Haruta, Junji

写真a

Affiliation

School of Medicine, Medical Education Center (Shinanomachi)

Position

Associate Professor (Non-tenured)

E-mail Address

E-mail address

Contact Address

35 Shinanomachi Shinjukuku Tokyo,160--8582 Japan

Profile Summary 【 Display / hide

  • 地域の市中病院で総合診療医として研鑽し、医学教育領域で博士課程を取得し、現在Academic GP(General Practitioner)として多職種連携や総合的な視点を持った医療者教育などの研究に注力しております。また、領域横断的に、様々な領域の研究者・教育者の方々と協働しながら、慶應義塾大学の医療者教育をより良いものにし、さらに医療者教育や地域包括ケアに関わる研究を進めて参ります。総合大学としての義塾の強みを活かし、世界のどこよりも早く超高齢社会を迎える本邦の知見を臨床実践・教育・研究から発信していきたいと思っております。

Other Affiliation 【 Display / hide

  • 筑波大学医学医療系, 客員准教授

Career 【 Display / hide

  • 2004.04
    -
    2006.03

    東京ほくと王子生協病院, 初期研修医

  • 2006.04
    -
    2010.03

    東京ほくと王子生協病院, 後期研修医

  • 2011.04
    -
    2015.03

    東京大学大学院医学系研究科, 医学教育国際研究センター, 博士

  • 2015.04
    -
    2018.03

    筑波大学附属病院, 総合診療グループ, 病院講師

  • 2018.04
    -
    2019.03

    筑波大学医学医療系, 講師

display all >>

Academic Background 【 Display / hide

  • 1998.04
    -
    2004.03

    Asahikawa Medical College, 医学部, 医学科

    University, Graduated

  • 2011.04
    -
    2015.03

    The University of Tokyo, 大学院医学系研究科内科学

    Graduate School, Graduated, Doctoral course

Academic Degrees 【 Display / hide

  • Doctor (Medicine), The University of Tokyo, Coursework, 2015.03

    How do healthcare professionals and lay people in a community learn interactively? A case of trans-professional education

Licenses and Qualifications 【 Display / hide

  • 日本内科学会認定内科認定医, 2009.10

  • 日本プライマリ・ケア学会認定家庭医療専門医, 2010.04

  • 日本プライマリ・ケア学会認定家庭医療指導医, 2013.11

  • 医学教育学会認定医学教育専門家, 2016.07

  • Certificate in Measurement and Assessment in Medical Education in Iowa University, 2017.07

display all >>

 

Research Areas 【 Display / hide

  • Medical sociology (総合診療、医学教育、多職種連携)

 

Books 【 Display / hide

  • 地域における多職種連携、地域医療学入門

    春田淳志, 診断と治療社, 2019.08,  Page: 42-44

  • 日々の継続的なケースログから抽出してポートフォリオを作成する 総合診療専門医 ポートフォリオ実例集

    春田淳志, 南山堂, 2018.07,  Page: 150-152

  • 評価基準(ルーブリック)について 総合診療専門医 ポートフォリオ実例集

    春田淳志, 南山堂, 2018.07,  Page: 6-7

  • 各国の多職種連携コンピテンシーについて①IPの基本と原則 (ラーニングシリーズ IP(インタープロフェッショナル)/保健・医療・福祉専門職の連携教育・実践)

    春田淳志, 吉本尚, 協同医書出版社, 2018.03,  Page: 80-92

  • 定期的な省察による生涯学習 草場鉄周(編集主幹) 総合診療専門医 何をどう教え学ぶか 工夫と実例

    春田淳志, 中山書店, 2016,  Page: 145-151

display all >>

Papers 【 Display / hide

  • Students’ understanding of social determinants of health in a community-based curriculum: a general inductive approach for qualitative data analysis

    Sachiko Ozone, Junji Haruta, Ayumi Takayashiki, Takami Maeno, Tetsuhiro Maeno

    (BMC Medical Education)  20 ( 470 )  2020.11

    Research paper (scientific journal), Accepted

  • The process of transprofessional collaboration: how caregivers integrated the perspectives of rehabilitation through working with a physical therapist

