{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T00:53:06Z","timestamp":1781484786023,"version":"3.54.1"},"reference-count":74,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["INQUIRY"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Medicaid administrative spending funds core program operations such as fraud and waste detection and prevention, technological infrastructure, and eligibility determination. Though typically lower than private insurance administrative costs, such spending varies across states and may respond to policy and economic shocks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study examined trends in Medicaid administrative expenditures before and during the federal maintenance of effort (MOE) policy enacted during the COVID-19 Public Health Emergency (PHE).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using state-level panel data from 2018\u20132022 for all 50 states and the District of Columbia, we regressed Medicaid administrative spending outcomes (percent changes in dollar amount, per-enrollee, and per capita spending) on a binary indicator for MOE period and controlled for unemployment rates, enrollment changes, and managed care characteristics using linear regression models with state fixed effects. We also estimated models stratified by administrative burden tertiles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Percent change in Medicaid administrative spending (amount in United States dollars) remained stable during the MOE period relative to pre-MOE years. Per-enrollee administrative spending declined by 9.1 percentage points.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Despite record enrollment under MOE policies, Medicaid administrative spending did not significantly increase. The findings suggest that states maintained administrative cost stability, potentially achieving economies of scale, and that administrative burden levels and other time varying state characteristics did not meaningfully influence these trends.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00469580261452902","type":"journal-article","created":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T05:27:52Z","timestamp":1781242072000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Trends in Medicaid Administrative Expenditures During the COVID-19 Public Health Emergency"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2997-4944","authenticated-orcid":false,"given":"Yvette H.","family":"Tran","sequence":"first","affiliation":[{"name":"Indiana University Richard M. Fairbanks School of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann M.","family":"Holmes","sequence":"additional","affiliation":[{"name":"Indiana University Richard M. Fairbanks School of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua R.","family":"Vest","sequence":"additional","affiliation":[{"name":"Indiana University Richard M. Fairbanks School of Public Health"},{"name":"Regenstrief Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy D.","family":"McFarlane","sequence":"additional","affiliation":[{"name":"Delineate LLC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1811-2081","authenticated-orcid":false,"given":"Justin","family":"Blackburn","sequence":"additional","affiliation":[{"name":"Indiana University Richard M. Fairbanks School of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,11]]},"reference":[{"key":"e_1_3_7_2_2","volume-title":"Analysis of Recent Declines in Medicaid and CHIP Enrollment","author":"KFF","year":"2019","unstructured":"KFF. Analysis of Recent Declines in Medicaid and CHIP Enrollment. KFF; 2019. https:\/\/www.kff.org\/medicaid\/fact-sheet\/analysis-of-recent-declines-in-medicaid-and-chip-enrollment\/. Accessed January 29, 2024."},{"key":"e_1_3_7_3_2","volume-title":"Analysis of Recent National Trends in Medicaid and CHIP Enrollment","author":"Corrallo B","year":"2022","unstructured":"Corrallo B, Moreno S. Analysis of Recent National Trends in Medicaid and CHIP Enrollment. KFF; 2022. https:\/\/www.kff.org\/coronavirus-covid-19\/issue-brief\/analysis-of-recent-national-trends-in-medicaid-and-chip-enrollment\/. Accessed November 17, 2022."