Evidence map›Paper›PMID 42027951›Full record

ArticleJournal of general and family medicine2026

Leadership and Research Productivity in Japan's Academic Departments of Regional Healthcare: A Nationwide Cross-Sectional Study.

Hiroki Yasuhara, Satoshi Inaba, Shinya Aoki, Takeshi Kawaguchi, Tomoki Ikai, Takashi Watari

Abstract read
In one paragraph

Article in Journal of general and family medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Hiroki YasuharaDivision of Primary Health Care, Faculty of Medical Sciences University of Fukui Fukui Japan.ORCID https://orcid.org/0009-0004-1926-0029
Satoshi InabaDepartment of General Internal Medicine Fukuchiyama City Hospital Kyoto Japan.ORCID https://orcid.org/0000-0001-9092-4626
Shinya AokiDepartment of General Medicine, Shioda Hospital Chiba Japan Katsuura Chiba Japan.
Takeshi KawaguchiDepartment of Emergency and Critical Care Medicine St. Marianna University School of Medicine Kawasaki Japan.
Tomoki IkaiDivision of Primary Health Care, Faculty of Medical Sciences University of Fukui Fukui Japan.
Takashi WatariIntegrated Clinical Education Center Kyoto University Hospital Kyoto Japan.ORCID https://orcid.org/0000-0002-9322-8455

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Academic departments related to regional health care in Japan play a crucial role in addressing healthcare disparities and workforce shortages. However, a comprehensive understanding of their structures, leadership, and activities is lacking. This study aimed to provide the first nationwide profile of academic departments related to regional healthcare (chiiki iryou) in Japanese medical schools. Methods: A cross-sectional study of 82 Japanese medical schools was conducted in 2024. Data on departments whose names included Results: A total of 145 chairpersons from 168 eligible departments were included in the analysis. Most of the departments were at national universities (66.1%), were headed by endowed chairpersons (78.0%), who were predominantly male (94.5%). Analysis of chairperson characteristics revealed: (1) a predominance of Internal Medicine specialists (44.1%) and a limited proportion of certified General Medicine specialists (10.3%); (2) limited research output, with 36.6% having no PubMed-indexed articles published during the study period; (3) a research focus primarily on clinical (59.9% of articles) and basic science (15.6% of articles), with few articles focusing on regional healthcare issues. Conclusions: This nationwide study reveals a lack of diversity in chairperson characteristics, with a predominance of Internal Medicine specialists, limited international research output, and a possible mismatch between academic focus and regional healthcare needs.

Indexed as

general medicineJapanleadershipregional healthcareresearch productivityspecialty distribution

Identifiers

PMID42027951
PMCPMC13101643

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