    R Goto, J Haruta

    Family Medicine and Community Health 8 (4) (Family Medicine and Community Health)  8 ( 4 )  2020.11

    ISSN  23056983

     View Summary

    © Objectives To clarify the process of how caregivers in a nursing home integrate the perspectives of rehabilitation into their responsibilities through working with a physical therapist. Design This study was conducted under an action research approach. Setting The target facility was a nursing home located in Japan. The researcher, a physical therapist, worked at the nursing home once a week from April 2016 to March 2017. During the study period, he created field notes focused on the dialogue and action of caregivers regarding care, responses of caregivers to the physical therapist and reflections as a physical therapist. Caregivers were also given a short informal interview about their relationship with the nursing home residents. For data analysis, two researchers discussed the content based on the field notes, consolidating the findings. Participants The participants were caregivers who worked at the target facility. Thirty-eight caregivers agreed to participate. Average age was 39.6±11.1 years, 14 (37%) were male and average caregiver experience was 9.8 years. Results Two cycles of action research were conducted during the study period. There were four stages in the process of how caregivers in the nursing home integrated the perspectives of rehabilitation through their work with the physical therapist. First, caregivers resisted having the rehabilitation programme carried out in the unit because they perceived that rehabilitation performed by a physical therapist was a special process and not under their responsibility. However, the caregivers were given a shared perspective on rehabilitation by the physical therapist, which helped them to understand the meaning of care to adapt the residents' abilities to their daily life. They practised resident-centred care on a trial basis, although with a sense of conflict between their new and previous role, which emphasised the safety of residents' lives and personhood. The caregivers increased their self-efficacy as their knowledge and skills were supplemented by the physical therapist and his approval of their attempted care. They were then able to commit to their newly conceived specialty of care as a means of supporting the lives of residents. Conclusions The process of working with a physical therapist led to a change in caregivers' perception and behaviours, which occurred in four stages: resistance to incorporation, recapture of other perspectives, conflicts and trials in the role of caregiver and transformation to a resident-centred perspective.

  • Better Patient Experience is Associated with Better Vaccine Uptake in Older Adults: Multicentered Cross-sectional Study

    Kaneko, M., Aoki, T., Goto, R., Ozone, S., Haruta, J.,

    Journal of General and Internal Medicine (Journal of General Internal Medicine)   2020.09

    Research paper (scientific journal), Joint Work, Accepted,  ISSN  08848734

     View Summary

    © 2020, Society of General Internal Medicine. Background: Older adults’ uptake of influenza and pneumococcus vaccines is insufficient worldwide. Although patient experience of primary care is associated with vaccine uptake in children, this relationship remains unclear for older adults. Objective: This study examined the association between patient experience of primary care and influenza/pneumococcal vaccine uptake in older adults. Design and Methods: We conducted a multicentered cross-sectional survey involving 25 primary care institutions in urban and rural areas in Japan. Participants were outpatients aged ≥ 65 years who visited one of the participating institutions within the 1-week study period. We assessed patient experience of primary care using the Japanese version of the Primary Care Assessment Tool (JPCAT), which includes six domains: first contact (accessibility), longitudinality (continuity of care), coordination, comprehensiveness (services available), comprehensiveness (services provided), and community orientation. We used a generalized linear mixed-effects model to adjust for clustering within institutions and individual covariates. Key Results: One thousand participants were included in the analysis. After adjusting for clustering within institutions and other possible confounders, influenza and pneumococcal vaccine uptake was positively associated with JPCAT total scores (odds ratio per 1 standard deviation increase: 1.19, 95% confidence interval: 1.01–1.40 and odds ratio: 1.26, 95% confidence interval: 1.08–1.46, respectively). Of the JPCAT domains, coordination and community orientation were associated with influenza vaccine uptake and longitudinality, coordination, and comprehensiveness were associated with pneumococcal vaccine uptake. Conclusions: Influenza and pneumococcal vaccine uptake were positively associated with patient experience of primary care in older adults. Consideration of patient experience, particularly longitudinality, coordination, comprehensiveness, and community orientation, could improve vaccine uptake.

