Journal of General and Family Medicine最新文献

{"title":"Characteristics of patients with somatoform pain disorder","authors":"Lena Barth,&nbsp;Linda Baumbach PT, PhD,&nbsp;André Hajek,&nbsp;Lutz Götzmann MD,&nbsp;Katrin Feiks MD,&nbsp;Michael Rufer MD,&nbsp;Kyrill Schwegler MD,&nbsp;Bianca Schwennen MD,&nbsp;Kirstin Bernhardt MD,&nbsp;Uwe Wutzler MD,&nbsp;Paul Kaiser,&nbsp;Lutz Wittmann,&nbsp;Adrian Siegel MD","doi":"10.1002/jgf2.735","DOIUrl":"10.1002/jgf2.735","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Patients with somatoform pain experience physical pain that cannot be attributed to any underlying medical or physiological cause, and it is often thought to be related to psychological factors. Health professionals encounter difficulties identifying this specific type of chronic pain, leading to suboptimal treatment strategies. Therefore, we aimed to describe the characteristics of patients with somatoform pain, to support the identification of affected patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We collected and analyzed a cross-sectional survey data from 200 patients with somatoform pain admitted to one of three psychosomatic centers in Germany between August 2013 and July 2014. The survey contains 10 different categories, all of them referring to pain-related topics. Within the survey, we analyzed validated as well as non-validated questionnaires. Here, we present the following five: Personal data, Body: Pain perception, Cognition: Pain processing, Pain behavior, and Physical complaints.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Our results highlight that most patients with somatoform pain experience it in several body parts and as persisting, lasting &gt;12 h/day (50%), and constantly changing (71%). Furthermore, patients indicate feelings of helplessness, by agreeing to the expressions the pain controls me (70%). Finally, we found that pain is predominantly seen as suffering, failing to convey emotional pain, despite cognitively acknowledging the dependency of emotional and physical pain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The study identified specific and distinctive characteristics in the emotional and behavioral responses of patients with somatoform pain, potentially distinguishing them from other patients with chronic pain.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"26 1","pages":"65-72"},"PeriodicalIF":1.8,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11702402/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role-play-based coaching program for empowering clinical educators","authors":"Hajime Kasai MD, PhD,&nbsp;Kiyoshi Shikino MD, PhD, MHPE, FACP,&nbsp;Shogo Mohri MD,&nbsp;Asuka Sato MD, PhD,&nbsp;Hidetaka Yokoh MD, PhD, MHPE","doi":"10.1002/jgf2.739","DOIUrl":"10.1002/jgf2.739","url":null,"abstract":"<p>Coaching in medical education is a valuable method for enhancing the well-being and job satisfaction of medical professionals, particularly through interactive conversations that foster self-awareness and independent action. A 90-min coaching training program, incorporating lectures and role-plays, was conducted to equip medical professionals with essential coaching skills. The program was well received, and there are plans to expand and tailor future programs to further develop these skills among various healthcare educators.\u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure>\u0000 </p>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"26 1","pages":"108-109"},"PeriodicalIF":1.8,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11702476/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a Japanese version of the patient perceptions of deprescribing – Short form","authors":"Mio Kushibuchi MD,&nbsp;Kenya Ie MD, PhD, MPH,&nbsp;Masaki Takahashi MSc,&nbsp;Amy M. Linsky MD, MSc,&nbsp;Steven M. Albert PhD","doi":"10.1002/jgf2.733","DOIUrl":"10.1002/jgf2.733","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Deprescribing is a critical component of clinical practice, especially in geriatric medicine. Nevertheless, the attributes of patients who are prepared for, interested in, and could potentially benefit from deprescribing have not been well examined. The Patient Perceptions of Deprescribing (PPoD) evaluates patients' overall readiness for deprescribing and is complemented by an 11-item validated short form (SF-PPoD). The objective of this study was to develop a Japanese version of the SF-PPoD and assess its reliability and validity within Japanese older adults with polypharmacy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The SF-PPoD was translated, back-translated, and assessed in a cognitive interview. We conducted a cross-sectional survey with 196 patients aged 65 years or older with five or more medications using the Japanese version to test for reliability and validity. We examined internal consistency and construct validity to determine if the Japanese sample responses reproduce the two subscales in the original SF-PPoD. Finally, we examined intra-person replicability using the intraclass correlation coefficient, in which 100 participants were invited and 93 participated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>118 males and 78 females, with a mean age of 79.2 [SD 6.5] years, completed the survey. Confirmatory factor analysis of the Japanese version of SF-PPoD revealed satisfactory structural validity with two-dimensional structure, “Motivation