Evidence map›Paper›PMID 39554297›Full record

ArticleJournal of general and family medicine2024

A proposed medical system change in Japan inspired by Swedish primary health care: Important role of general practitioners and specialist nurses at primary health care centers.

Rie Sato, Ulf Jakobsson, Patrik Midlöv

Abstract read
In one paragraph

Article in Journal of general and family medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
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

3 authors.

Rie SatoDepartment of Clinical Sciences, Faculty of Medicine, Center for Primary Health Care Research Lund University Malmö Sweden.ORCID https://orcid.org/0000-0002-4954-1305
Ulf JakobssonDepartment of Clinical Sciences, Faculty of Medicine, Center for Primary Health Care Research Lund University Malmö Sweden.
Patrik MidlövDepartment of Clinical Sciences, Faculty of Medicine, Center for Primary Health Care Research Lund University Malmö Sweden.ORCID https://orcid.org/0000-0002-5871-8731

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Japanese citizens of all socioeconomic statuses have benefited from the national insurance system by receiving high-quality healthcare. However, the Japanese healthcare service is facing a severe financial crisis because of the increasing aging society and social security expenses. Many consultations raise medical expenditure and doctors' work overload, which is about to be regulated, but is questionable how the goal can be achieved without delegating doctors' working tasks. Sweden has a similar health index to that of Japan, but the system is different and is anchored by general practitioners and specialist nurses assigned to primary health care centers. They collaborate to share the workload, responsibilities, and patients' continuous care needs. As a result, the number of consultations is kept small, the length of stay in hospitals is shortened, and doctors' working hours are protected. A system change inspired by Swedish primary health care can be a potential solution for Japanese society.

Indexed as

general practitionermedical system change in Japanprimary health carespecialist nurseSweden

Identifiers

PMID39554297
PMCPMC11565073

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.