Evidence map›Paper›PMID 34199871›Full record

ArticleGeriatrics (Basel, Switzerland)2021

Comprehensive Care through Family Medicine: Improving the Sustainability of Aging Societies.

Ryuichi Ohta, Akinori Ueno, Jun Kitayuguchi, Yoshihiro Moriwaki, Jun Otani, Chiaki Sano

Open access · goldAbstract read
In one paragraph

Article in Geriatrics (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
4.2field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 35 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Ryuichi OhtaCommunity Care, Unnan City Hospital, Unnan 699-1221, Shimane, Japan.ORCID 0000-0003-2593-091X
Akinori UenoUnnan Public Health Center, Unnan 699-1311, Shimane, Japan.
Jun KitayuguchiPhysical Education and Medicine Research Center Unnan, Unnan 699-1105, Shimane, Japan.
Yoshihiro MoriwakiCommunity Care, Unnan City Hospital, Unnan 699-1221, Shimane, Japan.ORCID 0000-0002-4242-8617
Jun OtaniCommunity Care, Unnan City Hospital, Unnan 699-1221, Shimane, Japan.
Chiaki SanoDepartment of Community Medicine Management, Faculty of Medicine, Shimane University, Izumo 693-8501, Shimane, Japan.ORCID 0000-0002-9796-5161
Shimane University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Comprehensive care through family medicine can enhance the approach to multimorbidity, interprofessional collaboration, and community care, and make medical care more sustainable for older people. This study investigated the effect of implementing family medicine and the comprehensiveness of medical care in one of the most rural communities. This implementation research used medical care data from April 2015 to March 2020. Patients' diagnoses were categorized according to the 10th revision of the International Statistical Classification of Disease and Related Health Problems (ICD-10). In 2016, family medicine was implemented in only one general hospital in Unnan. The comprehensiveness rate improved in all ICD-10 disease categories during the study period, especially in the following categories-infections; neoplasms; endocrine, nutritional, and metabolic diseases; mental disorders; nervous system; circulatory system; respiratory system; digestive system; skin and subcutaneous tissue; musculoskeletal system and connective tissue; and the genitourinary system. Implementing family medicine in rural Japanese communities can improve the comprehensiveness of medical care and resolve the issue of fragmentation of care by improving interprofessional collaboration and community care. It can be a solution for the aging of both patient and healthcare professionals. Future research can investigate the relationship between family medicine and patient health outcomes for improved healthcare sustainability.

Indexed as

aging societycomprehensive carefamily medicinegeneral physicianhealth outcomeJapanesemedical careolder peoplerural medicinesustainability

Identifiers

PMID34199871
PMCPMC8293036
OpenAlexW3171500410

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.