Details of a Researcher - Haruta, Junji

Papers - Haruta, Junji

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How have Japanese primary care physicians carried out vaccinations against COVID-19? : Attempts at making the non-scalable ‘scalable’

Shuhei Kimura, Sachiko Horiguchi, Ryohei Goto, Junko Iida, Sachiko Ozone, Makoto Kaneko, Junko Teruyama, Yusuke Hama, Junji Haruta, Junichiro Miyachi

F1000Research (F1000 Research Ltd) 11 1268 - 1268 2022

Research paper (scientific journal), Joint Work, Last author, Accepted

Vaccine rollouts have been underway to combat the COVID-19 pandemic globally. Based on ongoing interviews with ten primary care physicians ‘in the field’, this paper elucidates how in practice the vaccinations were carried out in Japan in 2021. We examine what the primary care physicians did to prepare for the rollouts, what problems they faced, and how they responded to these problems. Large-scale vaccination projects are supposed to proceed smoothly and quickly, or to have what Anna Tsing calls ‘scalability’. In practice, however, they required a variety of tasks for coordination, information sharing, and promotion. Despite feeling stressed by the lack of information and exhausted by the work overload, the primary care physicians carried out the vaccinations as an important service to their patients and communities. The findings of this paper will provide valuable materials for improving future vaccine rollouts.

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What kinds of work do Japanese primary care physicians who derive greater positive meaning from work engage in?

Yamamoto Y, Haruta J, Goto R, Maeno T

Journal of General and Family Medicine 2022

Research paper (scientific journal), Joint Work, Accepted

Family caregivers’ experience with healthcare and social care professionals and their participation in health checkups

Nakayama G, Masumoto S, Haruta J, Maeno T

Journal of General and Family Medicine 2022

Research paper (scientific journal), Joint Work, Accepted

【私のIPE体験】慶應義塾大学

尾崎真友, 春田淳志

The Journal of Interprofessional Collaboration in Health and Social Care (Japan Association for Interprofessional Education) 15 ( 2 ) 114 - 115 2022

ISSN 18836380

What Role Expectations Do Primary Care Physicians in Japan Hold for Physical Therapists Regarding Primary Care?

Ryohei Goto, Junji Haruta, Sachiko Ozone

Journal of primary care & community health (Journal of Primary Care and Community Health) 13 21501319221124316 - 21501319221124316 2022

ISSN 21501319

INTRODUCTION/OBJECTIVES: This study aimed to clarify what primary care physicians (PCPs) in Japan understand of the role of physical therapists (PTs) through the experience of working with PTs in hospitals, and what roles PCPs expect for PTs in future primary care. METHODS: Semi-structured interviews were conducted individually with 9 purposively sampled PCPs with sufficient experience of collaboration with PTs. Interview data were analyzed by theme analysis focusing on "What does the PCP understand about the role of PTs through the experience of working with PTs in hospitals?" and "What roles and purposes does the PCP wish for PTs in primary care settings?" RESULTS: PCPs viewed PTs as providers of rehabilitation in the traditional medical model, and understood their role as an occupation having a mono-causal viewpoint, namely a specific and well-defined outcome for individual patients, and intervening with patients within a short clinical course with the aim of improvement or maintenance of the patient's condition. With regard to future primary care, PCPs expected that PTs would interpret various factors related to patient lives from the viewpoint of causal interactions; become important stakeholders in the community; and respond flexibly to patients and the environmental factors around them with continued support to the individual. CONCLUSIONS: PCPs understood the role of PTs in hospitals as "Rehabilitation in the traditional medical model," and expected the future role of PTs in primary care as "Rehabilitation in integrated community care."

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[Relationship between the use of home-visit nursing services and family caregivers' experience of interprofessional care].