for Deprescribing” and “Primary Care Physician Relationship.” Cronbach's alpha showed good internal consistency, and test–retest demonstrated acceptable intra-rater reliability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>We developed and validated a Japanese version of SF-PPoD with an 11-item, two-dimensional structure consistent with the original SF-PPoD. This scale may facilitate shared decision-making for medication optimization among older adults living with multimorbidity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"26 1","pages":"45-53"},"PeriodicalIF":1.8,"publicationDate":"2024-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11702458/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute mesenteric ischemia with abdominal skin mottling","authors":"Masahiro Yabe MD,&nbsp;Yuji Nomoto MD,&nbsp;Hitomi Watanabe MD","doi":"10.1002/jgf2.737","DOIUrl":"10.1002/jgf2.737","url":null,"abstract":"<p>We report a rare case of a 90-year-old woman with Stage IV lung cancer awaiting transfer to hospice care who developed sudden abdominal and knee skin mottling. Elevated inflammatory markers on blood tests and emergent computed tomography led to a diagnosis of acute mesenteric ischemia, and the patient passed away 7 h later. Skin mottling indicates decreased blood flow in the gastrointestinal tract and is observed during mesenteric ischemia. Abdominal skin mottling may serve as an important physical finding that is detected early and suggests circulatory failure and intestinal ischemia.</p>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"26 1","pages":"95-97"},"PeriodicalIF":1.8,"publicationDate":"2024-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11702435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between chronic diseases and severe periodontal disease progression: A retrospective cohort study in a city of Japan","authors":"Sayaka Nin MD,&nbsp;Yu Sun MD, PhD,&nbsp;Takami Maeno MD, PhD,&nbsp;Chihiro Nishiura MD, PhD,&nbsp;Kento Taira DDS, PhD,&nbsp;Kenji Fujimoto PhD,&nbsp;Jun Hamano MD, PhD,&nbsp;Sachiko Ozone MD, PhD,&nbsp;Tetsuhiro Maeno MD, PhD","doi":"10.1002/jgf2.734","DOIUrl":"10.1002/jgf2.734","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Chronic periodontal disease primarily causes tooth loss and oral frailty and is linked to chronic conditions such as diabetes mellitus. However, its progression and broader studies on chronic diseases have not been well explored. This study aimed to investigate this association using claims data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This retrospective cohort study used linked medical, dental, and pharmacy claims data from a local municipality in Japan. The study included participants aged 40–70 years who had received medical care between April 2017 and March 2018. Exposures included age, sex, and common chronic diseases previously reported to be associated with periodontal diseases (21 diseases). We defined the outcome, “progression of severe periodontitis” as the worsening of periodontal disease to a severe stage requiring surgery or tooth extraction, determined by the presence of a periodontal surgery code or a deeper probing pocket depth (≥6 mm) code along with the tooth extraction procedure code. The participants were followed up until March 2022, and multivariate analysis was conducted using Cox proportional hazard models.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among 28,846 participants, 1035 (3.6%) progressed to severe periodontal disease. In the multivariate analysis, only diabetes mellitus was significantly associated with severe periodontal disease, with a hazard ratio of 1.26 (95% confidence interval, 1.08–1.53) among all chronic diseases.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Patients with diabetes mellitus had a high risk of severe periodontal disease progression, suggesting that proactive dental visits should be recommended to prevent severe periodontal disease.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"26 1","pages":"54-64"},"PeriodicalIF":1.8,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11702433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A process for conducting mixed methods data analysis","authors":"John W. Creswell PhD,&nbsp;Machiko Inoue MD, MPH, PhD","doi":"10.1002/jgf2.736","DOIUrl":"10.1002/jgf2.736","url":null,"abstract":"<p>The process of mixed methods data analysis has long been understudied and needs clear guidance for researchers. This review article honors Michael D. Fetters' pioneering work on mixed methods data analysis, building on his concepts of integration, joint displays, and metainferences. This review summarizes existing mixed methods data analysis discussions and proposes advanced steps for the analysis process. Our approach involves identifying a research problem, collecting diverse data, selecting a mixed methods design, integrating the data within the design, using joint displays for analysis, and drawing metainferences. We illustrate our methods with a Japanese empirical research study from family medicine. This article contributes to the field of mixed methods research by detailing a practical process approach to mixed methods analysis combining recent procedures in the field of mixed methods research.