{"id":"https://openalex.org/W3191540887","doi":"https://doi.org/10.3390/healthcare9080997","title":"The Burden of Diabetes-Related Preventable Hospitalization: 11-Year Trend and Associated Factors in a Region of Southern Italy","display_name":"The Burden of Diabetes-Related Preventable Hospitalization: 11-Year Trend and Associated Factors in a Region of Southern Italy","publication_year":2021,"publication_date":"2021-08-04","ids":{"openalex":"https://openalex.org/W3191540887","doi":"https://doi.org/10.3390/healthcare9080997","mag":"3191540887","pmid":"https://pubmed.ncbi.nlm.nih.gov/34442134","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/8391579"},"language":"en","primary_location":{"id":"doi:10.3390/healthcare9080997","doi":"https://doi.org/10.3390/healthcare9080997","is_oa":true,"landing_page_url":"https://doi.org/10.3390/healthcare9080997","pdf_url":"https://www.mdpi.com/2227-9032/9/8/997/pdf?version=1628148864","source":{"id":"https://openalex.org/S4210214101","display_name":"Healthcare","issn_l":"2227-9032","issn":["2227-9032"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Healthcare","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.mdpi.com/2227-9032/9/8/997/pdf?version=1628148864","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5067404181","display_name":"Giuseppe Di Martino","orcid":"https://orcid.org/0000-0001-7047-7611","observed_orcids":["https://orcid.org/0000-0001-7047-7611"]},"institutions":[{"id":"https://openalex.org/I39387349","display_name":"University of Chieti-Pescara","ror":"https://ror.org/00qjgza05","country_code":"IT","type":"education","lineage":["https://openalex.org/I39387349"]}],"countries":["IT"],"is_corresponding":true,"raw_author_name":"Giuseppe Di Martino","raw_affiliation_strings":["Department of Medicine and Ageing Sciences, \u201cG. d\u2019Annunzio\u201d University of Chieti-Pescara, 66100 Chieti, Italy","Unit of Hygiene, Epidemiology and Public Health, Local Health Authority of Pescara, 65100 Pescara, Italy"],"raw_orcid":"https://orcid.org/0000-0001-7047-7611","affiliations":[{"raw_affiliation_string":"Department of Medicine and Ageing Sciences, \u201cG. d\u2019Annunzio\u201d University of Chieti-Pescara, 66100 Chieti, Italy","institution_ids":["https://openalex.org/I39387349"]},{"raw_affiliation_string":"Unit of Hygiene, Epidemiology and Public Health, Local Health Authority of Pescara, 65100 Pescara, Italy","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5075505971","display_name":"Pamela Di Giovanni","orcid":"https://orcid.org/0000-0002-6448-8960","observed_orcids":["https://orcid.org/0000-0002-6448-8960"]},"institutions":[{"id":"https://openalex.org/I39387349","display_name":"University of Chieti-Pescara","ror":"https://ror.org/00qjgza05","country_code":"IT","type":"education","lineage":["https://openalex.org/I39387349"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Pamela Di Giovanni","raw_affiliation_strings":["Department of Pharmacy, \u201cG. d\u2019Annunzio\u201d University of Chieti-Pescara, 66100 Chieti, Italy"],"raw_orcid":"https://orcid.org/0000-0002-6448-8960","affiliations":[{"raw_affiliation_string":"Department of Pharmacy, \u201cG. d\u2019Annunzio\u201d University of Chieti-Pescara, 66100 Chieti, Italy","institution_ids":["https://openalex.org/I39387349"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063907841","display_name":"Fabrizio Cedrone","orcid":"https://orcid.org/0000-0001-7310-2460","observed_orcids":["https://orcid.org/0000-0001-7310-2460"]},"institutions":[{"id":"https://openalex.org/I39387349","display_name":"University of Chieti-Pescara","ror":"https://ror.org/00qjgza05","country_code":"IT","type":"education","lineage":["https://openalex.org/I39387349"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Fabrizio Cedrone","raw_affiliation_strings":["School of Hygiene and Preventive Medicine, \u201cG. d\u2019Annunzio\u201d University of Chieti-Pescara, 66100 Chieti, Italy"],"raw_orcid":"https://orcid.org/0000-0001-7310-2460","affiliations":[{"raw_affiliation_string":"School of Hygiene and Preventive Medicine, \u201cG. d\u2019Annunzio\u201d University of Chieti-Pescara, 66100 