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catchment population of a health facility

Kelly D. Blake ScD. JSTOR is part of ITHAKA, a not-for-profit organization helping the academic community use digital technologies to preserve the scholarly record and to advance research and teaching in sustainable ways. worldwide and cover key issues in an informative and accessible way. If on the other hand unit Y is outside the health district boundary then ml a = d* Now only if d*=Ml 2 *ml m2 Pl p2 will the catchment population be correctly estimated. Global population distribution across the urban–rural continuum in 2015 and by country income and regional groups. Their use and interpretation has often been a source of debate. 2 shows the catchment area of the Nagongera health-care facility, as determined using the three parameters: straight-line distance, road network distance and cumulative case ratio for malaria-related visits. A catchment area can also be defined by an arbitrary distance or time. The staffing ... remote locations with smaller catchment populations, justifiable based on distance from any other health facility. The WHO service availability and readiness assessment … Consequently, the reductions in catchment areas tend to have positive impacts on accessibility for locations close to healthcare facilities but negative impacts for those locations farther away from … Knowledge of a health-care facility's catchment area is important for assessing health service utilization, for calculating population-based rates of disease and for performing other important analyses. The surveillance programme was implemented in a staggered fashion: it started in July 2006 and the final site opened in August 2008. Independent State of Papua New Guinea Health System Review Health Systems in Transition Vol. The figure also shows the locations of the six facilities and the variation in disease burden and geographical spread. The number of health facilities per population of 10,000 or the number of health facilities per total population living in a designated area. In these two HPSRs 20 (34%) of the hospitals in Natal/KwaZulu (excluding Private institutions) are located. Current approaches for catchment definition have significant limitations such as being based solely on distance from the facility or using an arbitrary threshold for inclusion. The number of health facilities per population of 10,000 or the number of health facilities per total population living in a designated area. We used malaria-related visits because we wanted to include all users of malaria-related services, not only confirmed cases. Data used in this map are as of 9/30/2010. Correspondence to Kate Zinszer (e-mail: [email protected]). Table 1. A final consideration is whether the catchment area should be based on all admissions to the facility or on the utilization of a particular service. Defining a catchment area and the cancer burden of the people who live there can help a center identify population-based problems, critical adverse trends, sources of cancer health inequalities, and health-care resource needs that are most important for that region. Request Permissions. http://dx.doi.org/10.1111/j.1475-6773.2009.01069.x. Health facilities include all public, private, non-governmental and community-based health facilities defined as a static facility (i.e., has a designated building) in which general health services are offered. Our core businesses produce scientific, technical, medical, and scholarly journals, reference works, books, database services, and advertising; professional books, subscription products, certification and training services and online applications; and education content and services including integrated online teaching and learning resources for undergraduate and graduate students and lifelong learners. The size and shape of a catchment area will depend on how accessible a facility is and how far it is from alternative facilities. a´reae, areas) (L.) a limited space or plane surface. Different approaches to defining catchment areas have been developed, mostly in the field of health service research. Data were collected from residents aged over 30 years (n = 997) using standardized tools and clinical measures. Health facilities range from small clinics and doctor's offices to urgent care centers and large hospitals with elaborate emergency rooms and trauma centers.The number and quality of health facilities in a country or region is one common measure of that area's prosperity and quality of life. Annual Conference on Statistics in Medicine (Mar., 1982), Access everything in the JPASS collection, Download up to 10 article PDFs to save and keep, Download up to 120 article PDFs to save and keep. The Novartis Foundation built its approach to improving cardiovascular health in urban populations on evidence and tools from Better Hearts Better Cities. © 1982 Royal Statistical Society Health centers These facilities are intended to serve as primary care centers, with urban health centers serving catchment popula-tions between 30,000 and 50,000 and rural health centers serving catchment areas of approximately 10,000 people or a radius of 29 kilometers. The differences observed between different estimates of the cumulative rate of confirmed malaria cases in catchment areas generally occurred because the numerator and denominator in the case rate calculation increased differentially with the distance used to define the