},{"key":"e_1_3_7_4_2","volume-title":"NHE Fact Sheet. CMS.gov","author":"Centers for Medicare and Medicaid Services","unstructured":"Centers for Medicare and Medicaid Services. NHE Fact Sheet. CMS.gov. https:\/\/www.cms.gov\/data-research\/statistics-trends-and-reports\/national-health-expenditure-data\/nhe-fact-sheet. Accessed January 29, 2024."},{"key":"e_1_3_7_5_2","volume-title":"Financing the Medicaid Program: The Many Roles of Federal and State Matching Funds","author":"Wachino V","year":"2004","unstructured":"Wachino V, Schneider A, Rousseau D. Financing the Medicaid Program: The Many Roles of Federal and State Matching Funds. KFF; 2004. https:\/\/www.kff.org\/wp-content\/uploads\/2013\/01\/financing-the-medicaid-program-the-many-roles-of-federal-and-state-matching-funds-policy-brief.pdf. Accessed January 29, 2024."},{"key":"e_1_3_7_6_2","volume-title":"MACPAC","author":"Matching rates","year":"2020","unstructured":"Matching rates. MACPAC. 2020. Accessed October 9, 2024.https:\/\/www.macpac.gov\/subtopic\/matching-rates\/"},{"key":"e_1_3_7_7_2","volume-title":"GY 2023 CCDF Allocations (Based on Appropriations)","year":"2023","unstructured":"GY 2023 CCDF Allocations (Based on Appropriations). 2023. https:\/\/www.acf.hhs.gov\/occ\/data\/gy-2023-ccdf-allocations-based-appropriations. Accessed January 31, 2024."},{"key":"e_1_3_7_8_2","volume-title":"MACPAC","author":"Medicaid\u2019s share of state budgets","year":"2020","unstructured":"Medicaid\u2019s share of state budgets. MACPAC. 2020. https:\/\/www.macpac.gov\/subtopic\/medicaids-share-of-state-budgets\/. Accessed November 14, 2024."},{"key":"e_1_3_7_9_2","unstructured":"How Do States Pay for Medicaid? https:\/\/www.pgpf.org\/budget-basics\/budget-explainer-how-do-states-pay-for-medicaid. Accessed November 18 2024."},{"key":"e_1_3_7_10_2","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-economics-080315-015317"},{"key":"e_1_3_7_11_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2016.303192"},{"key":"e_1_3_7_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/pbaf.12287"},{"key":"e_1_3_7_13_2","volume-title":"State and Local Governments in the Post-COVID Recovery","author":"Van Nostrand E","year":"2024","unstructured":"Van Nostrand E, Feiveson L, Sinclair T. State and Local Governments in the Post-COVID Recovery. U.S. Department of the Treasury; 2024. https:\/\/home.treasury.gov\/news\/featured-stories\/state-and-local-governments-in-the-post-covid-recovery. Accessed November 14, 2024."},{"key":"e_1_3_7_14_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2014.0828"},{"key":"e_1_3_7_15_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017-1284I"},{"key":"e_1_3_7_16_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2019-2401"},{"key":"e_1_3_7_17_2","doi-asserted-by":"publisher","DOI":"10.37765\/ajmc.2020.42402"},{"key":"e_1_3_7_18_2","doi-asserted-by":"publisher","DOI":"10.1056\/CAT.24.0060"},{"key":"e_1_3_7_19_2","doi-asserted-by":"publisher","DOI":"10.2307\/976637"},{"key":"e_1_3_7_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/003335491613100219"},{"key":"e_1_3_7_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/1077558720909237"},{"key":"e_1_3_7_22_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2020.01695"},{"key":"e_1_3_7_23_2","doi-asserted-by":"publisher","DOI":"10.1111\/puar.12114"},{"key":"e_1_3_7_24_2","doi-asserted-by":"publisher","DOI":"10.37808\/jhhsa.43.1.2"},{"key":"e_1_3_7_25_2","doi-asserted-by":"publisher","DOI":"10.1257\/jep.20231394"},{"key":"e_1_3_7_26_2","volume-title":"Medicaid Administrative Costs: Trends, Expansion Effects, and Express Lane Eligibility","author":"Balio CP","year":"2020","unstructured":"Balio CP. Medicaid Administrative Costs: Trends, Expansion Effects, and Express Lane Eligibility. Ph.D. Indiana University - Purdue University Indianapolis; 2020. https:\/\/ulib.iupui.edu\/cgi-bin\/proxy.pl?url=https:\/\/search.proquest.com\/dissertations-theses\/medicaid-administrative-costs-trends-expansion\/docview\/2438610345\/se-2?accountid=7398"},{"key":"e_1_3_7_27_2","volume-title":"Medicaid and CHIP Eligibility, Enrollment, and Renewal Policies as States Resume Routine Operations - Report - 10634","year":"2025","unstructured":"Medicaid and CHIP Eligibility, Enrollment, and Renewal Policies as States Resume Routine Operations - Report - 10634. KFF; 2025. https:\/\/www.kff.org\/report-section\/medicaid-and-chip-eligibility-enrollment-and-renewal-policies-as-states-resume-routine-operations-report\/. Accessed June 16, 2025."