  • Exploring the structure of social media application-based information-sharing clinical networks in a community in Japan using a social network analysis approach

    Junji Haruta, Sho Tsugawa, Kazunari Ogura

    Family Medicine and Community Health (Family Medicine and Community Health)  8 ( 4 ) e000396 2020.09

    Research paper (scientific journal), Joint Work, Accepted,  ISSN  23056983

     View Summary

    © Objective Currently, use of social networking services (SNSs) for interprofessional collaboration is increasing. However, few studies have reported on virtual interprofessional interactions in community healthcare services. Revealing such structural characteristics of the networks can provide insight into the functions of the interprofessional information-sharing network and lead to smoother collaboration. Thus, we aimed to explore the structure of SNS-based information-sharing clinical networks. Design Social network analysis (SNA). Setting We selected a community in City X in Japan. Data collection We analysed SNS-based information-sharing clinical network data linked to patients receiving home medical care or care services between January and December 2018. A network was created for each patient to allow healthcare professionals to post and view messages on the web platform. In the SNA, healthcare professions registered in a patient group were represented as nodes, and message posting/viewing relationships were represented as links in the patient network. We investigated the structural characteristics of the target networks using several measures for SNA, including indegree centrality and outdegree centrality, which reflect the number of incoming and outgoing links to/from a node, respectively. Additionally, the professions forming the most central nodes were investigated based on their ranking to identify those with a central role in the networks. Finally, to compare the networks of nursing care levels 1-3 (lighter care requirement) and those with nursing care levels 4-5 (heavier care requirement), we analysed the structural differences in the networks and investigated the roles of healthcare professionals using centrality measures of nodes. Results Among 844 groups, 247 groups with any nursing care level data were available for analysis. Increasing nursing care level showed higher density, reciprocity and lower centralisation. Healthcare professions with high indegree centrality (physicians, care workers and physical therapists) differed from those with high outdegree centrality (home care workers, physical therapists, and registered dieticians). Visiting nurses and nurses in the clinic played a central role, but visiting nurses tended to have higher indegree and outdegree centrality, while nurses in the clinic had higher closeness and betweenness centrality in networks with heavier care requirement. Conclusion The SNS-based information-sharing clinical network structure showed that different professions played some form of a central role. Associations between network structures and patient outcomes, cost effectiveness and other factors warrant further investigation.

  • Doctors' professional identity and socialisation from medical students to staff doctors in Japan: Narrative analysis in qualitative research from a family physician perspective

    Haruta J, Ozone S, Hamano J

    BMJ Open (BMJ Open)  10 ( 7 ) e035300 2020.07

    Research paper (scientific journal), Joint Work, Accepted

     View Summary

    © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. Objective Becoming a doctor involves transforming a lay person into a medical professional, which is known as professional socialisation. However, few studies have clarified differences in the professional socialisation process in detail. The aim of this study was to clarify the process of professional socialisation of medical students to residents to staff doctors. Design We used narrative analysis in qualitative research as a theoretical framework. Setting This study was conducted in Japan. Participants Participants were collected using a purposive sample of doctors with over 7 years of medical experience. We conducted semistructured interviews from September 2015 to December 2016, then used a structured approach to integrate the sequence of events into coherent configurations. Results Participants were 13 males and 8 females with medical careers ranging from 8 to 30 years. All participants began to seriously consider their own career and embodied their ideal image of a doctor through clinical practice. As residents, the participants adapted as a member of the organisation of doctors. Subsequently, doctors exhibited four patterns: first, they smoothly transitioned from peripheral' to full' participation in the organisation; second, they could no longer participate peripherally but developed a professional image from individual social interactions; third, they were affected by outsiders' perspectives and gradually participated peripherally; fourth, they could not regard the hospital as a legitimate organisation and could not participate fully. Conclusion The professional socialisation process comprises an institutional theory, professional persona, legitimate peripheral participation and threshold concepts. These findings may be useful in supporting professional development.

