The Ecology of Medical Care During the COVID-19 Pandemic in Japan: a Nationwide Survey

Aoki, Takuya; Matsushima, Masato

doi:10.1007/s11606-022-07422-7

Cited by 19 publications

(14 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several previous studies revealed changes in health care utilization in the outpatient clinic, hospital setting, and home care service due to the COVID-19 pandemic [ 4 , 5 , 9 – 11 ]. Xu et al reported significant reductions in inpatients, emergency department, and outpatient utilization in the early days of the pandemic [ 5 ]; however, other studies reported that the evidence in the home care setting in the USA was controversial [ 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Changes in home visit utilization during the COVID-19 pandemic: a multicenter cross-sectional web-based survey

et al. 2022

View full text Add to dashboard Cite

Objective Home care is one of the essential community health care services; thus, identifying changes of home care utilization before and during the COVID-19 pandemic would be useful for researchers and policymaker to reconsider the home care system, the support needed for home care staff, and the collaborative system with hospitals in the COVID-19 era. We conducted a multicenter cross-sectional web-based anonymous survey of the directors of home visit facilities in Japan in August 2021. Results A total of 33 participants from 37 facilities responded to the survey. The number of patients dying at home and newly requested home visits increased during the COVID-19 pandemic (74.2%, 71.0%). One possible reason was the restricted visitation of inpatient facilities (93.5%). The underlying disease that the largest number of participants perceived as having increased compared with before the COVID-19 pandemic was cancer (51.6%). There were no significant differences in being in a rural area or the number of doctors in perceived changes in home visit utilization. Our study indicated that the director of home visit facilities thought the number of patients dying at home and newly requested home visits had increased compared with before the COVID-19 pandemic.

show abstract

Section: Introductionmentioning

confidence: 99%

Changes in home visit utilization during the COVID-19 pandemic: a multicenter cross-sectional web-based survey

et al. 2022

View full text Add to dashboard Cite

show abstract

“…It is necessary to periodically revise the list among the stakeholders involved in the field implementation. In fact, this study is both limited and valuable in that the data were collected and analyzed before the outbreak of COVID-19 infection, which had a significant impact on the GP/FP role [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

Competency lists for urban general practitioners/family physicians using the modified Delphi method

et al. 2023

View full text Add to dashboard Cite

Background In recent years, the growing global urbanization and urban population have resulted in the emergence of various health problems unique to urban areas. Therefore, training general practitioners and family physicians who can tackle the complex health problems of urban areas and improve the health of urban people is one of the most important issues of our time. However, findings on competencies for urban general practitioners (GP) and family physicians (FP) were limited. This study aimed to identify their comprehensive and content-validated list of competencies. Methods We used the modified Delphi method to develop a content-validated competency list. First, we analyzed and synthesized the competencies extracted from the literature review using qualitative thematic analysis methods to create an initial competency list of 34 items. We then assembled 39 expert panelists in four groups of study participants: physicians, nurses, patients, and medical education specialists. The expert panelists were asked to indicate their level of agreement with the lists and provide revised comments on the description of each competency via a web-based questionnaire. Their responses were analyzed quantitatively and qualitatively by the research team and used to revise the list. These processes were repeated, and the survey was completed when it was determined that consensus had been reached. Results Three rounds of Delphi were conducted. 39 responded in the first round, 38 in the second round, and 36 in the third round. The initial list of competencies was revised and consolidated from 34 to 14 items in the first round, bringing the total to 20 items along with six new items proposed by the panelists. In the second round, it was revised and consolidated into a list of 18 items. In the third round, all 18 items were considered to have been agreed upon by the panelists, so the survey was closed. Conclusion We identified a comprehensive 18-item list of competencies for urban GP/FP in a content-validated manner. Several are newly discovered competencies in this study. The findings of this study will be useful for the future training of urban GP/FP and for solving urban health problems.

show abstract

“…Additionally, healthcare use in Japan has changed. Aoki and Matsushima highlighted the need to strengthen primary care functions such as support for populations with social isolation and multimorbidity 29. Further research should consider changing the programme to an online format and modifying the primary care learning topics to be covered.…”

Section: Discussionmentioning

confidence: 99%

Use of a 2-year continuing professional development programme to change Japanese physicians’ attitudes to learning primary care: a qualitative study

Seki

Fujinuma²,

Matsushima

et al. 2022

BMJ Open

Self Cite

View full text Add to dashboard Cite

ObjectiveTo evaluate changes in the learning attitudes of primary care physicians.DesignQualitative study through one focus group interview with the programme’s participants. Analysis of the focus group content using the Steps for Coding and Theorization method.SettingJapan.ParticipantsEight primary care physicians who completed a 2-year continuing professional development (CPD) programme using a problem-based learning (PBL) approach, focused on acquiring the skills needed to practise as primary care physicians in the community.ResultsParticipants described positive changes in their attitudes and behaviours as a result of the training programme. These changes were grouped into three main themes: ‘changes in learning methods regarding medical practice’, ‘encounters with diverse perspectives and values, and confidence gained from those encounters’, and ‘showing one’s attitude towards learning and its influence on others’. The experienced practitioners participating in this study reported that the programme helped them apply their skills more broadly; for example, searching the literature for psychosocial aspects of practice and engaging more comfortably with diverse perspectives. They reported the positive impact of their learning on their coworkers.ConclusionA 2-year CPD programme using PBL can influence primary care physicians’ attitudes and learning-related behaviours. Further research is needed to determine which specific aspects of the programme are the most effective and whether the changes in attitudes and behaviours described affect patient care.

show abstract

The Ecology of Medical Care During the COVID-19 Pandemic in Japan: a Nationwide Survey

Cited by 19 publications

References 25 publications

Changes in home visit utilization during the COVID-19 pandemic: a multicenter cross-sectional web-based survey

Changes in home visit utilization during the COVID-19 pandemic: a multicenter cross-sectional web-based survey

Competency lists for urban general practitioners/family physicians using the modified Delphi method

Use of a 2-year continuing professional development programme to change Japanese physicians’ attitudes to learning primary care: a qualitative study

Contact Info

Product

Resources

About