454t-1743f7b503c36ab39f92508544d4a64bdf59bcd484274226c612efab8cb5283e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00520-023-07916-y$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00520-023-07916-y$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37488459$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Butow, Phyllis</creatorcontrib><creatorcontrib>Havard, Polly E.</creatorcontrib><creatorcontrib>Butt, Zoe</creatorcontrib><creatorcontrib>Juraskova, Ilona</creatorcontrib><creatorcontrib>Sharpe, Louise</creatorcontrib><creatorcontrib>Dhillon, Haryana</creatorcontrib><creatorcontrib>Beatty, Lisa</creatorcontrib><creatorcontrib>Beale, Philip</creatorcontrib><creatorcontrib>Cigolini, Maria</creatorcontrib><creatorcontrib>Kelly, Brian</creatorcontrib><creatorcontrib>Chan, Raymond J.</creatorcontrib><creatorcontrib>Kirsten, Laura</creatorcontrib><creatorcontrib>Best, Megan C.</creatorcontrib><creatorcontrib>Shaw, Joanne</creatorcontrib><title>Stakeholder perspectives on the impact of COVID-19 on oncology services: a qualitative study</title><title>Supportive care in cancer</title><addtitle>Support Care Cancer</addtitle><addtitle>Support Care Cancer</addtitle><description>Background
As COVID-19 spread across the globe, cancer services were required to rapidly pivot to minimise risks without compromising outcomes for patients or staff. The aim of this study was to document changes to oncology services as a result of COVID-19 from the perspectives of both providers and receivers of care during the initial phase of the pandemic.
Methods
Participants were recruited between June and December 2020 through an email invitation via professional or consumer organisations, two hospital-based oncology services and snowballing. Semi-structured interviews focused on health service changes and their impacts, which were then analysed by thematic analysis.
Results
Thirty-two patients, 16 carers and 29 health professionals were recruited. Fifteen patients (
n
= 47%) had localised disease, and 19 (
n
= 59%) were currently receiving treatment. Oncology staff included oncologists, palliative care physicians, nurses, allied health and psychosocial practitioners. Four themes arose from the data: safety, increased stress and burnout, communication challenges and quality of cancer care.
Conclusions
There is an ongoing need for cancer-specific information from a single, trusted source to inform medical practitioners and patients/carers. More data are required to inform evidence-based guidelines for cancer care during future pandemics. All stakeholders require ongoing support to avoid stress and burnout.</description><subject>Analysis</subject><subject>Burn out (Psychology)</subject><subject>Burnout, Psychological</subject><subject>Cancer</subject><subject>Communication</subject><subject>Communications equipment</subject><subject>Consumer groups</subject><subject>COVID-19</subject><subject>Electronic Mail</subject><subject>Evidence-based medicine</subject><subject>Health care reform</subject><subject>Humans</subject><subject>Medical personnel</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Nursing</subject><subject>Nursing Research</subject><subject>Oncology</subject><subject>Pain Medicine</subject><subject>Palliative treatment</subject><subject>Pandemics</subject><subject>Qualitative Research</subject><subject>Quality of care</subject><subject>Rehabilitation Medicine</subject><subject>Stakeholders</subject><issn>0941-4355</issn><issn>1433-7339</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kUtv1DAURi1ERYfCH2CBLLFhE-pnbLNB1fBopUpd8FghWY5zM-OSiVM7GSn_nqTTB7Bg5cV37vG9-hB6Rck7Sog6zYRIRgrCeEGUoWUxPUErKjgvFOfmKVoRI2ghuJTH6HnO14RQpSR7ho65EloLaVbo59fB_YJtbGtIuIeUe_BD2EPGscPDFnDY9c4PODZ4ffXj4mNBzZLEzsc2biacIe2Dh_weO3wzujYMbhnHeRjr6QU6alyb4eXde4K-f_70bX1eXF59uVifXRZeSDEUVAneqEoS7nnpKm4awyTRUohauFJUdSNN5WuhBVOCsdKXlEHjKu0ryTQHfoI-HLz9WO2g9tANybW2T2Hn0mSjC_bvpAtbu4l7SwkvSybkbHh7Z0jxZoQ82F3IHtrWdRDHbJkWVGuiGZvRN_-g13FM3XzfLcWIVEo_UhvXgg1dE-eP_SK1Z0pqrikzi4sdKJ9izgmah50psUvH9tCxnTu2tx3baR56_ee1DyP3pc4APwB5jroNpMcN_6P9DXwKsWI</recordid><startdate>20230801</startdate><enddate>20230801</enddate><creator>Butow, Phyllis</creator><creator>Havard, Polly E.</creator><creator>Butt, Zoe</creator><creator>Juraskova, Ilona</creator><creator>Sharpe, Louise</creator><creator>Dhillon, Haryana</creator><creator>Beatty, Lisa</creator><creator>Beale, Philip</creator><creator>Cigolini, Maria</creator><creator>Kelly, Brian</creator><creator>Chan, Raymond J.</creator><creator>Kirsten, Laura</creator><creator>Best, Megan C.</creator><creator>Shaw, Joanne</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HEHIP</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2R</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>POGQB</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRQQA</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20230801</creationdate><title>Stakeholder perspectives on the impact of COVID-19 on oncology services: a qualitative study</title><author>Butow, Phyllis ; Havard, Polly E. ; Butt, Zoe ; Juraskova, Ilona ; Sharpe, Louise ; Dhillon, Haryana ; Beatty, Lisa ; Beale, Philip ; Cigolini, Maria ; Kelly, Brian ; Chan, Raymond J. ; Kirsten, Laura ; Best, Megan C. ; Shaw, Joanne</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c454t-1743f7b503c36ab39f92508544d4a64bdf59bcd484274226c612efab8cb5283e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Analysis</topic><topic>Burn out (Psychology)</topic><topic>Burnout, Psychological</topic><topic>Cancer</topic><topic>Communication</topic><topic>Communications equipment</topic><topic>Consumer groups</topic><topic>COVID-19</topic><topic>Electronic Mail</topic><topic>Evidence-based medicine</topic><topic>Health care reform</topic><topic>Humans</topic><topic>Medical personnel</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Nursing</topic><topic>Nursing Research</topic><topic>Oncology</topic><topic>Pain Medicine</topic><topic>Palliative treatment</topic><topic>Pandemics</topic><topic>Qualitative Research</topic><topic>Quality of care</topic><topic>Rehabilitation Medicine</topic><topic>Stakeholders</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Butow, Phyllis</creatorcontrib><creatorcontrib>Havard, Polly E.