Chieti, Italy","institution_ids":["https://openalex.org/I39387349"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5029534540","display_name":"Michela D\u2019Addezio","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I39387349","display_name":"University of Chieti-Pescara","ror":"https://ror.org/00qjgza05","country_code":"IT","type":"education","lineage":["https://openalex.org/I39387349"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Michela D\u2019Addezio","raw_affiliation_strings":["School of Hygiene and Preventive Medicine, \u201cG. d\u2019Annunzio\u201d University of Chieti-Pescara, 66100 Chieti, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Hygiene and Preventive Medicine, \u201cG. d\u2019Annunzio\u201d University of Chieti-Pescara, 66100 Chieti, Italy","institution_ids":["https://openalex.org/I39387349"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112527160","display_name":"Francesca Meo","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I39387349","display_name":"University of Chieti-Pescara","ror":"https://ror.org/00qjgza05","country_code":"IT","type":"education","lineage":["https://openalex.org/I39387349"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Francesca Meo","raw_affiliation_strings":["School of Hygiene and Preventive Medicine, \u201cG. d\u2019Annunzio\u201d University of Chieti-Pescara, 66100 Chieti, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Hygiene and Preventive Medicine, \u201cG. d\u2019Annunzio\u201d University of Chieti-Pescara, 66100 Chieti, Italy","institution_ids":["https://openalex.org/I39387349"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5072128484","display_name":"Piera Scampoli","orcid":"https://orcid.org/0000-0002-0569-7156","observed_orcids":["https://orcid.org/0000-0002-0569-7156"]},"institutions":[{"id":"https://openalex.org/I39387349","display_name":"University of Chieti-Pescara","ror":"https://ror.org/00qjgza05","country_code":"IT","type":"education","lineage":["https://openalex.org/I39387349"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Piera Scampoli","raw_affiliation_strings":["School of Hygiene and Preventive Medicine, \u201cG. d\u2019Annunzio\u201d University of Chieti-Pescara, 66100 Chieti, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Hygiene and Preventive Medicine, \u201cG. d\u2019Annunzio\u201d University of Chieti-Pescara, 66100 Chieti, Italy","institution_ids":["https://openalex.org/I39387349"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108475335","display_name":"Ferdinando Romano","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I861853513","display_name":"Sapienza University of Rome","ror":"https://ror.org/02be6w209","country_code":"IT","type":"education","lineage":["https://openalex.org/I861853513"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Ferdinando Romano","raw_affiliation_strings":["Department of Infectious Diseases and Public Health, \u201cLa Sapienza\u201d University of Rome, 00185 Roma, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Infectious Diseases and Public Health, \u201cLa Sapienza\u201d University of Rome, 00185 Roma, Italy","institution_ids":["https://openalex.org/I861853513"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5028513932","display_name":"Tommaso Staniscia","orcid":"https://orcid.org/0000-0002-5077-515X","observed_orcids":["https://orcid.org/0000-0002-5077-515X"]},"institutions":[{"id":"https://openalex.org/I39387349","display_name":"University of Chieti-Pescara","ror":"https://ror.org/00qjgza05","country_code":"IT","type":"education","lineage":["https://openalex.org/I39387349"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Tommaso Staniscia","raw_affiliation_strings":["Department of Medicine and Ageing Sciences, \u201cG. d\u2019Annunzio\u201d University of Chieti-Pescara, 66100 Chieti, Italy"],"raw_orcid":"https://orcid.org/0000-0002-5077-515X","affiliations":[{"raw_affiliation_string":"Department of Medicine and Ageing Sciences, \u201cG. d\u2019Annunzio\u201d University of Chieti-Pescara, 66100 