{"id":"https://openalex.org/W4207071830","doi":"https://doi.org/10.1007/s43681-022-00135-x","title":"Diffused responsibility: attributions of responsibility in the use of AI-driven clinical decision support systems","display_name":"Diffused responsibility: attributions of responsibility in the use of AI-driven clinical decision support systems","publication_year":2022,"publication_date":"2022-01-24","ids":{"openalex":"https://openalex.org/W4207071830","doi":"https://doi.org/10.1007/s43681-022-00135-x","pmid":"https://pubmed.ncbi.nlm.nih.gov/35098247"},"language":"en","primary_location":{"id":"doi:10.1007/s43681-022-00135-x","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s43681-022-00135-x","pdf_url":"https://link.springer.com/content/pdf/10.1007/s43681-022-00135-x.pdf","source":{"id":"https://openalex.org/S4210170699","display_name":"AI and Ethics","issn_l":"2730-5953","issn":["2730-5953","2730-5961"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319965","host_organization_name":"Springer Nature","host_organization_lineage":["https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"AI and Ethics","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://link.springer.com/content/pdf/10.1007/s43681-022-00135-x.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5057335932","display_name":"Hannah Bleher","orcid":"https://orcid.org/0000-0003-4386-4901"},"institutions":[{"id":"https://openalex.org/I181369854","display_name":"Friedrich-Alexander-Universit\u00e4t Erlangen-N\u00fcrnberg","ror":"https://ror.org/00f7hpc57","country_code":"DE","type":"education","lineage":["https://openalex.org/I181369854"]}],"countries":["DE"],"is_corresponding":true,"raw_author_name":"Hannah Bleher","raw_affiliation_strings":["Friedrich-Alexander University of Erlangen-Nuremberg (FAU), Institute for Systematic Theology, Chair of Systematic Theology II (Ethics), Kochstra\u00dfe 6, 91054 Erlangen, Germany","Friedrich-Alexander University of Erlangen-Nuremberg (FAU), Institute for Systematic Theology, Chair of Systematic Theology II (Ethics), Kochstra\u00dfe 6, 91054, Erlangen, Germany"],"affiliations":[{"raw_affiliation_string":"Friedrich-Alexander University of Erlangen-Nuremberg (FAU), Institute for Systematic Theology, Chair of Systematic Theology II (Ethics), Kochstra\u00dfe 6, 91054 Erlangen, Germany","institution_ids":["https://openalex.org/I181369854"]},{"raw_affiliation_string":"Friedrich-Alexander University of Erlangen-Nuremberg (FAU), Institute for Systematic Theology, Chair of Systematic Theology II (Ethics), Kochstra\u00dfe 6, 91054, Erlangen, Germany","institution_ids":["https://openalex.org/I181369854"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5011693562","display_name":"Matthias Braun","orcid":"https://orcid.org/0000-0002-6687-6027"},"institutions":[{"id":"https://openalex.org/I181369854","display_name":"Friedrich-Alexander-Universit\u00e4t Erlangen-N\u00fcrnberg","ror":"https://ror.org/00f7hpc57","country_code":"DE","type":"education","lineage":["https://openalex.org/I181369854"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Matthias Braun","raw_affiliation_strings":["Friedrich-Alexander University of Erlangen-Nuremberg (FAU), Institute for Systematic Theology, Chair of Systematic Theology II (Ethics), Kochstra\u00dfe 6, 91054 Erlangen, Germany","Friedrich-Alexander University of Erlangen-Nuremberg (FAU), Institute for Systematic Theology, Chair of Systematic Theology II (Ethics), Kochstra\u00dfe 6, 91054, Erlangen, Germany"],"affiliations":[{"raw_affiliation_string":"Friedrich-Alexander University of Erlangen-Nuremberg (FAU), Institute for Systematic Theology, Chair of Systematic Theology II (Ethics), Kochstra\u00dfe 6, 91054 Erlangen, Germany","institution_ids":["https://openalex.org/I181369854"]},{"raw_affiliation_string":"Friedrich-Alexander University of Erlangen-Nuremberg (FAU), Institute for Systematic Theology, Chair of Systematic Theology II (Ethics), Kochstra\u00dfe 6, 91054, Erlangen, Germany","institution_ids":["https://openalex.org/I181369854"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5057335932"],"corresponding_institution_ids":["https://openalex.org/I181369854"],"apc_list":{"value":2290,"currency":"EUR","value_usd":2890},"apc_paid":{"value":2290,"currency":"EUR","value_usd":2890},"fwci":7.2884,"has_fulltext":true,"cited_by_count":123,"citation_normalized_percentile":{"value":0.97264532,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":98,"max":100},"biblio":{"volume":"2","issue":"4","first_page":"747","last_page":"761"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.9976999759674072,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"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/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.9976999759674072,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"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/T10582","display_name":"Ethics