{"id":"https://openalex.org/W2737023652","doi":"https://doi.org/10.4178/epih.e2017029","title":"Pros and cons of the health transformation program in Iran: evidence from financial outcomes at the household level","display_name":"Pros and cons of the health transformation program in Iran: evidence from financial outcomes at the household level","publication_year":2017,"publication_date":"2017-07-18","ids":{"openalex":"https://openalex.org/W2737023652","doi":"https://doi.org/10.4178/epih.e2017029","mag":"2737023652","pmid":"https://pubmed.ncbi.nlm.nih.gov/28728347","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/5675984"},"language":"en","primary_location":{"id":"doi:10.4178/epih.e2017029","doi":"https://doi.org/10.4178/epih.e2017029","is_oa":true,"landing_page_url":"https://doi.org/10.4178/epih.e2017029","pdf_url":"http://www.e-epih.org/upload/pdf/epih-39-e2017029.pdf","source":{"id":"https://openalex.org/S149504884","display_name":"Epidemiology and Health","issn_l":"1225-3596","issn":["1225-3596","2092-7193"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","jufo-1","kci-registered","ki-jl-1","medline","norway-1","oarl","poland-40","russia-white-list-1"],"host_organization":"https://openalex.org/P4310319525","host_organization_name":"Korean Society of Epidemiology","host_organization_lineage":["https://openalex.org/P4310319525"],"host_organization_lineage_names":["Korean Society of Epidemiology"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Epidemiology and Health","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"http://www.e-epih.org/upload/pdf/epih-39-e2017029.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5027966949","display_name":"Enayatollah Homaie Rad","orcid":"https://orcid.org/0000-0002-9064-0380","observed_orcids":["https://orcid.org/0000-0002-9064-0380"]},"institutions":[{"id":"https://openalex.org/I204331812","display_name":"Guilan University of Medical Sciences","ror":"https://ror.org/04ptbrd12","country_code":"IR","type":"education","lineage":["https://openalex.org/I204331812","https://openalex.org/I4210110574"]}],"countries":["IR"],"is_corresponding":false,"raw_author_name":"Enayatollah Homaie Rad","raw_affiliation_strings":["Social Determinants of Health Research Center, Guilan University of Medical Sciences, Rasht, Iran"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Social Determinants of Health Research Center, Guilan University of Medical Sciences, Rasht, Iran","institution_ids":["https://openalex.org/I204331812"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5069911966","display_name":"Vahid Yazdi\u2010Feyzabadi","orcid":"https://orcid.org/0000-0002-8009-470X","observed_orcids":["https://orcid.org/0000-0002-8009-470X"]},"institutions":[{"id":"https://openalex.org/I235686326","display_name":"Kerman University of Medical Sciences","ror":"https://ror.org/02kxbqc24","country_code":"IR","type":"education","lineage":["https://openalex.org/I235686326"]}],"countries":["IR"],"is_corresponding":false,"raw_author_name":"Vahid Yazdi-Feyzabad","raw_affiliation_strings":["School of Management and Medical Informatics, Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Management and Medical Informatics, Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran","institution_ids":["https://openalex.org/I235686326"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031815595","display_name":"Shahrokh Yousefzadeh-Chabok","orcid":"https://orcid.org/0000-0002-8825-3015","observed_orcids":["https://orcid.org/0000-0002-8825-3015"]},"institutions":[{"id":"https://openalex.org/I204331812","display_name":"Guilan University of Medical Sciences","ror":"https://ror.org/04ptbrd12","country_code":"IR","type":"education","lineage":["https://openalex.org/I204331812","https://openalex.org/I4210110574"]}],"countries":["IR"],"is_corresponding":false,"raw_author_name":"Shahrokh Yousefzadeh-Chabok","raw_affiliation_strings":["Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran","institution_ids":["https://openalex.org/I204331812"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5012437406","display_name":"Abolhasan Afkar","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I204331812","display_name":"Guilan University of Medical Sciences","ror":"https://ror.org/04ptbrd12","country_code":"IR","type":"education","lineage":["https://openalex.org/I204331812","https://openalex.org/I4210110574"]}],"countries":["IR"],"is_corresponding":true,"raw_author_name":"Abolhasan Afkar","raw_affiliation_strings":["Social Determinants of Health Research Center, Guilan University of Medical Sciences, Rasht, Iran"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Social Determinants of Health Research Center, Guilan University of Medical Sciences, Rasht, Iran","institution_ids":["https://openalex.org/I204331812"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5059425785","display_name":"Ahmad Naghibzadeh\u2010Tahami","orcid":"https://orcid.org/0000-0002-2221-7302","observed_orcids":["https://orcid.org/0000-0002-2221-7302"]},"institutions":[{"id":"https://openalex.org/I235686326","display_name":"Kerman University of Medical Sciences","ror":"https://ror.org/02kxbqc24","country_code":"IR","type":"education","lineage":["https://openalex.org/I235686326"]}],"countries":["IR"],"is_corresponding":false,"raw_author_name":"Ahmad