Chieti, Italy","institution_ids":["https://openalex.org/I39387349"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5067404181"],"corresponding_institution_ids":["https://openalex.org/I39387349"],"apc_list":{"value":1600,"currency":"CHF","value_usd":1728},"apc_paid":{"value":1600,"currency":"CHF","value_usd":1728},"fwci":2.0601,"has_fulltext":true,"cited_by_count":15,"citation_normalized_percentile":{"value":0.87007657,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":98},"biblio":{"volume":"9","issue":"8","first_page":"997","last_page":"997"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10793","display_name":"Diabetes Management and Education","score":0.43140000104904175,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"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/T10793","display_name":"Diabetes Management and Education","score":0.43140000104904175,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"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/T10560","display_name":"Diabetes Management and Research","score":0.32710000872612,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"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/T12246","display_name":"Chronic Disease Management Strategies","score":0.07810000330209732,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/prevention-quality-indicators","display_name":"prevention quality indicators","score":0.8880000114440918},{"id":"https://openalex.org/keywords/diabetes-complications","display_name":"diabetes complications","score":0.7459999918937683},{"id":"https://openalex.org/keywords/uncontrolled-diabetes","display_name":"uncontrolled diabetes","score":0.8960000276565552},{"id":"https://openalex.org/keywords/lower-extremity-amputation","display_name":"lower limb amputation","score":0.9739999771118164},{"id":"https://openalex.org/keywords/hospitalization-trends","display_name":"hospitalization trends","score":0.6380000114440918},{"id":"https://openalex.org/keywords/risk-factors","display_name":"risk factors","score":0.8389999866485596},{"id":"https://openalex.org/keywords/abruzzo","display_name":"Abruzzo","score":0.6499999761581421},{"id":"https://openalex.org/keywords/quality-of-diabetes-care","display_name":"diabetes care quality","score":0.6489999890327454}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.717353105545044},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.6693411469459534},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.5679307579994202},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.42669180035591125},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3998592495918274},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.3239542245864868},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.3390/healthcare9080997","doi":"https://doi.org/10.3390/healthcare9080997","is_oa":true,"landing_page_url":"https://doi.org/10.3390/healthcare9080997","pdf_url":"https://www.mdpi.com/2227-9032/9/8/997/pdf?version=1628148864","source":{"id":"https://openalex.org/S4210214101","display_name":"Healthcare","issn_l":"2227-9032","issn":["2227-9032"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Healthcare","raw_type":"journal-article"},{"id":"pmid:34442134","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/34442134","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":"Healthcare (Basel, Switzerland)","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:8391579","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC8391579/","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":"Healthcare (Basel)","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:a814011b3b2f41b586d016cf8da99c8e","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/a814011b3b2f41b586d016cf8da99c8e","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":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Healthcare, Vol 9, Iss 997, p 997 (2021)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3390/healthcare9080997","doi":"https://doi.org/10.3390/healthcare9080997","is_oa":true,"landing_page_url":"https://doi.org/10.3390/healthcare9080997","pdf_url":"https://www.mdpi.com/2227-9032/9/8/997/pdf?version=1628148864","source":{"id":"https://openalex.org/S4210214101","display_name":"Healthcare","issn_l":"2227-9032","issn":["2227-9032"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Healthcare","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320326068","display_name":"Regione