Gen Nakayama, Shoichi Masumoto, Junji Haruta, Tetsuhiro Maeno

Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics (The Japan Geriatrics Society) 59 ( 2 ) 209 - 218 2022

ISSN 03009173

AIM: To examine the relationship between the use of home-visit nursing services (VNS) for patients and their family caregivers' experience of interprofessional care, which is an indicator of the care process. METHODS: We used data from a cross-sectional survey in Japan, 2020. Family caregivers 40-74 years old and caring for community-dwelling patients with chronic conditions were recruited. The outcome variable was family caregivers' experience, reflecting the quality of interprofessional care for patients and their caregivers. We used the Japanese version of the Caregivers' Experience Instrument (J-IEXPAC CAREGIVERS), which includes two domains: attention for the patient and attention for the caregiver. The main factor was the use of VNS, and covariates were socioeconomic factors of the caregivers and the use of other health and social care services. J-IEXPAC CAREGIVERS scores were divided into two groups by median values and analyzed by multivariate logistic regression analyses. RESULTS: A total of 566 caregivers were included in the analysis. The median age was 62 years old. VNS was used in 86 cases (15.2%). Logistic regression analyses revealed that the use of VNS was significantly associated with a higher total score group for J-IEXPAC CAREGIVERS (odds ratio = 3.02; 95% confidence interval 1.54-5.91). Of the J-IEXPAC CAREGIVERS domains, attention for the patient was significant. CONCLUSIONS: We found that the use of VNS was likely to provide a better experience among family caregivers. Our findings suggest that visiting nurses fulfill their expected role as core members of a multidisciplinary team.

Japan's General Practitioners' Responses to COVID-19 Transformations of the" Body Social" in Between Pandemic Waves

S Kimura, J Iida, J Teruyama, S Horiguchi, J Miyachi, Y Hama, J Haruta, ...

Japanese Review of Cultural Anthropology 23 (1), 337-342 2022

Japan's General Practitioners' Responses to COVID-19

Kimura Shuhei, Iida Junko, Teruyama Junko, Horiguchi Sachiko, Miyachi Junichiro, Hama Yusuke, Haruta Junji, Ozone Sachiko, Kaneko Makoto, Goto Ryohei

Japanese Review of Cultural Anthropology (Japanese Society of Cultural Anthropology) 23 ( 1 ) 337 - 342 2022

ISSN 24325112

[How have Japanese primary care physicians carried out vaccinations against COVID-19? : Attempts at making the non-scalable 'scalable'].

Kimura S, Horiguchi S, Goto R, Iida J, Ozone S, Kaneko M, Teruyama J, Hama Y, Haruta J, Miyachi J

F1000Research 11 1268 2022

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How have Japanese primary care physicians carried out vaccinations against COVID-19?: Attempts at making the non-scalable'scalable'

S Kimura, S Horiguchi, R Goto, J Iida, S Ozone, M Kaneko, J Teruyama, ...

F1000Research 11, 1268-1268 (F1000Research) 11 2022

Vaccine rollouts have been underway to combat the COVID-19 pandemic globally. Based on ongoing interviews with ten primary care physicians 'in the field', this paper elucidates how in practice the vaccinations were carried out in Japan in 2021 from a cultural anthropological perspective. We examine what the primary care physicians did to prepare for the rollouts, what problems they faced, and how they responded to these problems. Large-scale vaccination projects are supposed to proceed smoothly and quickly, or to have what Anna Tsing calls 'scalability'. In practice, however, they required a variety of tasks for coordination, information sharing, and promotion. Despite feeling stressed by the lack of information and exhausted by the work overload, the primary care physicians carried out the vaccinations as an important service to their patients and communities. The findings of this paper will provide valuable materials for improving future vaccine rollouts.

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文化人類学にとっての医学教育モデル·コア·カリキュラム改訂の意義

医療者向け人類学教育連携委員会, 木村周平, 飯田淳子, 伊藤泰信, 倉田誠, 錦織宏, 浜田明範, 春田淳志, 星野晋

Japanese Journal of Cultural Anthropology (Japanese Society of Cultural Anthropology) 86 ( 3 ) 511 - 514 2021.12

Accepted, ISSN 1349-0648

Working Group Report (Practice article 2) : Online Interprofessional Education　Stepwise Interprofessional Education through Inter-University Collaboration at the University of Tsukuba (1)

The 21st - Term Interprofessional Education Committee, Goto Ryohei, Maeno Takami, Haruta Junji, Ino Miyuki, Ishikawa Satoko, Uchiyama Yasushi, Ohtsuki Masatsugu, Kato Hirotaka, Goto Michiko, Naito Chisako, Norose Takahiko, Yoshimi Kenji, Yasui Hiroki

Igaku Kyoiku / Medical Education (Japan) (Japan Society for Medical Education) 52 ( 6 ) 557 - 563 2021.12

