Ando, Takayuki

写真a

Affiliation

School of Medicine, Center for General Medicine Education (Shinanomachi)

Position

Instructor

Academic Background 【 Display / hide

  • 2007.04
    -
    2013.03

    Keio University, School of Medicine

    University, Graduated, Other

  • 2020.04
    -
    2021.03

    Keio University, Graduate school of health management

    Graduate School, Graduated, Master's course

 

Research Areas 【 Display / hide

  • Life Science / General internal medicine

  • Life Science / Medical management and medical sociology

  • Life Science / Hygiene and public health (laboratory)

  • Life Science / Hygiene and public health (non-laboratory)

Research Keywords 【 Display / hide

  • Multimorbidity

 

Papers 【 Display / hide

  • How do medical students learn in an online community diagnostics program?

    Junji Haruta, Takayuki Ando, Seitaro Fujishima

    BMC medical education 23 ( 1 ) 15 - 15 2023.01

     View Summary

    BACKGROUND: The need to engage medical students in understanding the social and environmental determinants of health in disparate communities is increasing. However, previous reviews have noted the limited community diagnosis programs and program evaluation. Given the feasibility of the programs, it is expected to be widely available online. Therefore, this study used a realist approach to identify learning patterns through an online community diagnosis program, namely context (C), mechanism (M), and outcomes (O) patterns. METHODS: A 2-week general medicine clinical practice program was conducted for 4th- and 5th-year medical students at a medical university in Japan. The program included a one-hour zoom-based lecture, feedback for students on their presentations on community diagnosis, and a structural report on community diagnosis. We developed the program based on variation theory, which views discernment and variation in situations having time, space, and social dimensions as core learning. The students' reflections on their learning through the program were thematically analyzed through CMO perspectives. The realist approach used in the online diagnosis program evaluation allows us to explore, test, and refine what mechanisms work under what conditions (context) and with what interventions (including opportunities and resources), from which we can describe iteratively explainable results. RESULTS: First, the medical students, who spent most of their time in the limited residential areas they lived in, discovered the characteristics of their own community by discovery learning and comparison among peers. Second, they increased their intrinsic interest in the community by discerning specific issues in their familiar community through community diagnosis. Third, they valued community diagnosis by identifying relationships between local data on health issues under their learning responsibility. Fourth, they become more flexible in their thinking and created new knowledge that would fit the local community, and their reflection on themselves was encouraged. CONCLUSION: In this online community diagnosis program, medical students learned about the community through four types of learning patterns. Medical students may develop an understanding of community with interest using variation theory as a program development perspective and cognitive flexibility theory surrounding the essential ambiguity and abstraction of community.

  • Disparities in co-payments for influenza vaccine among the elderly, during the COVID-19 pandemic in Japan

    Takayuki Ando, Tomoki Maruyama, Aki Tamai, Taro Murakami, Yasuaki Kido, Toru Ishida, Hajime Taya, Junji Haruta, Daisuke Sugiyama, Seitaro Fujishima

    Journal of Infection and Chemotherapy (Elsevier BV)  28 ( 7 ) 896 - 901 2022.07

    Accepted,  ISSN  1341-321X

  • 鉄蕉会亀田メディカルセンター 地域ジェネラリストプログラム10年のあゆみ

    岡田 唯男, 濱井 彩乃, 西野 洋, 片多 史明, 松田 愉, 安藤 崇之, 鈴木 真央, 栖原 とし子

    医学教育 ((一社)日本医学教育学会)  53 ( Suppl. ) 177 - 177 2022.07

    ISSN  0386-9644

  • Association between multimorbidity, self-rated health and life satisfaction among independent, community-dwelling very old persons in Japan: longitudinal cohort analysis from the Kawasaki Ageing and Well-being Project.

    Takayuki Ando, Yoshinori Nishimoto, Takumi Hirata, Yukiko Abe, Midori Takayama, Takashi Maeno, Seitaro Fujishima, Toru Takebayashi, Yasumichi Arai