in Clinical Research","score":0.9832000136375427,"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/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.9682999849319458,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/moral-responsibility","display_name":"Moral responsibility","score":0.6784476041793823},{"id":"https://openalex.org/keywords/normative","display_name":"Normative","score":0.6756826639175415},{"id":"https://openalex.org/keywords/context","display_name":"Context (archaeology)","score":0.6142728924751282},{"id":"https://openalex.org/keywords/attribution","display_name":"Attribution","score":0.6043334603309631},{"id":"https://openalex.org/keywords/social-responsibility","display_name":"Social responsibility","score":0.5872347354888916},{"id":"https://openalex.org/keywords/dimension","display_name":"Dimension (graph theory)","score":0.5552183389663696},{"id":"https://openalex.org/keywords/bridge","display_name":"Bridge (graph theory)","score":0.4285937547683716},{"id":"https://openalex.org/keywords/vulnerability","display_name":"Vulnerability (computing)","score":0.4177434742450714},{"id":"https://openalex.org/keywords/openness-to-experience","display_name":"Openness to experience","score":0.4124409556388855},{"id":"https://openalex.org/keywords/psychology","display_name":"Psychology","score":0.3873910903930664},{"id":"https://openalex.org/keywords/political-science","display_name":"Political science","score":0.352425754070282},{"id":"https://openalex.org/keywords/epistemology","display_name":"Epistemology","score":0.3430633544921875},{"id":"https://openalex.org/keywords/social-psychology","display_name":"Social psychology","score":0.3248994052410126},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.2674052119255066},{"id":"https://openalex.org/keywords/public-relations","display_name":"Public relations","score":0.26281803846359253},{"id":"https://openalex.org/keywords/law","display_name":"Law","score":0.17215865850448608},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.13730883598327637}],"concepts":[{"id":"https://openalex.org/C111476811","wikidata":"https://www.wikidata.org/wiki/Q5190255","display_name":"Moral responsibility","level":2,"score":0.6784476041793823},{"id":"https://openalex.org/C44725695","wikidata":"https://www.wikidata.org/wiki/Q288156","display_name":"Normative","level":2,"score":0.6756826639175415},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.6142728924751282},{"id":"https://openalex.org/C143299363","wikidata":"https://www.wikidata.org/wiki/Q900584","display_name":"Attribution","level":2,"score":0.6043334603309631},{"id":"https://openalex.org/C147598955","wikidata":"https://www.wikidata.org/wiki/Q3427818","display_name":"Social responsibility","level":2,"score":0.5872347354888916},{"id":"https://openalex.org/C33676613","wikidata":"https://www.wikidata.org/wiki/Q13415176","display_name":"Dimension (graph theory)","level":2,"score":0.5552183389663696},{"id":"https://openalex.org/C100776233","wikidata":"https://www.wikidata.org/wiki/Q2532492","display_name":"Bridge (graph theory)","level":2,"score":0.4285937547683716},{"id":"https://openalex.org/C95713431","wikidata":"https://www.wikidata.org/wiki/Q631425","display_name":"Vulnerability (computing)","level":2,"score":0.4177434742450714},{"id":"https://openalex.org/C84976871","wikidata":"https://www.wikidata.org/wiki/Q2015673","display_name":"Openness to experience","level":2,"score":0.4124409556388855},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3873910903930664},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.352425754070282},{"id":"https://openalex.org/C111472728","wikidata":"https://www.wikidata.org/wiki/Q9471","display_name":"Epistemology","level":1,"score":0.3430633544921875},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.3248994052410126},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.2674052119255066},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.26281803846359253},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.17215865850448608},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.13730883598327637},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0},{"id":"https://openalex.org/C202444582","wikidata":"https://www.wikidata.org/wiki/Q837863","display_name":"Pure mathematics","level":1,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C38652104","wikidata":"https://www.wikidata.org/wiki/Q3510521","display_name":"Computer