{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T19:56:53Z","timestamp":1767643013648,"version":"3.48.0"},"reference-count":55,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,11,29]],"date-time":"2025-11-29T00:00:00Z","timestamp":1764374400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T00:00:00Z","timestamp":1767571200000},"content-version":"vor","delay-in-days":37,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"name":"PRR_ Agendas\/Alian\u00e7as mobilizadoras para a reindustrializa\u00e7\u00e3o","award":["Pacto de Inova\u00e7\u00e3o HfPt (Project C630926586-00465198)"],"award-info":[{"award-number":["Pacto de Inova\u00e7\u00e3o HfPt (Project C630926586-00465198)"]}]},{"name":"PRR_ Agendas\/Alian\u00e7as mobilizadoras para a reindustrializa\u00e7\u00e3o","award":["Pacto de Inova\u00e7\u00e3o HfPt (Project C630926586-00465198)"],"award-info":[{"award-number":["Pacto de Inova\u00e7\u00e3o HfPt (Project C630926586-00465198)"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Health Serv Res"],"DOI":"10.1186\/s12913-025-13288-2","type":"journal-article","created":{"date-parts":[[2025,11,29]],"date-time":"2025-11-29T14:34:14Z","timestamp":1764426854000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A multiple criteria framework for value-based assessment of health care services applied to a radiology case"],"prefix":"10.1186","volume":"26","author":[{"given":"Ana","family":"Moreira","sequence":"first","affiliation":[]},{"given":"Nazar\u00e9","family":"Rego","sequence":"additional","affiliation":[]},{"given":"Jos\u00e9","family":"Crispim","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2025,11,29]]},"reference":[{"issue":"13","key":"13288_CR1","doi-asserted-by":"crossref","first-page":"1286","DOI":"10.1001\/jama.2020.14930","volume":"324","author":"A Brady","year":"2020","unstructured":"Brady A, Brink J, Slavotinek J. Radiology and value-based health care. JAMA. 2020;324(13):1286\u20137.","journal-title":"JAMA"},{"issue":"3","key":"13288_CR2","doi-asserted-by":"crossref","first-page":"866","DOI":"10.1148\/rg.2015140221","volume":"35","author":"A Sarwar","year":"2015","unstructured":"Sarwar A, et al. Metrics for radiologists in the era of value-based health care delivery. Radiographics. 2015;35(3):866\u201376.","journal-title":"Radiographics"},{"key":"13288_CR3","doi-asserted-by":"crossref","unstructured":"Fuchsj\u00e4ger M, Derchi L, Brady A. Value-Based Radiology: A New Era Begins, in Value-based Radiology: A Practical Approach, C.F. Silva, O. von Stackelberg, and H.-U. Kauczor, Editors. 2020, Springer International Publishing: Cham. pp. 3\u201311.","DOI":"10.1007\/174_2019_220"},{"issue":"4","key":"13288_CR4","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1016\/j.jacr.2019.09.016","volume":"17","author":"AB Rosenkrantz","year":"2020","unstructured":"Rosenkrantz AB, et al. The alternative payment model pathway to radiologists\u2019 success in the merit-based incentive payment system. J Am Coll Radiol. 2020;17(4):525\u201333.","journal-title":"J Am Coll Radiol"},{"issue":"1","key":"13288_CR5","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/j.jacr.2016.07.008","volume":"14","author":"DR Hughes","year":"2017","unstructured":"Hughes DR, et al. An empirical framework for breast screening bundled payments. J Am Coll Radiol. 2017;14(1):17\u2013e231.","journal-title":"J Am Coll Radiol"},{"key":"13288_CR6","doi-asserted-by":"crossref","first-page":"104826","DOI":"10.1016\/j.healthpol.2023.104826","volume":"132","author":"E Wyffels","year":"2023","unstructured":"Wyffels E, et al. Same day discharge strategy by default in a tertiary catheterization laboratory in Belgium: value based healthcare-change in practice. Health Policy. 2023;132:104826.","journal-title":"Health Policy"},{"issue":"1","key":"13288_CR7","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1186\/s12913-022-07919-1","volume":"22","author":"FACJ Heijsters","year":"2022","unstructured":"Heijsters FACJ, et al. A pragmatic approach for implementation of value-based healthcare in Amsterdam UMC, the Netherlands. BMC Health Serv Res. 2022;22(1):550.","journal-title":"BMC Health Serv Res"},{"issue":"1","key":"13288_CR8","doi-asserted-by":"crossref","first-page":"1271","DOI":"10.1186\/s12913-022-08563-5","volume":"22","author":"K Daniels","year":"2022","unstructured":"Daniels K, et al. Five years\u2019 experience with value-based quality improvement teams: the key factors to a successful implementation in hospital care. BMC Health Serv Res. 2022;22(1):1271.","journal-title":"BMC Health Serv Res"},{"issue":"7","key":"13288_CR9","doi-asserted-by":"crossref","first-page":"1292","DOI":"10.3174\/ajnr.A5220","volume":"38","author":"MM Chen","year":"2017","unstructured":"Chen MM, et al. The qualified clinical data registry: a pathway to success within MACRA. AJNR Am J Neuroradiol. 