Abruzzo","ror":"https://ror.org/03pjfpa97"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3191540887.pdf","grobid_xml":"https://content.openalex.org/works/W3191540887.grobid-xml"},"referenced_works_count":26,"referenced_works":["https://openalex.org/W19305160","https://openalex.org/W1983466494","https://openalex.org/W2008598004","https://openalex.org/W2059136554","https://openalex.org/W2061326496","https://openalex.org/W2106147927","https://openalex.org/W2116214110","https://openalex.org/W2129168200","https://openalex.org/W2129513160","https://openalex.org/W2147663252","https://openalex.org/W2149861442","https://openalex.org/W2275461818","https://openalex.org/W2278658317","https://openalex.org/W2494296459","https://openalex.org/W2602333554","https://openalex.org/W2621188479","https://openalex.org/W2795937792","https://openalex.org/W2804893664","https://openalex.org/W2994735590","https://openalex.org/W2995778351","https://openalex.org/W2998979359","https://openalex.org/W3092065440","https://openalex.org/W3101703039","https://openalex.org/W3122152400","https://openalex.org/W3152631350","https://openalex.org/W3156124499"],"related_works":["https://openalex.org/W2805508668","https://openalex.org/W2983236751","https://openalex.org/W3101703039","https://openalex.org/W2157668633","https://openalex.org/W7100565868","https://openalex.org/W6977063914","https://openalex.org/W2785407077","https://openalex.org/W4404633574","https://openalex.org/W2969840226","https://openalex.org/W2939494376"],"abstract_inverted_index":{"(1)":[0],"Introduction:":[1],"Diabetes":[2],"care":[3,10,25],"is":[4,52],"complex":[5],"and":[6,31,61,112,128,153,184],"delivered":[7],"by":[8,171],"different":[9,13,97],"providers":[11,203],"in":[12,65,83,204],"settings":[14],"across":[15],"the":[16,55,84,122,129,158,199],"healthcare":[17,202],"system.":[18],"Better":[19],"coordination":[20],"through":[21],"all":[22,75],"levels":[23],"of":[24,49,57,125,192,201],"can":[26,197],"lead":[27],"to":[28,42,53,81,120],"better":[29],"outcomes":[30],"fewer":[32],"hospitalizations.":[33],"Prevention":[34],"quality":[35],"indicators":[36,98],"(PQIs)":[37],"for":[38,180,185],"diabetes":[39,110,182,187],"allow":[40],"us":[41],"monitor":[43],"diabetes-related":[44,58],"avoidable":[45],"admissions.":[46],"The":[47,72,190],"aim":[48],"this":[50],"research":[51],"assess":[54],"trend":[56,168],"preventable":[59],"hospitalizations":[60],"associated":[62],"risk":[63],"factors":[64],"a":[66],"southern":[67],"Italian":[68],"region.":[69],"(2)":[70],"Methods:":[71],"study":[73,138,159],"considered":[74],"hospital":[76,93],"admissions":[77,179],"performed":[78],"from":[79,92],"2008":[80],"2018":[82],"Abruzzo":[85],"region,":[86],"Southern":[87],"Italy.":[88],"Data":[89],"were":[90,99,118,142],"collected":[91],"discharge":[94],"records.":[95],"Four":[96],"evaluated":[100],"as":[101,195],"follows:":[102],"short-term":[103,181],"complications":[104,107,183],"(PQI-01),":[105],"long-term":[106],"(PQI-03),":[108],"uncontrolled":[109,186],"(PQI-14)":[111],"lower-extremity":[113],"amputations":[114],"(PQI-16).":[115],"Joinpoint":[116],"models":[117],"used":[119],"evaluate":[121],"time":[123],"trends":[124],"standardized":[126,193],"rates":[127],"average":[130],"annual":[131],"percent":[132],"change":[133],"(AAPC).":[134],"(3)":[135],"Results:":[136],"During":[137,157,175],"period,":[139,160,178],"8660":[140],"DRPH":[141],"performed:":[143],"1298":[144],"among":[145,148,151,155],"PQI-01,":[146],"3217":[147],"PQI-03,":[149],"1975":[150],"PQI-14":[152],"2170":[154],"PQI-16.":[156,172],"PQI-01and":[161],"PQI-04":[162],"showed":[163,170],"decreasing":[164],"trends.":[165],"An":[166],"increasing":[167],"was":[169],"(4)":[173],"Conclusions:":[174],"an":[176],"11-year":[177],"significantly":[188],"decreased.":[189],"use":[191],"tools":[194],"PQIs":[196],"help":[198],"evaluation":[200],"developing":[205],"preventive":[206],"strategy.":[207]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":5},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":5}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2021-08-16T00:00:00"}