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    <Identifier>26isfam113</Identifier>
    <IdentifierDoi>10.3205/26isfam113</IdentifierDoi>
    <IdentifierUrn>urn:nbn:de:0183-26isfam1132</IdentifierUrn>
    <ArticleType>Meeting Abstract</ArticleType>
    <TitleGroup>
      <Title language="en">Integrating Research into a Healthcare Clowning Organization: A Systemic Health Approach from the Pallapupas Case Study</Title>
    </TitleGroup>
    <CreatorList>
      <Creator>
        <PersonNames>
          <Lastname>B&#252;dgen Escario</Lastname>
          <LastnameHeading>B&#252;dgen Escario</LastnameHeading>
          <Firstname>Christian</Firstname>
          <Initials>C</Initials>
        </PersonNames>
        <Address>
          <Affiliation>Co-director of Pallapupas: Hospital Clown &#38; Emocional Care Organization</Affiliation>
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          <Corporatename>German Medical Science GMS Publishing House</Corporatename>
        </Corporation>
        <Address>D&#252;sseldorf</Address>
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    <SubjectGroup>
      <SubjectheadingDDB>610</SubjectheadingDDB>
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    <DatePublishedList>
      <DatePublished>20260612</DatePublished>
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    <Language>engl</Language>
    <License license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0/">
      <AltText language="en">This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License.</AltText>
      <AltText language="de">Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung).</AltText>
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      <Meeting>
        <MeetingId>M0652</MeetingId>
        <MeetingSequence>113</MeetingSequence>
        <MeetingCorporation>International Society for Arts and Medicine</MeetingCorporation>
        <MeetingName>The Healing Arts &#8211; Forging Alliances of Arts &#38; Medicine</MeetingName>
        <MeetingTitle></MeetingTitle>
        <MeetingSession>Presentation Abstracts</MeetingSession>
        <MeetingCity>Berlin</MeetingCity>
        <MeetingDate>
          <DateFrom>20260618</DateFrom>
          <DateTo>20260620</DateTo>
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    <ArticleNo>26isfam113</ArticleNo>
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      <MainHeadline>Text</MainHeadline><Pgraph>This presentation examines how Pallapupas, a healthcare clowning organization, has strategically embedded research and evidence generation into its mission to maximize impact, strengthen accountability, and expand its influence within the health sector. Beyond its artistic or emotional-support function, the organization has adopted a structured research model designed to build scientific credibility and foster institutional partnerships. This approach is explicitly aligned with the <Mark1>Quintuple Aim</Mark1>, contributing simultaneously to improving patient experience, enhancing population health, reducing costs, supporting healthcare workforce wellbeing, and promoting equity.</Pgraph><Pgraph>We present a three-phase research strategy: (1) Mapping evidence gaps in healthcare settings, particularly those related to emotional and psychosocial dimensions that remain under-measured; (2) Generating subjective and objective wellbeing indicators, as well as cost-reduction and efficiency metrics; and (3) Sharing findings with the broader scientific community and public health systems. Special emphasis is placed on how this evidence strengthens multiple organizational functions, including communications, policy advocacy, and fundraising.</Pgraph><Pgraph>The session will also address the practical challenges of integrating research within hospital environments&#8212;such as data-protection requirements, ethical approvals, and operational variability&#8212;and propose scalable, clinically validated solutions. Finally, we introduce our long-term vision: the creation of an <Mark1>Emotional Health Observatory</Mark1>, aimed at centralizing, standardizing, and disseminating insights across the sector.</Pgraph><Pgraph>This case study offers applicable learnings for organizations seeking to align emotional care with rigorous evidence frameworks, ultimately reinforcing their contribution to more human-centered, equitable, and sustainable public health ecosystems.</Pgraph></TextBlock>
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