</creatorcontrib><creatorcontrib>Butt, Zoe</creatorcontrib><creatorcontrib>Juraskova, Ilona</creatorcontrib><creatorcontrib>Sharpe, Louise</creatorcontrib><creatorcontrib>Dhillon, Haryana</creatorcontrib><creatorcontrib>Beatty, Lisa</creatorcontrib><creatorcontrib>Beale, Philip</creatorcontrib><creatorcontrib>Cigolini, Maria</creatorcontrib><creatorcontrib>Kelly, Brian</creatorcontrib><creatorcontrib>Chan, Raymond J.</creatorcontrib><creatorcontrib>Kirsten, Laura</creatorcontrib><creatorcontrib>Best, Megan C.</creatorcontrib><creatorcontrib>Shaw, Joanne</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest Sociology & Social Sciences Collection</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Social Sciences</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Supportive care in cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Butow, Phyllis</au><au>Havard, Polly E.</au><au>Butt, Zoe</au><au>Juraskova, Ilona</au><au>Sharpe, Louise</au><au>Dhillon, Haryana</au><au>Beatty, Lisa</au><au>Beale, Philip</au><au>Cigolini, Maria</au><au>Kelly, Brian</au><au>Chan, Raymond J.</au><au>Kirsten, Laura</au><au>Best, Megan C.</au><au>Shaw, Joanne</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Stakeholder perspectives on the impact of COVID-19 on oncology services: a qualitative study</atitle><jtitle>Supportive care in cancer</jtitle><stitle>Support Care Cancer</stitle><addtitle>Support Care Cancer</addtitle><date>2023-08-01</date><risdate>2023</risdate><volume>31</volume><issue>8</issue><spage>491</spage><epage>491</epage><pages>491-491</pages><artnum>491</artnum><issn>0941-4355</issn><eissn>1433-7339</eissn><abstract>Background
As COVID-19 spread across the globe, cancer services were required to rapidly pivot to minimise risks without compromising outcomes for patients or staff. The aim of this study was to document changes to oncology services as a result of COVID-19 from the perspectives of both providers and receivers of care during the initial phase of the pandemic.
Methods
Participants were recruited between June and December 2020 through an email invitation via professional or consumer organisations, two hospital-based oncology services and snowballing. Semi-structured interviews focused on health service changes and their impacts, which were then analysed by thematic analysis.
Results
Thirty-two patients, 16 carers and 29 health professionals were recruited. Fifteen patients (
n
= 47%) had localised disease, and 19 (
n
= 59%) were currently receiving treatment. Oncology staff included oncologists, palliative care physicians, nurses, allied health and psychosocial practitioners. Four themes arose from the data: safety, increased stress and burnout, communication challenges and quality of cancer care.
Conclusions
There is an ongoing need for cancer-specific information from a single, trusted source to inform medical practitioners and patients/carers. More data are required to inform evidence-based guidelines for cancer care during future pandemics. All stakeholders require ongoing support to avoid stress and burnout.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>37488459</pmid><doi>10.1007/s00520-023-07916-y</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0941-4355 |
ispartof | Supportive care in cancer, 2023-08, Vol.31 (8), p.491-491, Article 491 |
issn | 0941-4355 1433-7339 |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10366245 |
source | MEDLINE; SpringerLink Journals |
subjects | Analysis Burn out (Psychology) Burnout, Psychological Cancer Communication Communications equipment Consumer groups COVID-19 Electronic Mail Evidence-based medicine Health care reform Humans Medical personnel Medicine Medicine & Public Health Nursing Nursing Research Oncology Pain Medicine Palliative treatment Pandemics Qualitative Research Quality of care Rehabilitation Medicine Stakeholders |
title | Stakeholder perspectives on the impact of COVID-19 on oncology services: a qualitative study |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-20T03%3A39%3A40IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Stakeholder%20perspectives%20on%20the%20impact%20of%20COVID-19%20on%20oncology%20services:%20a%20qualitative%20study&rft.jtitle=Supportive%20care%20in%20cancer&rft.au=Butow,%20Phyllis&rft.date=2023-08-01&rft.volume=31&rft.issue=8&rft.spage=491&rft.epage=491&rft.pages=491-491&rft.artnum=491&rft.issn=0941-4355&rft.eissn=1433-7339&rft_id=info:doi/10.1007/s00520-023-07916-y&rft_dat=%3Cgale_pubme%3EA758381292%3C/gale_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2841205778&rft_id=info:pmid/37488459&rft_galeid=A758381292&rfr_iscdi=true |