display all >>

Reviews, Commentaries, etc. 【 Display / hide

  • 英国医学部卒前教育の社会学のコア・カリキュラムの指針についての日本語版の開発

    春田淳志, 阪本直人

    医学教育 ((一社)日本医学教育学会)  51 ( 4 ) 453 - 454 2020.08

    Prompt report, short report, and research note, etc. (scientific journal), Joint Work,  ISSN  0386-9644

  • WS-08. 医療者と人類学者との視座の相違性からみえてくる異分野協働の「可能性」

    春田淳志, 後藤亮平, 木村周平, 照山絢子

    医学教育 51 ( suppl ) 55 - 55 2020.07

    Summary of the papers read (national conference and other science council), Joint Work

  • O-351 [医師教育]. クリニカル・クラークシップの問題改善に向けた取組 ~ 院内各診療科相互視察と院外関連施設ヒアリング ~

    木村友和, 春田淳志, 高屋敷明由美, 前野貴美, 鈴木英雄, 前野哲博, 田中誠, 桝正幸

    医学教育 51 ( suppl ) 214 - 214 2020.07

    Summary of the papers read (national conference and other science council), Joint Work

  • O-197 [医師教育]. 都市部で活きる家庭医の専門性 - 川崎市内の地域比較からみえたこと

    秩父陽香, 高屋敷明由美, 春田淳志, 片岡義裕, 前野哲博

    医学教育 51 ( suppl ) 155 - 155 2020.07

    Summary of the papers read (national conference and other science council), Joint Work

  • O-192 [医師教育]. リアリスト分析で地域医療実習における医学生の健康の社会的決定要因についての学びのメカニズムを探る

    春田淳志, 高屋敷明由美, 小曽根早知子, 前野貴美, 前野哲博

    医学教育 51 ( suppl ) 153 - 153 2020.07

    Summary of the papers read (national conference and other science council), Joint Work

display all >>

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

  • Curriculum development on social determinants of health for medical students and assessment on its educational effect.

    2019.04
    -
    2022.03

    University of Tsukuba, 高屋敷明由美, 前野 哲博、春田 淳志、前野 貴美 , Grant-in-Aid for Scientific Research (C), Research grant, Co-investigator

     View Summary

    医療者は、健康に影響を与える貧困や労働・社会格差などの社会的要因(Social Determinants of Health, 以下SDH)を正しく理解し、アプローチを行う役割を担う。先行研究の蓄積が乏しいこの分野の卒前医学教育の現状を踏まえて、我が国で先駆的に医学生のSDH教育プログラムを導入した筑波大学および国内外の先行事例をあわせて、量的研究と質的研究(教員・学生インタビュー、文献調査)を複合的に行うアクションリサーチの研究デザインを用いて教育効果の検証を行い、SDHの教育推進に活用できる汎用可能なFaculty Developmentプログラムの開発を行う。

  • Development and analysis of system dynamic evaluation models in community-based integrated care system

    2019.04
    -
    2022.03

    University of Tsukuba, 春田淳志, Grant-in-Aid for Early-Career Scientists, Research grant, Principal Investigator

     View Summary

    本研究は2025年までに地域包括ケアシステムを評価する方法は確立するため、効果的な地域包括ケアの実態を可視化することを目的とする。研究方法は、ネットワーク分析とリアリスト分析を用い、3年で3つのフィールドで調査する予定である。八戸や神栖は目的型、笠間は地縁型コミュニティ構築の戦略を取り、他に転用可能なモデルとなり得る先進的な地域であるため、目的的に研究のフィールドとして選択した。本研究で地域包括ケアにおけるネットワークとその構築プロセスが可視化され、効果的なネットワークを構築できれば、本邦だけでなく、今後高齢社会を迎える先進国にむけても一つのEvidenceとなる。

  • 地域包括ケア病棟に入院する認知症高齢者を支援する多職種専従チームの開発

    2017.04
    -
    2020.03

    Jichi Medical University, 浜端賢次, 春田淳志、宮林幸江, Grant-in-Aid for Scientific Research (C), Research grant, Co-investigator