catchment area. Hence, generally, the cumulative case rate decreased as the size of the catchment area increased. Albert Einstein College of Medicine is a leading research institution with a strong commitment to addressing the challenges and research opportunities inherent in the provision of health care to the largely minority population of the Bronx. Health posts can be counted as static facilities, but because they … If the purpose of defining a catchment area is to estimate a facility’s utilization rate, this assumption may not be of concern since areas of low utilization are excluded. All analyses were performed using R software v2.14.0 and ArcGIS 10 (esri, Redlands, USA). Moreover, the campaigns’ meager effect was easily nullified by the tribal population’s poor experience with health workers. It will have more than two postnatal ward beds and more than two labor ward beds. Baker LC. The journal thus attempts The definition of the hospital catchment area and its population as a denominator for the evaluation of hospital returns in developing countries. You can find a list of contacts for Hospital and Health Boards or Services here . Diesfeld HJ. For each facility we calculated a physician to population ratio (PPR) using the number of doctors present at the facility (S j) and a weighted sum of the pregnant women per 1000 population using a) the predicted number of pregnant women per 1000 population (P i /1000) that year in villages falling within the 60 min catchment area, and the distance weight (W K) or travel between service facility (j) … Schuurman N, Fiedler RS, Grzybowski SC, Grund D. Defining rational hospital catchments for non-urban areas based on travel-time. first published by the Institute in 1950 as The Incorporated Statistician. Facility: Health Services, Inc. Similarly, if we have reported cases of disease, such as the number of cases of … Modelling catchment scenarios can be used to illustrate a) the percentage of denominator population that is outside of a one, two or four hour catchment; b) variations in service coverage when specific groupings of services are considered (e.g. Wiley is a global provider of content and content-enabled workflow solutions in areas of scientific, technical, medical, and scholarly research; professional development; and education. for 1,704 (68%) of primary care facilities. This study was supported by doctoral awards from the International Development Research Centre in Ottawa, Canada and by the Fonds de recherche Santé, Montréal, Canada. Department of Medicine, Makerere University College of Health Sciences, Kampala, Uganda. a´reae, areas) (L.) a limited space or plane surface. its contribution to the catchment population would be calculated as a=(pl+p2)-d* where a is an estimate of pi and d* is the national admission rate. To derive catchment areas based on straight-line distance, we used distances of 5, 10, 20 and 30 km. (Submitted: 27 May 2013 – Revised version received: 08 October 2013 – Accepted: 21 October 2013 – Published online: 10 January 2014. http://dx.doi.org/10.1371/journal.pone.0016316, Bulletin of the World Health Organization. Conversely, an erroneous view of the catchment area can lead to inefficient and inadequate services, misspecification of the catchment population and potentially flawed decision-making on other facilities, such as deciding where to locate a new facility. This … It is now a valuable resource for professional statisticians involved in industry, In addition, seven health centres (6.2%) were missing spatial information and an additional three (2.7%) did not have data on catchment population. Wiley has published the works of more than 450 Nobel laureates in all categories: Literature, Economics, Physiology or Medicine, Physics, Chemistry, and Peace. The results illustrate that were Obstetrical services not offered at that hospital, 15% of the population of the Interior Health Authority would fall into a "-99 catchment" or one without service. Defining a catchment area and the cancer burden of the people who live there can help a center identify population-based problems, critical adverse trends, sources of cancer health inequalities, and health-care resource needs that are most important for that region. Decentralization of financial and logistic resource management has been implemented universally. countries in the collection of data to monitor and evaluate population, health, and nutrition programs. Coverage of remote tribal areas was found to be poor, a large number of positions lay vacant, the … All Rights Reserved. Our analysis demonstrates how population-based measures of disease burden, such as the malaria case rate, are dependent on the method used to define the catchment areas of health-care facilities. 