</p>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"26 1","pages":"4-11"},"PeriodicalIF":1.8,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11702478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative perspectives on the Japanese transitional care system","authors":"Rio Ohashi,&nbsp;Mayuko Sato BS,&nbsp;Kenzo Takahashi MD, PhD,&nbsp;Hayase Hakariya PhD","doi":"10.1002/jgf2.732","DOIUrl":"10.1002/jgf2.732","url":null,"abstract":"&lt;p&gt;The Japan Pediatric Society (JPS) recommended transitional care for childhood-onset chronic diseases in 2022.&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt; Advances in pediatric medicine have enabled the effective treatment and control of previously incurable diseases. However, this progress led to pediatricians continuing to treat adult patients for prolonged treatments and follow-ups. This situation extends the workload for pediatricians and involves managing adult diseases beyond their specialty. Therefore, a comprehensive support system is essential to ensure the smooth transition of patients to appropriate adult medical providers as they age. Herein, we compare the approaches to transitional care in Japan and the United Kingdom (UK), both committed to transitional care support. We selected the UK for comparison due to its pioneering role in transitional care support. The UK provides comprehensive support in each local health authority under the lead of the National Health Service (NHS). Given that Japan has recently begun implementing support on a prefectural basis, there might be potential to adapt and apply strategies from the UK system to the Japanese context.&lt;/p&gt;&lt;p&gt;In the UK, the NHS emphasizes support throughout the transitional care process, from initial planning to transfer and subsequent support in adult care.&lt;span&gt;&lt;sup&gt;2&lt;/sup&gt;&lt;/span&gt; Pediatric consultants assist patients with neonatal diseases, while nurses in the transition team coordinate sharing medical records with general practitioners. This structured approach in the UK differs from that in Japan. The JPS defines transitional care as a “transition from pediatric care to adult care appropriate for individual patients.”&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt; Thus, the JPS advocates for supporting medical systems rather than overseeing the entire transition process.&lt;/p&gt;&lt;p&gt;One background for the JPS's focus presumably stems from the delayed establishment of transitional care support centers in Japan with function of bridging pediatric care specialists and adult care facilities supporting patients in transition. Despite the enactment of the Basic Law for Child and Maternal Health and Child Development in 2018, Japan's Ministry of Health, Labour and Welfare requested prefectures to establish these centers, as of January 2024,&lt;span&gt;&lt;sup&gt;3&lt;/sup&gt;&lt;/span&gt; only 9 out of 47 prefectures had done so, primarily in urban areas such as Tokyo and Osaka. Given that 120,000 individuals receive annual subsidies for medical expenses related to chronic childhood-onset diseases,&lt;span&gt;&lt;sup&gt;4&lt;/sup&gt;&lt;/span&gt; additional efforts are needed to accelerate the establishment of centers and address regional disparities.&lt;/p&gt;&lt;p&gt;Moreover, the nine Japanese transitional care support centers exhibit functional and administrative disparities. Different prefectures assign various departments to oversee transitional care support, leading to inconsistencies due to the lack of standard requirements. For example, some prefectures assign child support depa","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"26 1","pages":"106-107"},"PeriodicalIF":1.8,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11702474/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A qualitative descriptive study examining the impact of child-raising experience on Japanese family doctors","authors":"Manabu Fujihara MD,&nbsp;Satoko Watanabe MD,&nbsp;Kuniko Kodama RN, MS,&nbsp;Koki Nakamura MD, PhD,&nbsp;Maham Stanyon MBBS, MEd,&nbsp;Satoshi Kanke MD, PhD,&nbsp;Ryuki Kassai MD, PhD","doi":"10.1002/jgf2.730","DOIUrl":"10.1002/jgf2.730","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The Patient-Centered Clinical Method (PCCM) plays an important role in family doctors' ability to communicate effectively with patients. Although the parenting experiences of healthcare providers can be utilized to communicate with patients, it is unclear how they contribute to family doctors' practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative descriptive study focusing on the parenting experiences of Japanese family doctors and their perceptions of how these experiences interfaced with their clinical practice of the PCCM was conducted. Participants were selected using snowball sampling, and the data were collected via semi-structured interviews while recording online, which were transcribed verbatim and analyzed using qualitative descriptive analysis, with data-derived codes being systematically applied and reflexively interpreted. The categories were refined concurrently with the interviews. Once it was established that no additional categories were required, the recruitment and analysis process was concluded.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The eight participants were recruited, and the following themes were extracted; these were “Developing patience and new perspectives through raising children,” “Empathizing with the experiences of others,” “Building awareness of social factors and home context,” “Reflecting on one's own words and behavior,” “Forming partnerships with patients through shared parenting experiences,” and “Facilitating interpersonal growth.”