},{"key":"e_1_3_7_28_2","doi-asserted-by":"publisher","unstructured":"State Responses to New Flexibility in Medicaid - COUGHLIN - 2008 - The Milbank Quarterly - Wiley Online Library. doi:10.1111\/j.1468-0009.2008.00520.x. Accessed November 14 2024.","DOI":"10.1111\/j.1468-0009.2008.00520.x"},{"key":"e_1_3_7_29_2","doi-asserted-by":"publisher","DOI":"10.1111\/puar.13131"},{"key":"e_1_3_7_30_2","doi-asserted-by":"publisher","DOI":"10.1093\/haschl\/qxae071"},{"key":"e_1_3_7_31_2","volume-title":"Medicaid Demonstrations: Actions Needed to Address Weaknesses in Oversight of Costs to Administer Work Requirements","author":"U.S. Government Accountability Office","year":"2019","unstructured":"U.S. Government Accountability Office. Medicaid Demonstrations: Actions Needed to Address Weaknesses in Oversight of Costs to Administer Work Requirements. GAO; 2019. https:\/\/www.gao.gov\/products\/gao-20-149. Accessed January 31, 2024."},{"key":"e_1_3_7_32_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2018.4194"},{"key":"e_1_3_7_33_2","unstructured":"Managed Care. Medicaid.gov. https:\/\/www.medicaid.gov\/medicaid\/managed-care. Accessed April 3 2026."},{"key":"e_1_3_7_34_2","doi-asserted-by":"publisher","DOI":"10.1002\/pam.21693"},{"key":"e_1_3_7_35_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamahealthforum.2022.1632"},{"key":"e_1_3_7_36_2","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.14029"},{"key":"e_1_3_7_37_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.9463"},{"key":"e_1_3_7_38_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000032487"},{"key":"e_1_3_7_39_2","volume-title":"States\u2019 Medicaid Eligibility and Enrollment Actions Concluding the COVID-19 Public Health Emergency","year":"2021","unstructured":"States\u2019 Medicaid Eligibility and Enrollment Actions Concluding the COVID-19 Public Health Emergency. 2021. https:\/\/oig.hhs.gov\/reports-and-publications\/workplan\/summary\/wp-summary-0000726.asp. Accessed July 24, 2023."},{"key":"e_1_3_7_40_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamahealthforum.2024.2193"},{"key":"e_1_3_7_41_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2019.01451"},{"key":"e_1_3_7_42_2","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.14331"},{"key":"e_1_3_7_43_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.24984"},{"key":"e_1_3_7_44_2","volume-title":"Medicaid.gov","author":"Medicaid Budget & Expenditure System (MBES)","unstructured":"Medicaid Budget & Expenditure System (MBES). Medicaid.gov. https:\/\/www.cms.gov\/about-cms\/information-systems\/medicaid-budget-expenditure. Accessed October 18, 2024."},{"key":"e_1_3_7_45_2","volume-title":"Centers for Medicare & Medicaid Data","author":"Medicaid Managed Care","unstructured":"Medicaid Managed Care. Centers for Medicare & Medicaid Data. https:\/\/data.cms.gov\/summary-statistics-on-use-and-payments\/medicare-medicaid-service-type-reports\/medicaid-managed-care\/data. Accessed April 3, 2026."},{"key":"e_1_3_7_46_2","volume-title":"Bureau of Labor Statistics","author":"Unemployment Rates for States","unstructured":"Unemployment Rates for States. Bureau of Labor Statistics. https:\/\/www.bls.gov\/web\/laus\/laumstrk.htm. Accessed October 18, 2024."},{"key":"e_1_3_7_47_2","volume-title":"Medicaid Managed Care Tracker","unstructured":"Medicaid Managed Care Tracker. KFF. https:\/\/www.kff.org\/data-collections\/medicaid-managed-care-tracker\/. Accessed April 3, 2026."