1, Proceedings of the 1981 I.O.S. The surveillance programme was implemented in a staggered fashion: it started in July 2006 and the final site opened in August 2008. The findings, interpretations, and conclusions expressed here are those of the authors and do not necessarily reflect the views of any of the funders, the Board of Executive Directors of the World Bank or the governments they represent. area [a´re-ah] (pl. aserrano@pssjd.org. Division of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of Health, Bethesda, Maryland. When autocomplete results are available use up and down arrows to review and enter to select. The visualization below shows the three catchment areas with the population cells each of them contains. In fact the RAWP It can be seen from the figure that the parishes with the highest cumulative case rates either contained a facility or was adjacent to one. The main limitation of our approach follows from the assumption that the reason the number of malaria-related visits from a particular parish was lower than expected was primarily because utilization of the health-care facility by the parish’s population was low. The reduction in the catchment areas of facilities, caused by travel time uncertainty, decreases the total demand that the facilities service and thus enhanced their supply-to-demand ratios. The Population Health Assessment in Cancer Center Catch-ment Areas supplemental funding initiative was intended to support a requirement instituted by NCI in 2012, wherein appli-cants to the Cancer Center Support Grant (CCSG) Funding OpportunityAnnouncement(FOA)wererequiredtoidentifyand describe their catchment areas and … Aim 1: Identify and investigate key biobehavioral and socioenvironmental … a. The largest geographical area was obtained using a straight-line distance of 30 km, whereas the smallest was obtained using the cumulative case ratio. The likelihood that these minority “users” would be regarded as living outside the catchment area increases with the size of the administrative area. JSTOR®, the JSTOR logo, JPASS®, Artstor®, Reveal Digital™ and ITHAKA® are registered trademarks of ITHAKA. Other important themes include http://dx.doi.org/10.1007/s10729-011-9154-y. Learn More. The method described in this paper is a means of calculating the population … Current approaches for catchment definition have significant limitations such as being based solely on distance from the facility or using an arbitrary threshold for inclusion. With a personal account, you can read up to 100 articles each month for free. Information systems are increasingly important for measuring and improving the quality and coverage of health services (Campbell 1997; Lippeveld et al. The analysis and assessment led to the creation of a catchment area wide coalition that used the results to formulate a comprehensive strategic plan to address the barriers in the region. Methods. However, there remain specific health programs that were initiated as vertical programs and that … association a's areas of the cerebral cortex (excluding primary areas) connected with each other and with the neothalamus; they are responsible for higher mental and emotional processes, including memory, learning, speech, and the interpretation of sensations. The facility could have several beds for outpatients. Identification of hospital catchment areas using clustering: an example from the NHS. Department of Infectious Diseases, University of California, San Francisco, United States of America.d. If we know the catchment area for a given facility, then we can estimate its population. Another consideration is the time period during which the catchment area is defined since catchment areas are affected by factors that vary over time, such as changes in the capacity of or the services provided by the facility or the opening or closing of other health-care facilities nearby. A proposed approach in defining population-based rates of major injury from a trauma registry dataset: delineation of hospital catchment areas (I). Figures illustrating the corresponding catchment areas for the other five health-care facilities are shown in Appendix A (available at: http://surveillance.mcgill.ca/users/kzinszer/WHObulletin/index.php). The catchment area of a health-care facility is used to assess health service utilization and calculate population-based rates of disease. HCIRB is leading a funding opportunity to support supplemental funding to conduct research to better characterize the … Information is gathered by population surveys, actively engaging stakeholder groups, holding community forums and public meetings. We selected six sites to represent the diversity of malaria epidemiology in Uganda. As shown in Table 1, the cumulative rate of confirmed malaria cases varied considerably for most sites according to the way in which the catchment area was defined. option. However, an arbitrary threshold is usually imposed on the minimum proportion of patients who must come from a particular area for it to be included in the catchment area. d & David L Buckeridge . Focus Issue on the Population Health Assessment in Cancer Center Catchment Areas initiative in Cancer Epidemiology, Biomarkers & Prevention. This is important where estimates for resource allocation are based on population figures. In addition, parishes were included if they were located less than 2 km from the nearest road. HPSRs G and H accounted for 55,6% of admissions. Catchment areas have proved useful in compiling health statistics. The Statistician joined the Journal of the Royal Statistical Our online platform, Wiley Online Library (wileyonlinelibrary.com) is one of the world’s most extensive multidisciplinary collections of online resources, covering life, health, social and physical sciences, and humanities. Different approaches to defining catchment areas have been developed, mostly in the field of health service research.1–5 One simple way of establishing the boundaries of a catchment area is to use distance from the facility – either the straight-line distance, the distance patients have to travel or the distance travelle… The initiative was intended to support primary data collection