2017;38(7):1292\u20136.","journal-title":"AJNR Am J Neuroradiol"},{"issue":"26","key":"13288_CR10","doi-asserted-by":"crossref","first-page":"2477","DOI":"10.1056\/NEJMp1011024","volume":"363","author":"ME Porter","year":"2010","unstructured":"Porter ME. What is value in health care? N Engl J Med. 2010;363(26):2477\u201381.","journal-title":"N Engl J Med"},{"key":"13288_CR11","unstructured":"Porter ME, Teisberg EO. Redefining health care: creating value-based competition on results. Harvard business; 2006."},{"issue":"6, Supplement","key":"13288_CR12","doi-asserted-by":"crossref","first-page":"S18","DOI":"10.1016\/j.jval.2019.04.1914","volume":"22","author":"SD Reed","year":"2019","unstructured":"Reed SD, et al. Novel Approaches to Value Assessment Beyond the Cost-Effectiveness Framework. Value in Health. 2019;22(6, Supplement):S18\u201323.","journal-title":"Value in Health"},{"issue":"3","key":"13288_CR13","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1007\/s10549-019-05212-0","volume":"175","author":"CC Sheckter","year":"2019","unstructured":"Sheckter CC, et al. Applying a value-based care framework to post-mastectomy reconstruction. Breast Cancer Res Treat. 2019;175(3):547\u201351.","journal-title":"Breast Cancer Res Treat"},{"key":"13288_CR14","doi-asserted-by":"crossref","DOI":"10.1016\/j.socscimed.2021.114145","volume":"282","author":"P Ramos","year":"2021","unstructured":"Ramos P, et al. It takes two to dance the VBHC tango: a multiple case study of the adoption of value-based strategies in Sweden and Brazil. Soc Sci Med. 2021;282: 114145.","journal-title":"Soc Sci Med"},{"issue":"9","key":"13288_CR15","doi-asserted-by":"crossref","first-page":"977","DOI":"10.1016\/j.jval.2019.06.002","volume":"22","author":"RW Dubois","year":"2019","unstructured":"Dubois RW, Westrich K. As value assessment frameworks evolve, are they finally ready for prime time?? Value Health. 2019;22(9):977\u201380.","journal-title":"Value Health"},{"issue":"11","key":"13288_CR16","doi-asserted-by":"crossref","first-page":"1030","DOI":"10.1016\/j.jhsa.2018.03.036","volume":"43","author":"RN Kamal","year":"2018","unstructured":"Kamal RN, Lindsay SE, Eppler SL. Patients should define value in health care: A conceptual framework. J Hand Surg. 2018;43(11):1030\u20134.","journal-title":"J Hand Surg"},{"issue":"5","key":"13288_CR17","first-page":"340","volume":"66","author":"BS Zanotto","year":"2021","unstructured":"Zanotto BS, et al. Value-based healthcare initiatives in practice: a systematic review. J Healthc Manag. 2021;66(5):340.","journal-title":"J Healthc Manag"},{"issue":"7","key":"13288_CR18","doi-asserted-by":"crossref","first-page":"1038","DOI":"10.1016\/j.jval.2021.01.010","volume":"24","author":"J Walraven","year":"2021","unstructured":"Walraven J, Jacobs MS, Uyl-de CA, Groot. Leveraging the similarities between Cost-Effectiveness analysis and Value-Based healthcare. Value Health. 2021;24(7):1038\u201344.","journal-title":"Value Health"},{"issue":"27","key":"13288_CR19","doi-asserted-by":"crossref","first-page":"2595","DOI":"10.1056\/NEJMp1512009","volume":"373","author":"PJ Neumann","year":"2015","unstructured":"Neumann PJ, Cohen JT. Measuring the value of prescription drugs. N Engl J Med. 2015;373(27):2595\u20137.","journal-title":"N Engl J Med"},{"issue":"4","key":"13288_CR20","doi-asserted-by":"crossref","first-page":"486","DOI":"10.1016\/j.jval.2020.11.008","volume":"24","author":"F Augustovski","year":"2021","unstructured":"Augustovski F, et al. A value framework for the assessment of diagnostic technologies: a proposal based on a targeted systematic review and a multistakeholder deliberative process in Latin America. Value Health. 