    BMJ open 12 ( 2 ) e049262 2022.02

    Accepted,  ISSN  2044-6055

     View Summary

    OBJECTIVE: This study aimed to identify associations between multimorbidity and subjective health outcomes among the very old persons, after adjusting for coexisting conditions such as frailty and depression. STUDY SETTING AND PARTICIPANTS: This was an observational cross-sectional study involving 1012 independent, community-dwelling very old persons (507 men, 505 women; aged 85-89 years) in Kawasaki city, Japan. OUTCOME MEASURES: The primary outcome was the cross-sectional associations between multimorbidity and poor self-rated health (SRH) and life satisfaction using binary logistic regression. The secondary outcome was the association of subjective health with each chronic condition. RESULTS: The prevalence of multimorbidity (≥2 conditions) was 94.7%, and the average number of chronic conditions was 4.47±1.9. Multimorbidity was significantly associated with poor SRH in the adjusted model only when six or more chronic conditions were present (OR 4.80; 95% CI 1.34 to 17.11; p=0.016). Cerebrovascular disease, heart disease, respiratory disease, connective tissue disease and arthritis showed significant associations with poor SRH after multivariate adjustment. Sex-specific analysis replicated associations between multimorbidity with six or more conditions and SRH in both men and women, while the diseases with the greatest impact on SRH differed between men and women. Most conditions were not associated with low satisfaction with life scale, with the exception of arthritis (OR 1.92, 95% CI 1.32 to 2.78, p=0.001). CONCLUSIONS: Multimorbidity is prevalent in the independent, community-dwelling very old persons and is associated with poor SRH when six or more conditions are present; conditions causing mobility limitations, such as cerebrovascular disease, connective tissue disease and arthritis, have a negative impact on SRH. TRIAL REGISTRATION NUMBER: UMIN000026053.

  • 多職種連携の秘訣(後編)現場の薬剤師,リハビリセラピストからのメッセージ

    安藤 崇之

    Gノート (羊土社)  8 ( 3 ) 562 - 567 2021.04

    ISSN  2188-3033

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Reviews, Commentaries, etc. 【 Display / hide

  • 成人食物アレルギー診療支援アプリの開発と有用性の検証

    正木 克宜, 冨保 紗希, 上條 慎太郎, 安藤 崇之, 加畑 宏樹, 佐藤 泰憲, 原田 紀宏, 鈴木 慎太郎, 藤澤 隆夫, 福永 興壱

    日本内科学会雑誌 ((一社)日本内科学会)  112 ( 臨増 ) 190 - 190 2023.02

    ISSN  0021-5384

  • The Kawasaki Aging and Wellbeing Projectのデータを用いた生活習慣病に関する診療報酬請求データによる疾患定義の妥当性の検討

    猪澤 一樹, 原 梓, 佐々木 貴史, 安藤 崇之, 阿部 由紀子, 色本 涼, 新井 康通, 漆原 尚巳

    薬剤疫学 ((一社)日本薬剤疫学会)  27 ( Suppl. ) S81 - S82 2022.11

    ISSN  1342-0445

  • BERTを用いた糖尿病治療薬における有害事象間の潜在的関連性の探索

    八重樫 昇吾, 石川 智貴, 安藤 崇之, 原 梓, 大石 尚央, 漆原 尚巳

    薬剤疫学 ((一社)日本薬剤疫学会)  27 ( Suppl. ) S99 - S100 2022.11

    ISSN  1342-0445

  • 【アーバンプライマリケアの礎を築くための卒前教育の展望】慶應義塾大学医学部におけるコロナ禍の卒前教育の取り組み

    安藤 崇之

    日本プライマリ・ケア連合学会学術大会 ((一社)日本プライマリ・ケア連合学会)  13回   np59 - np59 2022.06

  • 臨床実習でのオンライン地域診断において、医学生は何をどのように学んだのか? リアリストアプローチを用いたプログラム評価研究

    春田 淳志, 安藤 崇之, 藤島 清太郎

    日本プライマリ・ケア連合学会学術大会 ((一社)日本プライマリ・ケア連合学会)  13回   O - 93 2022.06

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Research Projects of Competitive Funds, etc. 【 Display / hide

  • The impact of poly-physician on elderly people with multimorbidity.

    2021.04
    -
    2024.03

    Keio University, Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C), Grant-in-Aid for Scientific Research (C), No Setting

     View Summary

    本研究課題では、川崎市と慶應義塾大学が合同で行っている85-89歳の介護を要しない1000名の高齢者のコホート研究(川崎ウェルビーイング研究)に参加して、多併存疾患が高齢者の生活機能に影響していく過程を前向きに明らかにする。参加者の診察、測定データと医療レセプト情報を組み合わせた多角的な解析を行い、日常生活機能低下および新規要介護申請を主要アウトカムとして、多併存疾患、ポリファーマシー、ポリドクターがどのような影響を与えているかを患者QOLおよび医療経済学的視点から明らかにする。

 

Courses Taught 【 Display / hide

  • GENERAL MEDICINE

    2023

  • EARLY EXPOSURE PROGRAM 2

    2023

  • GENERAL MEDICINE

    2022

  • EARLY EXPOSURE PROGRAM 2

    2022

  • 医学概論

    2021, Lecture

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