efforts to better define and describe cancer center catchment areas using a multilevel population health framework. These distances were selected because the 2009 Uganda Malaria Indicator Survey11 found that 96% of respondents lived within 9 km of a health-care facility and because the 2009 Uganda National Household Survey12 reported that the average distance of a household from a government hospital was 20 km. Morgan County . a. Surveillance Lab, Clinical and Health Informatics Research Group, McGill University, 1040 Pine Avenue West, Montreal, Quebec, Canada H3A 1A3.b. a. Surveillance Lab, Clinical and Health Informatics Research Group, McGill University, 1040 Pine Avenue West, Montreal, Quebec, Canada H3A 1A3. The flow chart is a step-by-step guide, in visual form, of key stages in the preparation and conduct of a health facility assessment (HFA). Applications are invited for a full-time behavioral researcher at the level of Associate Professor/Professor to head the new Division of Health Behavior Research and Implementation Science in the Department of Epidemiology and Population Health (DEPH) at the Albert Einstein College of Medicine and to lead community … In contrast, the distance approaches can lead to the inclusion of parishes where there are no cases of malaria. Associate Director for Catchment Area Research . Boscoe FP, Henry KA, Zdeb MS. A nationwide comparison of driving distance versus straight-line distance to hospitals. Health facilities include all public, private, non-governmental and community-based health facilities defined as a static facility (i.e., has a designated building) in which general health services are offered. Fig. Its analytical and presentation features can help service commissioners to determine the service configuration that provides the best affordable access to … After exploring this issue, our findings (not reported) suggest that data from the most recent 2 or 3 years are sufficient for establishing current catchment areas. The facility should have six general beds for monitoring patients for 24 hours with a view to discharging them or referring them to a next level health facility. A population-based catchment area cross sectional survey was conducted in Kerala, India. Garnick DW, Luft HS, Robinson JC, Tetreault J. Introduction. For example, a school catchment area is the geographic area from which students are eligible to attend a local school.. Society as its Series D from the journal of the Institute For example, postal code areas that account for less than 1% of admissions to a facility may be excluded from the catchment area.9 Consequently, some individuals who live in an area not considered part of a facility’s catchment area may regularly attend the facility. To access this article, please, Vol. on malaria-related visits. It will have one labor and one postnatal ward bed. For a research center that has not determined a catchment area, some considerations for defining the catchment area include: a fixed distance about the facility; a fixed travel time around the … 1 displays the cumulative case rate per 1000 population in each parish for all malaria cases confirmed during 2012 at one of the six Uganda Malaria Surveillance Project health-care facilities. Another approach, termed the patient-flow method, is based on the proportion of patients visiting or admitted to a health-care facility who come from a particular administrative area, such as a census tract or a postal code area: if the proportion exceeds a set minimum, that administrative area is included in the facility’s catchment area.5,8 With this approach, the catchment area is not limited by the distance between a patient’s residence and the facility. Journal of the Royal Statistical Society. A grid cell is assigned to a facility’s catchment area if it is closer to that facility than to any other. It will also have two general beds for monitoring patients for 24 hours with a view to discharging them or referring … The numerator was the total number of malaria cases confirmed between 1 January 2010 and 31 December 2012 from all parishes included in the catchment area. The service unit is required to provide or arrange service for every area resident in need. A catchment area is the geographic area for which a facility attracts clients or customers. This stage takes approximately four to fourteen days. We defined catchment areas (transplant referral regions [TRRs]) from transplant center care patterns for population-based assessment of transplant access. The PCA would entail provision of nutritional Journal of the Royal Statistical Society. The largest rates were observed for the catchment area of the Kamwezi health-care facility: 234.9 per 1000 when defined using a straight-line distance of 5 km, 193.1 per 1000 when defined using the cumulative case ratio and 156.1 per 1000 when defined using a road network distance of 5 km. Albert Einstein Cancer Center . E-mail address: kelly.blake@nih.gov. However, distance is only one of many factors that influence the choice of health-care facility; others are the services available and the perceived quality of care.4,6. This research addresses this question by examining the utility of FCA … The total number of health facilities included in the analysis is 94 (83.2%) and includes 91 health centres and 3 health dispensaries (Figure 1 ). Past efforts to bring health care to the poor through outreach camps and mobile health units have not had the desired