</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The communication skills that have been refined through personal experiences of raising children are transferable between professional and family situations. This research shows that such skills are not mutually exclusive to professional or family settings and can be used effectively to improve clinical practice as part of the PCCM model of consulting.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"26 1","pages":"27-36"},"PeriodicalIF":1.8,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11702438/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The characteristics of general practitioners and geriatricians who take overall responsibility for the care of older patients with multimorbidity","authors":"Takuma Kimura MD, MSCE, PhD,&nbsp;Shinji Matsumura MD, MHS, PhD,&nbsp;Masayoshi Hashimoto MD, PhD,&nbsp;Ken Shinmura MD, PhD","doi":"10.1002/jgf2.727","DOIUrl":"https://doi.org/10.1002/jgf2.727","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Older patients with multimorbidity often seek care from multiple health care providers and visit several medical institutions. Having a primary care provider who takes overall responsibility for their care may be beneficial. We conducted a survey to identify the characteristics of general practitioners and geriatricians who frequently assume such responsibility for older patients with multimorbidity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In June 2022, we distributed by mail an anonymous questionnaire to 3300 family medicine specialists, primary care-certified physicians, and geriatric specialists in Japan. We used a four-point Likert-type scale to score items related to conditions and patient backgrounds that pose challenges in treatment, key clinical factors, and important clinical strategies. Modified Poisson regression was used to identify factors associated with frequently assuming overall responsibility for medical care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Data from 746 physicians were included in the analysis. Factors associated with frequently assuming overall responsibility for medical care of older patients with multimorbidity included providing inpatient ward care (prevalence ratio [PR] 1.237, 95% CI 1.124–1.362), providing home medical care (PR 1.357, 95% CI 1.225–1.504), frequently treating patients over 90 years old (PR 2.043, 95% CI 1.258–3.318), and the overall score for clinical strategies (PR 1.021, 95% CI 1.010–1.033).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>General practitioners and geriatricians who frequently assume overall responsibility for the care of older patients with multimorbidity tend to engage significantly in ward and home medical care, often treat patients above 90 years, and employ numerous clinical strategies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"25 6","pages":"366-375"},"PeriodicalIF":1.8,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jgf2.727","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142642323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Japanese family physicians' attitudes, difficulties, and perceived significance in managing mental health problems: A qualitative study","authors":"Natsuki Kajikawa MD, PhD,&nbsp;Shoji Yokoya MD, PhD,&nbsp;Sachiko Ozone MD, PhD","doi":"10.1002/jgf2.731","DOIUrl":"10.1002/jgf2.731","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Family physicians (FPs) are expected to identify, diagnose, and treat mental health problems. Despite challenges such as limited time and low confidence in their skill as mental health providers, FPs generally consider mental health as a meaningful part of their profession. However, the role of the FP in mental health services is not clearly established in Japan. Studies have not been performed in countries without an established role of FPs' in mental health care. This study investigated Japanese FP's attitudes, difficulties, and perceived significance in managing mental health problems.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Semi-structured interviews were conducted between September 2022 and February 2023. Participants were Japanese FPs involved in mental health care. Interview transcripts were subjected to thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirteen FPs were interviewed. The FPs approached mental health problems “as a FP who provides holistic and comprehensive care” and “practice based on experience and self-reflection.” The difficulties faced by FPs included “time management problems” and “referral management problems and conflicts.” Regarding significance, FPs mentioned that “gaining a deeper understanding of humanity” is important for managing mental health problems.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The attitude of Japanese FPs toward mental health care was based on awareness of the FP's specialty. Despite difficulties such as time and referral management issues, managing mental health problems was generally considered rewarding for professional growth.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"26 1","pages":"37-44"},"PeriodicalIF":1.8,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11702421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}