A5047005597- Health disparities and outcomes
- Geriatric Care and Nursing Homes
- Health Systems, Economic Evaluations, Quality of Life
- Health and Wellbeing Research
- Public Health Policies and Education
- Food Security and Health in Diverse Populations
- Frailty in Older Adults
- Cardiac, Anesthesia and Surgical Outcomes
- Physical Activity and Health
- Health and Well-being Studies
- Child and Adolescent Health
- Chronic Disease Management Strategies
- Health and Medical Research Impacts
- Nutrition and Health in Aging
- Interprofessional Education and Collaboration
- Employment and Welfare Studies
- Clinical Reasoning and Diagnostic Skills
- Autopsy Techniques and Outcomes
- Lipoproteins and Cardiovascular Health
- Migration, Aging, and Tourism Studies
- Primary Care and Health Outcomes
- Stroke Rehabilitation and Recovery
- Artificial Intelligence in Healthcare and Education
- Human Resource Development and Performance Evaluation
- Obesity and Health Practices
Chiba University
2022-2025
Yokohama City Seibu Hospital
2023
Abstract Background Frailty is the highest risk factor for incident disability and mortality. Social participation a modifiable reducing adverse outcomes among independent older adults. However, association between social mortality frail adults remains unclear. Therefore, we examined various activities Methods This nationwide prospective cohort study (The Japan Gerontological Evaluation Study) recruited with frailty, aged 65 years ( N = 9090) who were followed up 6 (2010–2016). We all‐cause...
The persistence of diagnostic errors, despite advances in medical knowledge and diagnostics, highlights the importance understanding atypical disease presentations their contribution to mortality morbidity. Artificial intelligence (AI), particularly generative pre-trained transformers like GPT-4, holds promise for improving accuracy, but requires further exploration handling presentations.
Abstract Background Among all physical activities, walking is one of the easiest and most economical activities for older adults’ mental health. Although promoting social participation may extend time adults, longitudinal relationship not well understood. Thus, this study elucidates between nine types change in during a 3-year follow-up adults. Methods We conducted community-based independent adults Japan. From 2016 2019 surveys, we extracted 57,042 individuals. performed multiple regression...
The purpose of this study was to examine the relationship between number program types and CGA in community gathering places gain valid insights into provision programs places. is longitudinal nature uses prospective cohort data from Japan Gerontological Evaluation Study. participants were 8758 older adults recruited 28 cities towns. dependent variable using KCL. independent classified under four groups, namely, No Participation, One Type, Two Types, More Than Three Types. performed linear...
•Whether social participation has generated new, healthier support is unclear.•We prospectively examined whether fosters support.•Social was dose-responsive to the number of types participation.•Social fostered by participating in some type group at any frequency.•Support encourage may be effective enhance support.
Objective Through the amendment of Long-Term Care Insurance Law in 2014, Japan's Ministry Health, Labour and Welfare established a general long-term care prevention project centered on "Kayoinoba" to promote participation social physical activities for older people, which included environmental approaches individual health well-being through community-building. However, reports show that effectiveness Kayoinoba across multiple municipalities is limited. The purpose this study was verify...
Objective: This study aimed to evaluate the association between Yokohama Walking Point Program, which promotes walking through feedback on step counts and incentives, extension of healthy life expectancy.Methods: A total 4,298 individuals aged over 65 years who were not certified as needing long-term care included in this study. The participants categorized into "nonparticipation," "participation without uploading," with uploading" groups based their involvement uploading pedometer data....
Research on the social determinants of health (SDH) aims to foster a healthier, more equitable society by reducing disparities. Nonetheless, primary care researchers often face challenges in engaging marginalized populations their studies. It is essential explore diverse methodologies promote inclusive research. During fifth annual Primary Care (PCR) Connect conference, dedicated research Japan, we held symposium discuss strategies for enhancing inclusivity SDH Using large-scale datasets...
This study aimed to evaluate the association between Yokohama Walking Point Program, which promotes walking through feedback on step counts and incentives, extension of healthy life expectancy. A total 4298 individuals aged over 65 years who responded 2013 2016 surveys were not certified as needing long-term care in included this study. The participants categorized into "non-participation," "participation without uploading," with uploading" groups based their involvement uploading pedometer...
Despite establishing conventional risk factors and preventive medicine for cardiovascular diseases (CVD), there remains a notable lack of research identifying social determinants health (SDOH). The aim this study was to identify the SDOH domains contributing inequities perceived by Japanese CVD citizens. An online survey conducted among 2,083 patients from November 7 13, 2023, assess their perceptions 19 (SDOH) impact on inequities. Using 5-point Likert scale, high level agreement defined as...
Anti-oppressive practice (AOP) provides a framework that challenges structural inequities and illuminates the lives of both patients professionals. We introduce AOP into primary care in Japan.
Few studies consider socioeconomic status when assessing mortality risk in dyslipidemia cases. This study used cohort data from the 2010 Japan Gerontological Evaluation Study (JAGES), which contains on older Japanese people, to associate with patients treated for dyslipidemia. In this 6-year longitudinal study, we examined 47,275 people aged ≥ 65 years who could independently perform activities of daily living. Patients' background characteristics were classified based their treatment and...
This letter illustrated our online workshop about clinical practice and postgraduate education social determinants of health (SDH) to family medicine residents attending physicians in Japan. The participants were encouraged not only by acquiring knowledge skills but sharing their experience talking reflectively. opportunities for Japan learn SDH reflect on practices should be warranted.
As an official subcommittee of the Japan Primary Care Association, Japanese Association Family Physicians Trainees aims to support residents in (1) acquiring knowledge, skills, and experience; (2) building networks; (3) international perspective; (4) lifelong careers has supported general medicine since 2017. Nevertheless, publication letter, hoping for these support, would hinder reach such information who really need it. This could be because many young physicians, do not belong JPCA, as...
総合診療,新・家庭医療専門医制度への移行から一定期間が経過した.調査で明らかとなった専攻医からのニーズと,それに答えるべく活動する日本プライマリ・ケア連合学会公式の自助的サポート組織である専攻医部会のこれまでの成果と今後の展望を,専攻医の視点でまとめた.支援が必要な専攻医に情報が届いていない可能性が示された中で,本稿が新専門医制度下での研修と指導のリソースとなり,制度充実の一助となれば幸いである.