},{"key":"e_1_3_7_48_2","volume-title":"State Safety-net Generosity Index","author":"Fox A","year":"2023","unstructured":"Fox A. State Safety-net Generosity Index. 2023. https:\/\/safetynetgenerosity.com\/. Accessed July 24, 2023."},{"key":"e_1_3_7_49_2","volume-title":"Defining and Measuring State Medicaid Spending Efficiency: A Literature Review","year":"2009","unstructured":"Defining and Measuring State Medicaid Spending Efficiency: A Literature Review. ASPE; 2009. https:\/\/aspe.hhs.gov\/reports\/defining-measuring-state-medicaid-spending-efficiency-literature-review-0. Accessed January 21, 2025."},{"key":"e_1_3_7_50_2","doi-asserted-by":"publisher","DOI":"10.26502\/aimr.0164"},{"key":"e_1_3_7_51_2","volume-title":"Unemployment Rises in 2020, as the Country Battles the COVID-19 Pandemic","author":"Smith SM","year":"2021","unstructured":"Smith SM, Edwards R. Unemployment Rises in 2020, as the Country Battles the COVID-19 Pandemic. 2021. https:\/\/www.bls.gov\/opub\/mlr\/2021\/article\/unemployment-rises-in-2020-as-the-country-battles-the-covid-19-pandemic.htm. Accessed October 31, 2024."},{"key":"e_1_3_7_52_2","volume-title":"Medicaid Enrollment and Spending Growth Amid the Unwinding of the Continuous Enrollment Provision: FY 2023 & 2024","author":"Williams E","year":"2023","unstructured":"Williams E, Hinton E, Rudowitz R, Published AM. Medicaid Enrollment and Spending Growth Amid the Unwinding of the Continuous Enrollment Provision: FY 2023 & 2024. KFF; 2023. https:\/\/www.kff.org\/medicaid\/issue-brief\/medicaid-enrollment-and-spending-growth-amid-the-unwinding-of-the-continuous-enrollment-provision-fy-2023-2024\/"},{"key":"e_1_3_7_53_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2019.01350"},{"key":"e_1_3_7_54_2","doi-asserted-by":"publisher","DOI":"10.1111\/puar.13497"},{"key":"e_1_3_7_55_2","first-page":"43","volume-title":"Private Health Insurance Premiums and Federal Policy","author":"Congressional Budget Office","year":"2016","unstructured":"Congressional Budget Office. Private Health Insurance Premiums and Federal Policy; 2016:43-46."},{"key":"e_1_3_7_56_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10198-022-01436-y"},{"key":"e_1_3_7_57_2","volume-title":"Government Wage Growth Lags Private Sector by Largest Margin on Record","author":"Maciag M","year":"2022","unstructured":"Maciag M. Government Wage Growth Lags Private Sector by Largest Margin on Record. The Pew Charitable Trusts; 2022. https:\/\/pew.org\/3B5mwPd. Accessed April 3, 2026."},{"key":"e_1_3_7_58_2","volume-title":"States Pay Deloitte, Others Millions To Comply With Trump Law To Cut Medicaid Rolls","author":"Pradhan SLR","year":"2026","unstructured":"Pradhan SLR. States Pay Deloitte, Others Millions To Comply With Trump Law To Cut Medicaid Rolls. KFF Health News; 2026. https:\/\/kffhealthnews.org\/news\/article\/state-medicaid-work-requirements-eligibility-systems-deloitte-accenture-optum\/. Accessed April 3, 2026."},{"key":"e_1_3_7_59_2","volume-title":"An Examination of Medicaid Renewal Outcomes and Enrollment Changes at the End of the Unwinding","author":"Tolbert J","year":"2024","unstructured":"Tolbert J, Published BC. An Examination of Medicaid Renewal Outcomes and Enrollment Changes at the End of the Unwinding. KFF; 2024. https:\/\/www.kff.org\/medicaid\/issue-brief\/an-examination-of-medicaid-renewal-outcomes-and-enrollment-changes-at-the-end-of-the-unwinding\/. Accessed December 11, 2024."},{"key":"e_1_3_7_60_2","volume-title":"Community Health Centers: Recent Growth and the Role of the ACA - Issue Brief - 8961","author":"Paradise J","year":"2017","unstructured":"Paradise J, Rosenbaum S, Markus A, et al. Community Health Centers: Recent Growth and the Role of the ACA - Issue Brief - 8961. KFF; 2017. https:\/\/www.kff.org\/report-section\/community-health-centers-recent-growth-and-the-role-of-the-aca-issue-brief\/. Accessed December 11, 2024."