2021;24(4):486\u201396.","journal-title":"Value Health"},{"issue":"9","key":"13288_CR21","doi-asserted-by":"crossref","first-page":"2076","DOI":"10.1111\/liv.14605","volume":"40","author":"M Strazzabosco","year":"2020","unstructured":"Strazzabosco M. Value-based medicine, a compass to guide healthcare decisions in the COVID-19 aftermath. Liver Int. 2020;40(9):2076\u20138.","journal-title":"Liver Int"},{"issue":"1","key":"13288_CR22","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/j.clinthera.2019.11.017","volume":"42","author":"PR Boscolo","year":"2020","unstructured":"Boscolo PR, et al. Measuring value in health care: a comparative analysis of value-based frameworks. Clin Ther. 2020;42(1):34\u201343.","journal-title":"Clin Ther"},{"key":"13288_CR23","unstructured":"Slomiany M, et al. Value frameworks in oncology: comparative analysis and implications to the pharmaceutical industry. American health & drug benefits.2017;10(5):p. 253\u201360. 5."},{"issue":"2","key":"13288_CR24","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1016\/j.jval.2021.07.005","volume":"25","author":"M Zhang","year":"2022","unstructured":"Zhang M, et al. What is value in health and healthcare? A systematic literature review of value assessment frameworks. Value Health. 2022;25(2):302\u201317.","journal-title":"Value Health"},{"issue":"1","key":"13288_CR25","first-page":"62","volume":"79","author":"SB Wheeler","year":"2018","unstructured":"Wheeler SB, Spencer J, Rotter J, Med NC. Toward Value in Health Care: Perspectives, Priorities, and Policy. N C Med J. 2018;79(1):62\u20135.","journal-title":"N C Med J"},{"issue":"1","key":"13288_CR26","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1186\/s12913-022-07489-2","volume":"22","author":"DJ van Staalduinen","year":"2022","unstructured":"van Staalduinen DJ, et al. The implementation of value-based healthcare: a scoping review. BMC Health Serv Res. 2022;22(1):270.","journal-title":"BMC Health Serv Res"},{"issue":"10","key":"13288_CR27","doi-asserted-by":"crossref","first-page":"2119","DOI":"10.11124\/JBIES-20-00167","volume":"18","author":"MDJ Peters","year":"2020","unstructured":"Peters MDJ, et al. Updated methodological guidance for the conduct of scoping reviews. JBI Evid Synth. 2020;18(10):2119\u201326.","journal-title":"JBI Evid Synth"},{"issue":"7","key":"13288_CR28","doi-asserted-by":"crossref","first-page":"467","DOI":"10.7326\/M18-0850","volume":"169","author":"AC Tricco","year":"2018","unstructured":"Tricco AC, et al. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018;169(7):467\u201373.","journal-title":"Ann Intern Med"},{"issue":"1","key":"13288_CR29","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1016\/S0007-8506(07)60606-4","volume":"52","author":"SRT Kumara","year":"2003","unstructured":"Kumara SRT, et al. Decision making in logistics: a chaos theory based analysis. CIRP Ann. 2003;52(1):381\u20134.","journal-title":"CIRP Ann"},{"issue":"1","key":"13288_CR30","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1016\/j.jacr.2016.08.031","volume":"14","author":"GW Boland","year":"2017","unstructured":"Boland GW, et al. Report of the ACR\u2019s economics committee on value-based payment models. J Am Coll Radiol. 2017;14(1):6\u201314.","journal-title":"J Am Coll Radiol"},{"key":"13288_CR31","volume-title":"The delphi method: techniques and applications","author":"HA Linstone","year":"1975","unstructured":"Linstone HA, Turoff M. The delphi method: techniques and applications. Reading, MA: Addison Wesley Publishing Company; 1975."},{"key":"13288_CR32","doi-asserted-by":"crossref","first-page":"101401","DOI":"10.1016\/j.mex.2021.101401","volume":"8","author":"D Beiderbeck","year":"2021","unstructured":"Beiderbeck D, et al. Preparing, conducting, and analyzing Delphi surveys: cross-disciplinary practices, new directions, and advancements. MethodsX. 2021;8:101401.","journal-title":"MethodsX"},{"issue":"2","key":"13288_CR33","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1016\/S0020-7489(00)00044-4","volume":"38","author":"S Keeney","year":"2001","unstructured":"Keeney S, Hasson F, McKenna HP. A critical review of the delphi technique as a research methodology for nursing. Int J Nurs Stud. 2001;38(2):195\u2013200.","journal-title":"Int J Nurs Stud"},{"issue":"1","key":"13288_CR34","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1186\/s12913-024-10702-z","volume":"24","author":"A Carrera","year":"2024","unstructured":"Carrera A, Manetti S, Lettieri E. Rewiring care delivery through digital therapeutics (DTx): a machine learning-enhanced assessment and development (M-LEAD) framework. BMC Health Serv Res. 2024;24(1):237.","journal-title":"BMC Health Serv Res"},{"issue":"1","key":"13288_CR35","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1186\/s12913-020-05448-3","volume":"20","author":"KL Mauco","year":"2020","unstructured":"Mauco KL, Scott RE, Mars M. Validation of an e-health readiness assessment framework for developing countries. BMC Health Serv Res. 2020;20(1):575.","journal-title":"BMC Health Serv Res"},{"issue":"1","key":"13288_CR36","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1016\/0040-1625(77)90017-8","volume":"11","author":"JW Kendall","year":"1977","unstructured":"Kendall JW. Variations of delphi. Technol Forecast Soc Change. 