Naghibzadeh","raw_affiliation_strings":["Physiology Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Physiology Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran","institution_ids":["https://openalex.org/I235686326"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5012437406"],"corresponding_institution_ids":["https://openalex.org/I204331812"],"apc_list":null,"apc_paid":null,"fwci":5.3794,"has_fulltext":true,"cited_by_count":35,"citation_normalized_percentile":{"value":0.96098987,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":93,"max":99},"biblio":{"volume":"39","issue":null,"first_page":"e2017029","last_page":"e2017029"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12708","display_name":"Economic and Financial Impacts of Cancer","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/health-transformation-program","display_name":"Health Transformation Program","score":0.8579999804496765},{"id":"https://openalex.org/keywords/health-care-reform","display_name":"health care reform","score":0.8989999890327454},{"id":"https://openalex.org/keywords/out-of-pocket-costs","display_name":"out-of-pocket costs","score":0.8970000147819519},{"id":"https://openalex.org/keywords/catastrophic-health-expenditure","display_name":"catastrophic health expenditure","score":0.9639999866485596},{"id":"https://openalex.org/keywords/health-equity","display_name":"health equity","score":0.5879999995231628},{"id":"https://openalex.org/keywords/family-financial-burden","display_name":"family financial burden","score":0.5440000295639038},{"id":"https://openalex.org/keywords/health-care-utilization","display_name":"health care utilization","score":0.6959999799728394},{"id":"https://openalex.org/keywords/iran","display_name":"Iran","score":0.6430000066757202},{"id":"https://openalex.org/keywords/guilan-province","display_name":"Gilan","score":0.7639999985694885},{"id":"https://openalex.org/keywords/concentration-index","display_name":"concentration index","score":0.5400000214576721}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7824008464813232},{"id":"https://openalex.org/C17923572","wikidata":"https://www.wikidata.org/wiki/Q7250160","display_name":"Propensity score matching","level":2,"score":0.7549077272415161},{"id":"https://openalex.org/C145097563","wikidata":"https://www.wikidata.org/wiki/Q1148747","display_name":"Payment","level":2,"score":0.7252480387687683},{"id":"https://openalex.org/C199728807","wikidata":"https://www.wikidata.org/wiki/Q2578557","display_name":"Equity (law)","level":2,"score":0.6432456970214844},{"id":"https://openalex.org/C77350462","wikidata":"https://www.wikidata.org/wiki/Q1125472","display_name":"Confounding","level":2,"score":0.46879109740257263},{"id":"https://openalex.org/C2781332184","wikidata":"https://www.wikidata.org/wiki/Q7156780","display_name":"Payment by Results","level":2,"score":0.4585035443305969},{"id":"https://openalex.org/C2986740045","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health services","level":3,"score":0.44102734327316284},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.40592607855796814},{"id":"https://openalex.org/C100001284","wikidata":"https://www.wikidata.org/wiki/Q2248246","display_name":"Public economics","level":1,"score":0.3327934741973877},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.22073033452033997},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.16468966007232666},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.14808377623558044},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.08712592720985413},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C3116431","wikidata":"https://www.wikidata.org/wiki/Q31728","display_name":"Public administration","level":1,"score":0.0},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.0}],"mesh":[{"descriptor_ui":"D002388","descriptor_name":"Catastrophic Illness","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D005102","descriptor_name":"Health Expenditures","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D005191","descriptor_name":"Family Characteristics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006040","descriptor_name":"Goals","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007182","descriptor_name":"Income","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D007492","descriptor_name":"Iran","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015397","descriptor_name":"Program Evaluation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018166","descriptor_name":"Health Care Reform","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":5,"locations":[{"id":"doi:10.4178/epih.e2017029","doi":"https://doi.org/10.4178/epih.e2017029","is_oa":true,"landing_page_url":"https://doi.org/10.4178/epih.e2017029","pdf_url":"http://www.e-epih.org/upload/pdf/epih-39-e2017029.pdf","source":{"id":"https://openalex.org/S149504884","display_name":"Epidemiology and Health","issn_l":"1225-3596","issn":["1225-3596","2092-7193"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","jufo-1","kci-registered","ki-jl-1","medline","norway-1","oarl","poland-40","russia-white-list-1"],"host_organization":"https://openalex.org/P4310319525","host_organization_name":"Korean Society of Epidemiology","host_organization_lineage":["https://openalex.org/P4310319525"],"host_organization_lineage_names":["Korean Society of Epidemiology"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Epidemiology and Health","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:4607108","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/5675984","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:5675984","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/5675984","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Epidemiol