},{"key":"e_1_3_7_61_2","volume-title":"Community Health Centers Prepare Medicaid Beneficiaries Risks Ahead","author":"Klein S","unstructured":"Klein S, Hostetter M. Community Health Centers Prepare Medicaid Beneficiaries Risks Ahead. Commonwealth Fund. https:\/\/www.commonwealthfund.org\/publications\/2023\/may\/community-health-centers-prepare-medicaid-beneficiaries-risks-ahead. Accessed December 11, 2024."},{"key":"e_1_3_7_62_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpubeco.2009.11.004"},{"key":"e_1_3_7_63_2","doi-asserted-by":"publisher","DOI":"10.1257\/pol.20130271"},{"key":"e_1_3_7_64_2","doi-asserted-by":"publisher","DOI":"10.1001\/JAMAPEDIATRICS.2019.1744"},{"key":"e_1_3_7_65_2","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.13861"},{"key":"e_1_3_7_66_2","volume-title":"Public Law 127: Families First Coronavirus Response Act","author":"116th Congress","year":"2020","unstructured":"116th Congress. Public Law 127: Families First Coronavirus Response Act. 2020. https:\/\/www.congress.gov\/. Accessed April 1, 2023."},{"key":"e_1_3_7_67_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.14791"},{"key":"e_1_3_7_68_2","volume-title":"Medicaid Threats in the Upcoming Congress | Center on Budget and Policy Priorities","year":"2024","unstructured":"Medicaid Threats in the Upcoming Congress | Center on Budget and Policy Priorities. 2024. https:\/\/www.cbpp.org\/research\/health\/medicaid-threats-in-the-upcoming-congress. Accessed December 12, 2024."},{"key":"e_1_3_7_69_2","volume-title":"Medicaid Financing Reform: Stopping Discrimination Against the Most Vulnerable","author":"Blase B","year":"2024","unstructured":"Blase B. Medicaid Financing Reform: Stopping Discrimination Against the Most Vulnerable. Paragon Health Institute; 2024. https:\/\/paragoninstitute.org\/newsletter\/medicaid-financing-reform-stopping-discrimination-against-the-most-vulnerable\/. Accessed December 12, 2024."},{"key":"e_1_3_7_70_2","volume-title":"Federal Funding Cuts to Medicaid May Trigger Automatic Loss of Health Coverage for Millions of Residents of Certain States","year":"2024","unstructured":"Federal Funding Cuts to Medicaid May Trigger Automatic Loss of Health Coverage for Millions of Residents of Certain States. Center For Children and Families; 2024. https:\/\/ccf.georgetown.edu\/2024\/11\/27\/federal-funding-cuts-to-medicaid-may-trigger-automatic-loss-of-health-coverage-for-millions-of-residents-of-certain-states\/. Accessed December 12, 2024."},{"key":"e_1_3_7_71_2","volume-title":"Section 5112 Requirement for all States to Provide Continuous Eligibility to Children in Medicaid and CHIP under the Consolidated Appropriations Act, 2023 | Guidance Portal","year":"2024","unstructured":"Section 5112 Requirement for all States to Provide Continuous Eligibility to Children in Medicaid and CHIP under the Consolidated Appropriations Act, 2023 | Guidance Portal. 2024. https:\/\/www.hhs.gov\/guidance\/document\/section-5112-requirement-all-states-provide-continuous-eligibility-children-medicaid-and. Accessed April 3, 2026."},{"key":"e_1_3_7_72_2","doi-asserted-by":"publisher","DOI":"10.1215\/03616878-8802198"},{"key":"e_1_3_7_73_2","doi-asserted-by":"publisher","DOI":"10.1300\/J045v07n04_05"},{"key":"e_1_3_7_74_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2018.01.013"},{"key":"e_1_3_7_75_2","doi-asserted-by":"publisher","DOI":"10.1080\/00380253.2020.1797596"}],"container-title":["INQUIRY: The Journal of Health Care Organization, Provision, and Financing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00469580261452902","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00469580261452902","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00469580261452902","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T00:16:55Z","timestamp":1781482615000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00469580261452902"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":74,"alternative-id":["10.1177\/00469580261452902"],"URL":"https:\/\/doi.org\/10.1177\/00469580261452902","relation":{},"ISSN":["0046-9580","1945-7243"],"issn-type":[{"value":"0046-9580","type":"print"},{"value":"1945-7243","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3]]},"article-number":"00469580261452902"}}