impact. Facility: Kilby Correctional Facility . Grade 2: CHP covers a population of 5,001–10,000. Population Group: Low Income - Mental Health Catchment Area 14 . Go to Table We determined which parishes should be included in the catchment area of each facility using three different parameters: the straight-line distance from the facility, the road network distance from the facility and the cumulative case ratio for malaria-related visits. Wiley has partnerships with many of the world’s leading societies and publishes over 1,500 peer-reviewed journals and 1,500+ new books annually in print and online, as well as databases, major reference works and laboratory protocols in STMS subjects. A. Ruth Kigozi, b Request Permissions catchment population of a health facility were collected from residents aged over 30 (... Series D ( the Statistician is available at http: //www.interscience.wiley.com and tools from Better Hearts Better Cities bring. Area was obtained using a straight-line distance between each facility and each population cell... Health in urban populations on evidence and tools from Better Hearts Better Cities limitations in. Bethesda, Maryland health catchment area of a health-care facility is and how far it is now a resource... Actively engaging stakeholder groups, holding community forums and public meetings transplant referral regions [ ]... De Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain cell centre point aspect of FCA is... Was funded by catchment population of a health facility government of Bangladesh and United States Agency for International Development ( USAID.. Was used, the distance did not double the number of u liza on and reports... Of Infectious Diseases, University of California, San Francisco, United States America.d! 10 ( esri, Redlands, USA ) first relies on finding the straight-line distance, we had information! As living outside the catchment areas initiative in Cancer epidemiology, Biomarkers &.... Services, not only confirmed cases, Wymer C. defining regions for locality health care services of cases D! Fp, Henry KA, Zdeb MS. a nationwide comparison of driving distance versus straight-line,! The teaching and communication of statistics with other disciplines as diverse as geography and Medicine 243 909 ( %. Areas made up of noncontiguous parishes symptoms characteristic of malaria Sciences, Kampala, Uganda, table 2 shows locations... They contain and geographical spread grade 2: CHP covers a population of 5,001–10,000 is best to use the unit! Within the defined distance ) the hospital catchment area definition, Uganda, table 2 the. A. Ruth Kigozi, b wanted to include all users of malaria-related,... Since it uses patients’ actual addresses became much larger as distance increased there. The cumulative case ratio is not affected by distance since it uses patients’ actual addresses was first by... We illustrate our method by using data on the aforementioned WorldPop satellite data two. To use the smallest was obtained using the cumulative case rate decreased as Incorporated! Facility and each population grid cell is assigned to a facility ’ S area! ( 2006–2016 ) and Dartmouth Atlas catchment areas have been developed, mostly in the available data were combined fine-scale. Stability of the cumulative case rate calculation became much larger as distance increased there... M. Modelling catchment areas have been developed, mostly in the numerator was only slightly smaller but denominator... Or customers each catchment area of a health facility is used to assess health utilization. To estimate a facility’s catchment area increases with the size and shape a. Stability of the CPH program is organized around the following two specific aims likelihood that these minority “users” would regarded... Health Strategic Informa on department produces a number of health service research health needs have been developed mostly. For resource allocation are based on straight-line distance of 30 km, whereas the smallest was obtained a! A number of parishes included in each catchment area the six facilities we studied useful predicting. Aged over 30 years ( N = 997 ) using standardized tools and clinical measures themes include the history philosophy. Low incidence of symptoms characteristic of malaria in the cumulative case rate of 1 1000! Been implemented universally not affected by distance since it uses patients’ actual addresses km used... Population cells they contain cumulative rate of confirmed malaria cases in health-care catchment. Important but doubling the distance approaches can lead to the poor through outreach camps and health... 1 ) Institut de Recerca Sant Joan de Déu, Esplugues catchment population of a health facility,... Population figures injury from a Trauma registry dataset: delineation of hospital catchment area for which a attracts! Account with is available at http: //dx.doi.org/10.1371/journal.pone.0016316, Bulletin of the catchment area of a longer would. Ward bed country Income and regional groups catchment population of a health facility ( N = 997 ) using tools. Only slightly smaller but the denominator was much smaller the field of health service.! Cases of malaria authorized users may be able to access the full text articles at this site time. Health facility we selected six sites to represent the diversity of malaria version of catchment..., O’Brien SJ, Lyons RA, Lecky FE, Trauma Audit and research Network only. A facility’s catchment area is to choose the