Health","raw_type":"Text"},{"id":"pmid:28728347","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/28728347","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Epidemiology and health","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:d627cd8f717442228784eef2abf30edd","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/d627cd8f717442228784eef2abf30edd","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Epidemiology and Health, Vol 39 (2017)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.4178/epih.e2017029","doi":"https://doi.org/10.4178/epih.e2017029","is_oa":true,"landing_page_url":"https://doi.org/10.4178/epih.e2017029","pdf_url":"http://www.e-epih.org/upload/pdf/epih-39-e2017029.pdf","source":{"id":"https://openalex.org/S149504884","display_name":"Epidemiology and Health","issn_l":"1225-3596","issn":["1225-3596","2092-7193"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","jufo-1","kci-registered","ki-jl-1","medline","norway-1","oarl","poland-40","russia-white-list-1"],"host_organization":"https://openalex.org/P4310319525","host_organization_name":"Korean Society of Epidemiology","host_organization_lineage":["https://openalex.org/P4310319525"],"host_organization_lineage_names":["Korean Society of Epidemiology"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Epidemiology and Health","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9537000060081482},{"id":"https://metadata.un.org/sdg/1","display_name":"No poverty","score":0.8928999900817871},{"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities","score":0.7578999996185303}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320323304","display_name":"Guilan University of Medical Sciences","ror":"https://ror.org/04ptbrd12"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2737023652.pdf","grobid_xml":"https://content.openalex.org/works/W2737023652.grobid-xml"},"referenced_works_count":18,"referenced_works":["https://openalex.org/W1914308209","https://openalex.org/W2033309922","https://openalex.org/W2096206955","https://openalex.org/W2099065576","https://openalex.org/W2124555951","https://openalex.org/W2125849337","https://openalex.org/W2126593011","https://openalex.org/W2162162390","https://openalex.org/W2203092361","https://openalex.org/W2237193718","https://openalex.org/W2301093678","https://openalex.org/W2337449659","https://openalex.org/W2494866654","https://openalex.org/W2521911036","https://openalex.org/W2552154984","https://openalex.org/W2599599069","https://openalex.org/W2611676462","https://openalex.org/W2993532122"],"related_works":["https://openalex.org/W2970001085","https://openalex.org/W7019212076","https://openalex.org/W2981515555","https://openalex.org/W3087713798","https://openalex.org/W4416827039","https://openalex.org/W4320066675","https://openalex.org/W2946097369","https://openalex.org/W4386584832","https://openalex.org/W7221520910","https://openalex.org/W2789810318"],"abstract_inverted_index":{"OBJECTIVES:":[0],"The":[1,116,171],"health":[2,11,42,196],"transformation":[3],"program":[4],"was":[5,16,121,162,173],"a":[6,53,159],"recent":[7],"reform":[8,172],"in":[9,18,63,109,164,175,183],"the":[10,23,30,69,85,90,114,156,177,185,193],"system":[12],"of":[13,22,32,118,140,150,179,188,195],"Iran":[14],"that":[15],"implemented":[17],"early":[19],"2014.":[20],"Some":[21],"program's":[24],"important":[25],"goals":[26,49],"were":[27,50,66,82,87,104,145],"to":[28,35,106,168],"improve":[29],"equity":[31],"payments":[33,39,75,130,190],"and":[34,40,61,72,79,84,102,112,126,148],"reduce":[36],"out-of-pocket":[37],"(OOP)":[38],"catastrophic":[41,119],"expenditures":[43,62,120],"(CHE).":[44],"In":[45],"this":[46],"study,":[47],"these":[48],"evaluated":[51],"using":[52,89],"before-and-after":[54],"analysis.":[55],"METHODS:":[56],"Data":[57],"on":[58],"household":[59],"income":[60],"Guilan":[64],"Province":[65],"gathered":[67],"for":[68,76,97,137],"years":[70],"2013":[71],"2015.":[73],"OOP":[74,129,189],"outpatient,":[77],"inpatient,":[78],"drug":[80],"services":[81,151],"calculated,":[83],"results":[86],"compared":[88],"propensity":[91],"score":[92],"matching":[93],"technique":[94],"after":[95,113,155],"adjusting":[96],"confounding":[98],"variables.":[99],"Concentration":[100],"indices":[101],"curves":[103],"added":[105],"quantify":[107],"changes":[108,144],"inequity":[110],"before":[111],"reform.":[115,157],"incidence":[117,166,178],"then":[122],"calculated.":[123],"RESULTS:":[124],"Overall":[125],"outpatient":[127],"service":[128,197],"increased":[131],"by":[132],"approximately":[133],"10":[134],"dollars,":[135],"while":[136],"other":[138],"types":[139],"services,":[141],"no":[142],"significant":[143,160],"found.":[146],"Inequity":[147],"utilization":[149],"did":[152],"not":[153,182],"change":[154],"However,":[158],"reduction":[161],"observed":[163],"CHE":[165],"(5.75":[167],"3.82%).":[169],"CONCLUSIONS:":[170],"successful":[174],"decreasing":[176],"CHE,":[180],"but":[181],"reducing":[184],"monetary":[186],"amount":[187],"or":[191],"affecting":[192],"frequency":[194],"utilization.":[198]},"counts_by_year":[{"year":2025,"cited_by_count":2},{"year":2023,"cited_by_count":3},{"year":2022,"cited_by_count":4},{"year":2021,"cited_by_count":5},{"year":2020,"cited_by_count":7},{"year":2019,"cited_by_count":6},{"year":2018,"cited_by_count":8}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2017-07-31T00:00:00"}