security","level":1,"score":0.0},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.0},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1007/s43681-022-00135-x","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s43681-022-00135-x","pdf_url":"https://link.springer.com/content/pdf/10.1007/s43681-022-00135-x.pdf","source":{"id":"https://openalex.org/S4210170699","display_name":"AI and Ethics","issn_l":"2730-5953","issn":["2730-5953","2730-5961"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319965","host_organization_name":"Springer Nature","host_organization_lineage":["https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"AI and Ethics","raw_type":"journal-article"},{"id":"pmid:35098247","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/35098247","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,"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":"AI and ethics","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:8785388","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/8785388","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"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":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"AI Ethics","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1007/s43681-022-00135-x","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s43681-022-00135-x","pdf_url":"https://link.springer.com/content/pdf/10.1007/s43681-022-00135-x.pdf","source":{"id":"https://openalex.org/S4210170699","display_name":"AI and Ethics","issn_l":"2730-5953","issn":["2730-5953","2730-5961"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319965","host_organization_name":"Springer Nature","host_organization_lineage":["https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"AI and Ethics","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.800000011920929,"id":"https://metadata.un.org/sdg/16","display_name":"Peace, Justice and strong institutions"}],"awards":[{"id":"https://openalex.org/G3972420382","display_name":null,"funder_award_id":"44241933","funder_id":"https://openalex.org/F4320320879","funder_display_name":"Deutsche Forschungsgemeinschaft"},{"id":"https://openalex.org/G5041649652","display_name":null,"funder_award_id":"SFB 1483","funder_id":"https://openalex.org/F4320320879","funder_display_name":"Deutsche Forschungsgemeinschaft"},{"id":"https://openalex.org/G5106512922","display_name":null,"funder_award_id":"Deutsche Forschungsgemeinschaft (DFG","funder_id":"https://openalex.org/F4320320879","funder_display_name":"Deutsche Forschungsgemeinschaft"},{"id":"https://openalex.org/G7338151705","display_name":null,"funder_award_id":"SFB 1483 - 442419336","funder_id":"https://openalex.org/F4320320879","funder_display_name":"Deutsche Forschungsgemeinschaft"},{"id":"https://openalex.org/G762232396","display_name":null,"funder_award_id":"Project","funder_id":"https://openalex.org/F4320320879","funder_display_name":"Deutsche Forschungsgemeinschaft"},{"id":"https://openalex.org/G7886684760","display_name":null,"funder_award_id":"SFB 1483; EmpkinS; Project-ID 442419336","funder_id":"https://openalex.org/F4320320879","funder_display_name":"Deutsche Forschungsgemeinschaft"},{"id":"https://openalex.org/G8190876661","display_name":null,"funder_award_id":"442419336","funder_id":"https://openalex.org/F4320320879","funder_display_name":"Deutsche Forschungsgemeinschaft"},{"id":"https://openalex.org/G8330397625","display_name":null,"funder_award_id":"Funding","funder_id":"https://openalex.org/F4320320879","funder_display_name":"Deutsche Forschungsgemeinschaft"},{"id":"https://openalex.org/G8829795598","display_name":null,"funder_award_id":"ZMVI1 \u2013 2519 DAT 400","funder_id":"https://openalex.org/F4320321721","funder_display_name":"Bundesministerium f\u00fcr Gesundheit"}],"funders":[{"id":"https://openalex.org/F4320320873","display_name":"Friedrich-Alexander-Universit\u00e4t Erlangen-N\u00fcrnberg","ror":"https://ror.org/00f7hpc57"},{"id":"https://openalex.org/F4320320879","display_name":"Deutsche Forschungsgemeinschaft","ror":"https://ror.org/018mejw64"},{"id":"https://openalex.org/F4320321721","display_name":"Bundesministerium f\u00fcr