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Study on securement of quality and quantity of general practitioners in the era of super-aging and shortage of physicians

Research Project

Project/Area Number 26460611
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Medical sociology
Research InstitutionKitasato University

Principal Investigator

KIMURA Takuma  北里大学, 医学部, 教授 (50722154)

Co-Investigator(Kenkyū-buntansha) 野村 恭子  秋田大学, 医学(系)研究科(研究院), 教授 (40365987)
赤星 透  北里大学, 医学部, 名誉教授 (70159325)
今永 光彦  独立行政法人国立病院機構東埼玉病院(臨床研究部), 機能回復・成育医療研究室, 内科医長 (00754847)
Project Period (FY) 2014-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2016: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Fiscal Year 2015: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2014: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Keywords総合診療医 / 総合診療医学 / キャリア転向 / 内科医 / 内科専門医 / 在宅医療研修 / 総合診療専門医 / 病院勤務医 / 内科系専門医 / 質的研究 / 専門医 / 総合診療
Outline of Final Research Achievements

Interviews were conducted with 20 “hospital internal-medicine physicians” to identify the facilitating- and suppressive factors for their career conversion to “general practitioner”. The facilitating factors found were “Career plans that enable general practitioners to make use of their characteristics”, “High-quality training that combines practical conditions”, and “Diverse ways of working and specialist-licentiate who has opportunities for learning”.
A questionnaire survey was conducted on 1,021 physicians belonging to “regional medical associations” and 2,666 “internal-medicine physicians”. The result revealed that81% of hospital physicians emphasize the pre-conversion training for home medical care. The perception about “general practitioner” differed between clinic physicians and hospital physicians. The perception about “continual involvement in medical care for patients” was lower in the hospital physicians.

Report

(5 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • 2014 Research-status Report
  • Research Products

    (4 results)

All 2018 2017 2016

All Journal Article (1 results) (of which Peer Reviewed: 1 results,  Open Access: 1 results) Presentation (3 results)

  • [Journal Article] A Qualitative Study on Career Conversion to a "General Practitioner" in Hospital Internal-medicine Physicians Specialized for Organs/Region2017

    • Author(s)
      木村琢磨、野村恭子、新森加奈子、今永光彦
    • Journal Title

      An Official Journal of the Japan Primary Care Association

      Volume: 40 Issue: 4 Pages: 168-175

    • DOI

      10.14442/generalist.40.168

    • NAID

      130006286510

    • ISSN
      2185-2928, 2187-2791
    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Presentation] 新専門医制度“総合診療専門医”を志向する「病院に勤務する臓器・領域内科専門医」の在宅医療研修に関する認識2018

    • Author(s)
      木村琢磨、野村恭子、川越正平、和座一弘、新森加奈子、今永光彦
    • Organizer
      第20回日本在宅医学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 新専門医制度「総合診療専門医」の臨床業務・特徴に関する診療所医師と病院医師の認識の差違2018

    • Author(s)
      木村琢磨、野村恭子、新森加奈子、川越正平、和座一弘、細田稔、今永光彦
    • Organizer
      第9回日本プライマリ・ケア連合学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 病院勤務の臓器・領域の専門医資格を有す内科系医師が「総合診療医」へ転向を志向する促進・抑制要因の探索2016

    • Author(s)
      木村琢磨、野村恭子、新森加奈子、今永光彦、赤星透
    • Organizer
      第7回日本プライマリ・ケア連合学会
    • Place of Presentation
      浅草ビューホテル(東京都台東区)
    • Year and Date
      2016-06-11
    • Related Report
      2016 Research-status Report

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Published: 2014-04-04   Modified: 2019-03-29  

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