• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

2010 年《患者保护与平价医疗法案》和《医疗保健与教育协调法案》对癌症护理服务的影响。

The implications of the 2010 Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act on cancer care delivery.

机构信息

The Institute for Cancer Care Excellence, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.

出版信息

Cancer. 2011 Apr 15;117(8):1564-74. doi: 10.1002/cncr.25725. Epub 2010 Nov 8.

DOI:10.1002/cncr.25725
PMID:21472704
Abstract

In March 2010, President Obama signed into law the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act. This legislation attempts to address cost control and improve the quality of healthcare in the United States. Cancer is a major health problem in the United States and the leading cause of death for Americans under the age of 80. Therefore, cancer care providers need to be fully engaged in ongoing discussions regarding quality measurement and care delivery. With the optimum level of collaboration and support, the proposals in the legislation can be properly structured to deliver improved access to care via better delivery systems, as well as more appropriate reimbursement to advance the prevention and treatment of cancer.

摘要

2010 年 3 月，奥巴马总统签署了《患者保护与平价医疗法案》和《医疗保健与教育协调法案》。这项立法旨在控制成本并提高美国的医疗保健质量。癌症是美国的一个主要健康问题，也是 80 岁以下美国人的主要死因。因此，癌症护理提供者需要充分参与关于质量测量和护理提供的持续讨论。通过最佳水平的协作和支持，立法中的提案可以进行适当的构建，通过更好的交付系统提供更好的护理机会，并提供更适当的报销，以推进癌症的预防和治疗。

相似文献

1
The implications of the 2010 Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act on cancer care delivery.2010 年《患者保护与平价医疗法案》和《医疗保健与教育协调法案》对癌症护理服务的影响。
Cancer. 2011 Apr 15;117(8):1564-74. doi: 10.1002/cncr.25725. Epub 2010 Nov 8.
2
An opportunity for coordinated cancer care: intersection of health care reform, primary care providers, and cancer patients.协调癌症护理的机会：医疗改革、初级保健提供者和癌症患者的交集。
Cancer J. 2010 Nov-Dec;16(6):593-9. doi: 10.1097/PPO.0b013e3181feee9a.
3
The 2010 Health Care Reform Act: a potential opportunity to advance cancer research by taking cancer personally.2010 年《医保改革法案》：通过将癌症视为个人问题来推进癌症研究的潜在机会。
Clin Cancer Res. 2010 Dec 15;16(24):5987-96. doi: 10.1158/1078-0432.CCR-10-1216.
4
Impact of health care reform on the cancer patient: a view from cancer executives.医疗改革对癌症患者的影响：癌症执行官的观点。
Cancer J. 2010 Nov-Dec;16(6):600-5. doi: 10.1097/PPO.0b013e3181feeba1.
5
Accountable care organizations hold promise, but will they achieve cost and quality targets?accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets? accountable care organizations hold promise, but will they achieve cost and quality targets?
6
Health-care reform's great expectations and physician reality.医疗改革的巨大期望与医师的现实
Ann Pharmacother. 2010 Sep;44(9):1492-5. doi: 10.1345/aph.1P180. Epub 2010 Aug 11.
7
Patient Protection and Affordable Care Act of 2010: reforming the health care reform for the new decade.2010 年患者保护与平价医疗法案：为新十年改革医疗改革。
Pain Physician. 2011 Jan-Feb;14(1):E35-67.
8
Impact of health care reform legislation on uninsured and medicaid-insured cancer patients.医疗改革立法对未参保和享受医疗补助保险的癌症患者的影响。
Cancer J. 2010 Nov-Dec;16(6):577-83. doi: 10.1097/PPO.0b013e31820189cb.
9
American Society of Clinical Oncology policy statement: opportunities in the patient protection and affordable care act to reduce cancer care disparities.美国临床肿瘤学会政策声明：《患者保护与平价医疗法案》中有机会减少癌症治疗差距。
J Clin Oncol. 2011 Oct 1;29(28):3816-24. doi: 10.1200/JCO.2011.35.8903. Epub 2011 Aug 1.
10
Achieving a deeper understanding of the implemented provisions of the Affordable Care Act.更深入地理解《平价医疗法案》的实施条款。
Am Soc Clin Oncol Educ Book. 2014:e472-7. doi: 10.14694/EdBook_AM.2014.34.e472.

引用本文的文献

1
Cervical Cancer Screening Collaborations Between National Cancer Institute Cancer Centers and Safety-Net Settings of Care, 2022.2022年美国国立癌症研究所癌症中心与安全网医疗服务机构之间的宫颈癌筛查合作
Public Health Rep. 2025 Jul 8:333549251316190. doi: 10.1177/00333549251316190.
2
Changes in receipt of adjuvant brachytherapy for endometrial cancer patients before and after affordable care act: The impact of Medicaid expansion.《平价医疗法案》实施前后子宫内膜癌患者辅助近距离放射治疗的接受情况变化：医疗补助扩大的影响
J Contemp Brachytherapy. 2023 Jun;15(3):206-211. doi: 10.5114/jcb.2023.127838. Epub 2023 Jun 1.
3
Associations of Insurance Churn and Catastrophic Health Expenditures With Implementation of the Affordable Care Act Among Nonelderly Patients With Cancer in the United States.
Manag Care. 2010 Oct;19(10):12-6, 19.
美国癌症非老年患者的保险退保率和灾难性医疗支出与平价医疗法案实施的关联。
JAMA Netw Open. 2021 Sep 1;4(9):e2124280. doi: 10.1001/jamanetworkopen.2021.24280.
4
Disparities in Breast Cancer Survivors in Rural West Texas.德克萨斯州西部农村地区乳腺癌幸存者的差异。
Cancer Control. 2021 Jan-Dec;28:10732748211042125. doi: 10.1177/10732748211042125.
5
Propensity Score Matching Analysis of the Effect of Payer Status on the Survival of Colon Cancer Patients.支付者状态对结肠癌患者生存影响的倾向评分匹配分析
Cureus. 2021 Jun 18;13(6):e15748. doi: 10.7759/cureus.15748. eCollection 2021 Jun.
6
Features, Predictors, and Treatment of Breast Cancer-related Lymphedema.乳腺癌相关淋巴水肿的特征、预测因素及治疗
Curr Breast Cancer Rep. 2020 Dec;12(4):244-254. doi: 10.1007/s12609-020-00381-0. Epub 2020 Sep 9.
7
"It still affects our economic situation": long-term economic burden of breast cancer and lymphedema.“它仍然影响着我们的经济状况”：乳腺癌和淋巴水肿的长期经济负担。
Support Care Cancer. 2019 May;27(5):1697-1708. doi: 10.1007/s00520-018-4418-4. Epub 2018 Aug 18.
8
Adapting to a Shifting Health Care Landscape: Illinois Breast and Cervical Cancer Program Lead Agencies' Perspectives.适应不断变化的医疗保健格局：伊利诺伊州乳腺癌和宫颈癌项目牵头机构的观点。
Health Promot Pract. 2019 Jul;20(4):600-607. doi: 10.1177/1524839918776012. Epub 2018 May 14.
9
The relationship between physical and psychological symptoms and health care utilization in hospitalized patients with advanced cancer.晚期癌症住院患者身体和心理症状与医疗保健利用之间的关系。
Cancer. 2017 Dec 1;123(23):4720-4727. doi: 10.1002/cncr.30912. Epub 2017 Oct 23.
10
The Affordable Care Act and Cancer Care Delivery.《平价医疗法案》与癌症医疗服务提供
Cancer J. 2017 May/Jun;23(3):163-167. doi: 10.1097/PPO.0000000000000259.