1977;11(1):75\u201385.","journal-title":"Technol Forecast Soc Change"},{"key":"13288_CR37","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/B978-0-12-801504-9.00007-6","volume-title":"The measurement of health and health status","author":"PFM Krabbe","year":"2017","unstructured":"Krabbe PFM. Chap. 7 - Validity. The measurement of health and health status. San Diego: Academic; 2017. pp. 113\u201334. P.F.M. Krabbe, Editor."},{"issue":"5","key":"13288_CR38","first-page":"967","volume":"21","author":"TR Hinkin","year":"1995","unstructured":"Hinkin TR. A review of scale development practices in the study of organizations. J Manage. 1995;21(5):967\u201388.","journal-title":"J Manage"},{"key":"13288_CR39","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1016\/j.socscimed.2017.06.024","volume":"188","author":"A Angelis","year":"2017","unstructured":"Angelis A, Kanavos P. Multiple criteria decision analysis (MCDA) for evaluating new medicines in health technology assessment and beyond: the advance value framework. Soc Sci Med. 2017;188:137\u201356.","journal-title":"Soc Sci Med"},{"issue":"3","key":"13288_CR40","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1016\/0270-0255(87)90473-8","volume":"9","author":"RW Saaty","year":"1987","unstructured":"Saaty RW. The analytic hierarchy process\u2014what it is and how it is used. Math Modelling. 1987;9(3):161\u201376.","journal-title":"Math Modelling"},{"issue":"11","key":"13288_CR41","doi-asserted-by":"crossref","first-page":"1515","DOI":"10.1287\/mnsc.42.11.1515","volume":"42","author":"FH Barron","year":"1996","unstructured":"Barron FH, Barrett BE. Decision quality using ranked attribute weights. Manage Sci. 1996;42(11):1515\u201323.","journal-title":"Manage Sci"},{"key":"13288_CR42","doi-asserted-by":"publisher","DOI":"10.1007\/s10479-022-04540-7","author":"V Pereira","year":"2022","unstructured":"Pereira V, Bamel U. Charting the managerial and theoretical evolutionary path of AHP using thematic and systematic review: a decadal (2012\u20132021) study. Ann Oper Res. 2022. https:\/\/doi.org\/10.1007\/s10479-022-04540-7.","journal-title":"Ann Oper Res"},{"issue":"7","key":"13288_CR43","doi-asserted-by":"crossref","first-page":"918","DOI":"10.1016\/j.mcm.2007.03.004","volume":"46","author":"TL Saaty","year":"2007","unstructured":"Saaty TL, Vargas LG. Dispersion of group judgments. Math Comput Model. 2007;46(7):918\u201325.","journal-title":"Math Comput Model"},{"issue":"2","key":"13288_CR44","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1007\/s10726-015-9445-7","volume":"25","author":"NM Scala","year":"2016","unstructured":"Scala NM, et al. Group decision making with dispersion in the analytic hierarchy process. Group Decis Negot. 2016;25(2):355\u201372.","journal-title":"Group Decis Negot"},{"key":"13288_CR45","volume-title":"Multivariate data analysis: a global perspective","author":"JF Hair","year":"2010","unstructured":"Hair JF. Multivariate data analysis: a global perspective. Upper Saddle River (NJ): Pearson Education; 2010."},{"key":"13288_CR46","doi-asserted-by":"publisher","DOI":"10.1007\/s10479-022-04649-9","author":"J Wasim","year":"2022","unstructured":"Wasim J, et al. Deriving the weights for aggregating judgments in a multi-group problem: an application to curriculum development in entrepreneurship. Ann Oper Res. 2022. https:\/\/doi.org\/10.1007\/s10479-022-04649-9.","journal-title":"Ann Oper Res"},{"issue":"1","key":"13288_CR47","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1016\/j.ejor.2020.05.048","volume":"288","author":"P Amenta","year":"2021","unstructured":"Amenta P, Lucadamo A, Marcarelli G. On the choice of weights for aggregating judgments in non-negotiable AHP group decision making. Eur J Oper Res. 2021;288(1):294\u2013301.","journal-title":"Eur J Oper Res"},{"key":"13288_CR48","volume-title":"Multiple atribute decision making: methods and applications: a State-of-the-art-survey","author":"C-L Hwang","year":"1981","unstructured":"Hwang C-L, Yoon KP. Multiple atribute decision making: methods and applications: a State-of-the-art-survey. New York: Springer-; 1981."