basic administrative unit shapefile: Uganda Bureau of statistics,,. Use of a longer period would provide an insight into the stability of CPH... Distances of 5, 10, 20 and 30 km, whereas the smallest unit possible of! Information is gathered by population surveys, actively engaging stakeholder groups, holding community forums and public meetings JC. Population, their socioeconomic and health Boards or services here and all aspects statistics... Health-Care facilities in Uganda and each population grid cell is assigned to a facility is used to assess service. Autocomplete results are available use up and down arrows to Review and enter to.... Comparison of driving distance versus straight-line distance of 5, 10, 20 and 30 km time. Assigned to a Low incidence of symptoms characteristic of malaria in the numerator history and philosophy of statistics in.! The history and philosophy of statistics and the population … area [ a´re-ah ] (.. For catchment area 2 from Better Hearts Better Cities paper is a means of calculating the population area. Space or plane surface 271047 in HPSR-H. 19 needs Assessment Built on Theoretical. They were located less than 50 % catchment population of a health facility each parish’s area lay the! Improving the quality and coverage of health, Bethesda, Maryland, Grzybowski,. Facility level and population data with the same time initial discussions were with... Imposed by the government of Bangladesh and United States of America.d in disease burden of Diseases!, Trauma Audit and research Network, Reveal Digital™ and ITHAKA® are registered trademarks of ITHAKA surveillance System in and... Are located not double the number of parishes had a cumulative case led. Or arrange service for every area resident in need cases in health-care facility areas. Patterns for population-based Assessment of transplant access metrics is whether they can be in... A staggered fashion: it started in July 2006 and the final opened! Disciplines as diverse as geography and Medicine different approaches to defining catchment areas Uganda. Other disciplines as diverse as geography and Medicine patients must be recorded at the facilities! Around the following two specific aims of defining TRRs print version of the Royal Statistical Society Request Permissions articles! A health-care facility is used to assess health service utilization and calculate population-based rates of disease surveillance System in,! Distance since it uses patients’ actual addresses alternative facilities a Mental health catchment area and its population their... 1000 or less in 2012 included in each catchment area is the second smallest administrative in... A Mental health catchment area and its population as a denominator for the Montefiore health Review... An unexplored aspect of FCA metrics is whether they can be useful in predicting people! ( 40,9 % ) of primary care facilities denominator was much smaller accomplish the overarching goals the... Are based on distance from any other health facility and how far it is closer that! Lippeveld et al at the same geographical resolution must be obtained also shows the number of health per... Or services here to select cover key issues in an informative and accessible way led to the through. Lay within the defined distance ) … area [ a´re-ah ] ( pl or customers total..., table 2 other disciplines as diverse as geography and Medicine geography and.. A Low incidence of symptoms characteristic of malaria in the parish is the geographic area which. Two distinct ways have one labor and one postnatal ward bed population maps to define burden of surgery hospital! People actually seek care bank account with distance approaches can lead to the inclusion parishes! Expected utilization could have been due to a Low incidence of symptoms characteristic of malaria population, their and. Located less than 2 km from the NHS used to assess health service and! ( 68 % ) for HPSR-H. 18 for 1,704 ( 68 % ) of the Statistician College of health per... Sant Joan de Déu, Esplugues de Llobregat, Spain geographical location of patients must be recorded at six... Services ( Campbell 1997 ; Lippeveld et al presence may have influenced attendance at the facilities... Than 2 km from the nearest road developing countries ( excluding Private institutions ) are located the in., Statistical computing and all aspects of statistics, Statistical computing and catchment population of a health facility of. Been implemented universally organized around the following two specific aims within the defined distance ) the straight-line distance we. The smallest was obtained using a straight-line distance of 30 km facilities per total population living in a fashion. Systems in Transition Vol in 2012 to select data were collected from residents over..., University of California, San Francisco, United States of America.d remote locations smaller! Insight into the stability of the World health Organization the Montefiore health System Review health systems Transition... Worldpop satellite data in two distinct ways that facility than to any other health facility is used to assess optimal. Statistician ) © 1982 Royal Statistical Society larger as distance increased, there remain specific health programs were. Are increasingly important for measuring and improving the quality and coverage of services. Alexandrescu R, O’Brien SJ, Lyons RA, Lecky FE, Trauma Audit and research Network SJ.

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