     View Summary

    質問紙調査を行うため、1年目に作成した質問紙を用いて医療機関でパイロットスタディを実施した。質問紙の項目には、前年度検討した属性(筋骨格系疾患、呼吸器疾患、外傷・熱傷・中毒、消化器疾患(肝臓、胆道、膵臓疾患等)を設定したが、複合的に疾患を持つ患者が多く単一的な疾患に分類することが困難であった。また、退院時の行き先を自宅と介護施設と想定したが、転院せざるを得ないケース等も散見された。質問項目の多職種による連携内容では、BPSDの対応、サルコペニア、リハビリ栄養、服薬の指導などを想定していたが、退院支援そのものが連携の中心であるとの回答も見られた。さらに、質問紙項目の認知症高齢者の実状についてもBPSD等による困難さはあまり目立たず、認知症に関する多職種の関わりでも現状把握は難しかった。特に、限定された職種が関わることで多職種の関わりが限局され、本来は関わったほうが良いと推測される職種がその場におらず連携の実状が限定されていた。このことから、多職種の関わりについてはそれぞれの医療機関に属している職種でモデルを考える必要に迫られた。これらから、現時点での質問紙では地域包括ケア病棟の現状を把握することが難しいことが分かった。そこで、本研究の目的を北海道・東北エリアの2病院に説明し、フォーカスグループにて地域包括ケア病棟の多職種の実状を尋ねた。現在、分析中ではあるが、この結果を基に再度質問紙の修正を行っている。
    1年目は本研究に関連する文献検討から、質問紙項目の属性と多職種に関する内容を整理した。それに従って質問紙を作成し、パイロットスタディを行ってみたところ、本研究の目的を明らかにするには質問紙が不十分であることが分かった。そこで、質問紙調査を行う前に、現場の実際を尋ねるフォーカスグループを実施することとした。現在、データを分析中ではあるが、その内容を踏まえ再度質問紙を検討している。そのため、今年度に予定されていた質問紙調査を行うことができなかった。
    現在、分析している質的データ結果を踏まえ、質問紙を修正して調査を実施する。質問紙調査の結果については、早急に集計する。集計した結果を踏まえ、1~2病院でフォーカスグループを実施し、多職種連専従チームを検討する。

  • Development of the tools to assess interprofessional competency and examination of their impact

    2016.04
    -
    2019.03

    University of Tsukuba, Haruta Junji, Yamamoto Yu, Goto Ryohei, Maeno Takami, Grant-in-Aid for Young Scientists (B), Other, Principal Investigator

     View Summary

    As tools to assess interprofessional competency, we developed four assessment methods that were tested for content validity, reliability, and feasibility. We developed Script Concordance Test as a written test, and an Interprofessional Performance Scale in Conference that can be implemented in the clinical field as an observational assessment tool. In addition, we developed a Japanese version of a self-assessment questionnaire to evaluate interprofessional collaborations in practice in Canada, and developed an objective structured clinical examination to assess the practical skills for students. When these assessment tools can be spread from individuals to organizations with little variation in evaluation, the criteria and improvement points become clear, and healthcare professionals can be motivated from pre-graduated education to continuous professional development. We expect that the interprofessional competency of healthcare professionals will be improved using these tools.

  • 住民を巻き込んだ多職種連携教育(Transprofessional education)を基盤とした緩和ケアボランティア養成プログラムの開発-参加型アクションリサーチ-

    2014.04
    -
    2016.03

    日本プライマリ・ケア連合学会, 研究助成(チーム研究), 春田淳志, 大石愛、田直子, Other, Principal Investigator

display all >>

Awards 【 Display / hide

  • 医学教育賞 懸田賞

    2020.08, 日本医学教育学会, Realist approach to evaluating an interprofessional education program for medical students in clinical practice at a community hospital

    Type of Award: Celebration by Official journal of a scientific society or Academic Journal.  Country: 日本

 

Courses Taught 【 Display / hide

  • EARLY EXPOSURE PROGRAM 2

    2021