},{"key":"13288_CR49","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1007\/978-3-642-48318-9_3","volume-title":"Multiple attribute decision making: methods and applications A State-of-the-Art survey","author":"C-L Hwang","year":"1981","unstructured":"Hwang C-L, Yoon K. Methods for multiple attribute decision making. Multiple attribute decision making: methods and applications A State-of-the-Art survey. Berlin Heidelberg: Berlin, Heidelberg: Springer; 1981. pp. 58\u2013191. C.-L. Hwang and K. Yoon, Editors."},{"issue":"7","key":"13288_CR50","doi-asserted-by":"crossref","first-page":"776","DOI":"10.1007\/s00247-017-3857-2","volume":"47","author":"RE Heller","year":"2017","unstructured":"Heller RE 3, et al. Quality measures and pediatric radiology: suggestions for the transition to value-based payment. Pediatr Radiol. 2017;47(7):776\u201382.","journal-title":"Pediatr Radiol"},{"issue":"5","key":"13288_CR51","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1007\/s13244-017-0566-1","volume":"8","author":"European Society of Radiology (ESR)","year":"2017","unstructured":"European Society of Radiology (ESR). ESR concept paper on value-based radiology. Insights Imaging. 2017;8(5):447\u201354.","journal-title":"Insights Imaging"},{"issue":"9","key":"13288_CR52","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1016\/j.jacr.2011.03.007","volume":"8","author":"VM Rao","year":"2011","unstructured":"Rao VM, Levin DC. The value-added services of hospital-based radiology groups. J Am Coll Radiol. 2011;8(9):626\u201330.","journal-title":"J Am Coll Radiol"},{"key":"13288_CR53","doi-asserted-by":"crossref","unstructured":"European Society of Radiology (ESR), Value-based radiology: what is the ESR doing, and what should we do in the future? Insights into imaging. 2021. 12(1): p. 108 (2021).","DOI":"10.1186\/s13244-021-01056-9"},{"issue":"8","key":"13288_CR54","doi-asserted-by":"crossref","first-page":"1547","DOI":"10.1093\/annonc\/mdv249","volume":"26","author":"NI Cherny","year":"2015","unstructured":"Cherny NI, et al. A standardised, generic, validated approach to stratify the magnitude of clinical benefit that can be anticipated from anti-cancer therapies: the European society for medical oncology magnitude of clinical benefit scale (ESMO-MCBS). Ann Oncol. 2015;26(8):1547\u201373.","journal-title":"Ann Oncol"},{"issue":"2","key":"13288_CR55","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1016\/j.jval.2016.11.013","volume":"20","author":"JS Mandelblatt","year":"2017","unstructured":"Mandelblatt JS, et al. Evaluating frameworks that provide value measures for health care interventions. Value Health. 2017;20(2):185\u201392.","journal-title":"Value Health"}],"container-title":["BMC Health Services Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12913-025-13288-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12913-025-13288-2","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12913-025-13288-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T16:53:39Z","timestamp":1767632019000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s12913-025-13288-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,29]]},"references-count":55,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["13288"],"URL":"https:\/\/doi.org\/10.1186\/s12913-025-13288-2","relation":{},"ISSN":["1472-6963"],"issn-type":[{"type":"electronic","value":"1472-6963"}],"subject":[],"published":{"date-parts":[[2025,11,29]]},"assertion":[{"value":"19 July 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 July 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 November 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics declarations"}},{"value":"The study was approved by the Ethics Committee of Centro Hospitalar Universit\u00e1rio de S\u00e3o Jo\u00e3o, Portugal, on the 18th December 2020 (No. 453\/2020).All methods were carried out in accordance with relevant guidelines and regulations. Informed consent (written) was obtained from all participants previously to their involvement in the study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"17"}}