Addressing healthcare needs in an inaugural family medicine clinic in a core city in Japan: Mixed-methods research

IF 1.8 Q2 MEDICINE, GENERAL & INTERNAL

Journal of General and Family Medicine Pub Date : 2025-03-21 DOI:10.1002/jgf2.777

Junki Mizumoto MD, PhD, Maki Nishimura MD, MSc, Naoko Ishikawa MD, MSc, PhD, Kana Hisatake MD, Eri Satake, Shizuka Yamamoto, Shota Tsuno

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Abstract

Background

There exists little research elucidating the benefits of family medicine clinics for community with ample specialist healthcare resources.

Methods

We conducted mixed-methods research. Within the inaugural family medicine clinic, the following data was collected during the initial 2 months: (i) newly identified healthcare needs among scheduled outpatients; (ii) management of outpatients with complex health and social needs; and (iii) provision of home-visit care. Newly detected health care needs were summarized qualitatively using a summative content analysis. Patients' complexity was quantitatively scored using the Japanese version of the Patient Centred Assessment Method.

Results

Physicians identified 156 new needs and 13 complex cases. The complexity of patients receiving home-visit care was high.

Conclusions

This study demonstrates that an inaugural family medicine clinic adeptly addressed a diverse spectrum of patients' healthcare needs.

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解决日本核心城市首个家庭医学诊所的医疗保健需求：混合方法研究

背景很少有研究阐明家庭医学诊所对专科医疗资源充足的社区的益处。方法采用混合方法进行研究。在开业的家庭医学诊所内，在最初的2个月内收集了以下数据：(i)在预定门诊患者中新确定的医疗保健需求；（ii）管理有复杂健康和社会需要的门诊病人；（三）提供家访服务。使用总结性内容分析对新发现的卫生保健需求进行定性总结。使用日本版的以患者为中心的评估方法对患者的复杂性进行定量评分。结果医师发现156例新增需求和13例复杂病例。接受家访护理的患者复杂程度高。结论：本研究表明，一个首次家庭医学诊所熟练地解决了病人的各种医疗保健需求。

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