Gesundheit","ror":"https://ror.org/05vp4ka74"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4207071830.pdf","grobid_xml":"https://content.openalex.org/works/W4207071830.grobid-xml"},"referenced_works_count":62,"referenced_works":["https://openalex.org/W608868666","https://openalex.org/W1491401433","https://openalex.org/W1560705824","https://openalex.org/W2017558343","https://openalex.org/W2023377725","https://openalex.org/W2032719376","https://openalex.org/W2080429076","https://openalex.org/W2080902143","https://openalex.org/W2087710120","https://openalex.org/W2094251476","https://openalex.org/W2143891888","https://openalex.org/W2287125540","https://openalex.org/W2559384877","https://openalex.org/W2606918046","https://openalex.org/W2738218048","https://openalex.org/W2739225241","https://openalex.org/W2756184660","https://openalex.org/W2766105414","https://openalex.org/W2772246530","https://openalex.org/W2786522954","https://openalex.org/W2792435043","https://openalex.org/W2793817602","https://openalex.org/W2806853752","https://openalex.org/W2895763047","https://openalex.org/W2915033634","https://openalex.org/W2915292867","https://openalex.org/W2916640468","https://openalex.org/W2919115771","https://openalex.org/W2947411064","https://openalex.org/W2953522645","https://openalex.org/W2963125461","https://openalex.org/W2981646383","https://openalex.org/W2981731882","https://openalex.org/W2987375645","https://openalex.org/W2998175747","https://openalex.org/W3013547516","https://openalex.org/W3014006479","https://openalex.org/W3014246070","https://openalex.org/W3014524604","https://openalex.org/W3017117984","https://openalex.org/W3026367857","https://openalex.org/W3027747864","https://openalex.org/W3028470792","https://openalex.org/W3040902286","https://openalex.org/W3047747926","https://openalex.org/W3048817558","https://openalex.org/W3081405500","https://openalex.org/W3089491181","https://openalex.org/W3102549308","https://openalex.org/W3117815630","https://openalex.org/W3119527628","https://openalex.org/W3130813118","https://openalex.org/W3135588948","https://openalex.org/W3136933888","https://openalex.org/W3160005967","https://openalex.org/W3170092576","https://openalex.org/W4206566227","https://openalex.org/W4232229333","https://openalex.org/W4246671941","https://openalex.org/W4256392732","https://openalex.org/W4401142165","https://openalex.org/W6885098240"],"related_works":["https://openalex.org/W2007906249","https://openalex.org/W2908605513","https://openalex.org/W3198929874","https://openalex.org/W2092101875","https://openalex.org/W4283721203","https://openalex.org/W4315629541","https://openalex.org/W2377225795","https://openalex.org/W4385066347","https://openalex.org/W2366800626","https://openalex.org/W3129390083"],"abstract_inverted_index":{"Good":[0],"decision-making":[1,125,203],"is":[2,45,126,153,179],"a":[3,10,89,174],"complex":[4],"endeavor,":[5],"and":[6,38,67,92,103,128,146,164,178,187],"particularly":[7],"so":[8],"in":[9,74,150,201],"health":[11],"context.":[12],"The":[13],"possibilities":[14],"for":[15,109,197],"day-to-day":[16],"clinical":[17,23,124,202],"practice":[18],"opened":[19],"up":[20],"by":[21,173,181],"AI-driven":[22,117],"decision":[24],"support":[25],"systems":[26],"(AI-CDSS)":[27],"give":[28],"rise":[29],"to":[30,88,138,188],"fundamental":[31],"questions":[32],"around":[33],"responsibility.":[34,50,111],"In":[35,51],"causal,":[36,90],"moral":[37],"legal":[39,93],"terms":[40],"the":[41,64,78,98,113,192],"application":[42,79],"of":[43,49,69,80,84,115,130,162,166,176],"AI-CDSS":[44,81],"challenging":[46],"existing":[47],"attributions":[48],"this":[52,75,185],"context,":[53],"responsibility":[54,85,131,140,190,199],"gaps":[55],"are":[56,148,170],"often":[57],"identified":[58],"as":[59,159],"main":[60],"problem.":[61],"Mapping":[62],"out":[63],"changing":[65],"dynamics":[66,145],"levels":[68],"attributing":[70,110],"responsibility,":[71,151],"we":[72,121,142],"argue":[73,143],"article":[76,193],"that":[77,144],"causes":[82],"diffusions":[83,129,200],"with":[86,195,204],"respect":[87],"moral,":[91],"dimension.":[94],"Responsibility":[95],"diffusion":[96],"describes":[97],"situation":[99],"where":[100],"multiple":[101],"options":[102],"several":[104],"agents":[105],"can":[106],"be":[107],"considered":[108],"Using":[112],"example":[114],"an":[116],"'digital":[118],"tumor":[119],"board',":[120],"illustrate":[122],"how":[123],"changed":[127],"take":[132],"place.":[133],"Not":[134],"denying":[135],"or":[136],"attempting":[137],"bridge":[139],"gaps,":[141,191],"ambivalences":[147],"inherent":[149],"which":[152,169],"based":[154],"on":[155],"normative":[156],"considerations":[157],"such":[158],"avoiding":[160],"experiences":[161],"disregard":[163],"vulnerability":[165],"human":[167],"life,":[168],"inherently":[171],"accompanied":[172],"moment":[175],"uncertainty,":[177],"characterized":[180],"revision":[182],"openness.":[183],"Against":[184],"background":[186],"avoid":[189],"concludes":[194],"suggestions":[196],"managing":[198],"AI-CDSS.":[205]},"counts_by_year":[{"year":2026,"cited_by_count":7},{"year":2025,"cited_by_count":44},{"year":2024,"cited_by_count":43},{"year":2023,"cited_by_count":22},{"year":2022,"cited_by_count":7}],"updated_date":"2026-04-01T17:29:45.350535","created_date":"2025-10-10T00:00:00"}