ISSN 0386-9644

For this second report, we divided the efforts of the University of Tsukuba into two parts. In the first part, we introduced the Interprofessional program, an inter-university collaborative educational program between the University of Tsukuba and Ibaraki Prefectural University of Health Sciences. Before the COVID-19 pandemic, this program was conducted using TBL (Team-based learning) in a large conference room. After the pandemic, this was conducted online (using Zoom). The main changes due to the online implementation were the following five points; (1) online faculty meetings, (2) advance distribution of materials, (3) testing using Google Forms, (4) group work using the breakout function, and (5) simultaneous editing using Google Docs. In the future, we would like to examine the possibility of new educational methods while creating innovations that are possible only through online interprofessional educational programs.

Working Group Report (Practice article 2) : Online Interprofessional Education　Stepwise Interprofessional Education through Inter-University Collaboration at the University of Tsukuba (2)

The 21st - Term Interprofessional Education Committee, Maeno Takami, Goto Ryohei, Haruta Junji, Ino Miyuki, Ishikawa Satoko, Uchiyama Yasushi, Ohtsuki Masatsugu, Kato Hirotaka, Goto Michiko, Naito Chisako, Norose Takahiko, Yoshimi Kenji, Yasui Hiroki

Igaku Kyoiku / Medical Education (Japan) (Japan Society for Medical Education) 52 ( 6 ) 565 - 570 2021.12

ISSN 0386-9644

In the second part of the second report, we introduce the Care Colloquium, an inter-university collaborative educational program between the University of Tsukuba and the Tokyo University of Science. The Care Colloquium is an interprofessional education program that uses PBL (Problem-based learning). In response to the COVID-19 pandemic, this program was implemented online using Microsoft Teams, with advance preparation including manual maintenance and communication testing. The same learning outcomes were achieved as the face-to-face implementation. Undergraduate interprofessional education tends to be a large-scale program, and the shortage of faculty and classrooms is challenging, but online education could overcome these obstacles. The development of hybrid programs that use the merits of both face-to-face and online education may lead to the promotion of interprofessional education in the future.

What types of networks do professionals build, and how are they affected by the results of network evaluation?

J Haruta, S Tsugawa Phd

Frontiers in Public Health, 1878 (Frontiers in Public Health) 9 758809 - 758809 2021.11

Background: We aimed to explore what kind of social networks characterizable as "consult/be consulted" are built among healthcare professionals in a community and the impact of providing the professionals with these findings. Methods: We adopted mixed methods exploratory study using social network analysis (SNA) and content analysis. SNA can visualize social network structures such as relationships between individuals. The healthcare professionals were asked about the key persons they consulted and were consulted by concerning these healthcare issues: (1) daily work; (2) a person with acute back pain; (3) a garbage-filled house reported by a neighbor; (4) a person with dementia; and (5) a study meeting. We identified the key roles depending on the issues using SNA. After analysis, the analytical findings were shared with the participants. To explore their cognitive responses, an open-ended questionnaire was delivered and a content analysis was implemented. Results: Of 54 healthcare professional participants, the data of 52 were available for analysis. The findings (in the respective order of the five topics above) were as follows: the number of nodes was 165, 95, 85, 82, and 68; clustering coefficient was 0.19, 0.03, 0.02, 0.11, and 0.23; assortativity was -0.043, -0.11, -0.23, -0.17, and -0.23; reciprocity was 0.35, 0.31, 0.39, 0.29, and 0.48. The top three centralities included nurses. Eighty-seven free comments were received, of which 39 were categorized as descriptive, 10 as analytical, and 38 as critical. Discussion: The structure of "consult/be consulted" networks differed by topic. SNA is available to detect the healthcare resources network and it may have helped them to reflect on their own networks.

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Validation of the professional self-identity questionnaire for medical students during clinical practice in Japan

J Haruta, T Maeno, A Takayashiki, R Goto, S Ozone, T Maeno

International Journal of Medical Education 12, 160-165 (International journal of medical education) 12 160 - 165 2021.08

Joint Work, ISSN 2042-6372

Objectives: To validate the Professional Self Identity Questionnaire (PSIQ) for medical students during clinical practice. Methods: We conducted a single-year longitudinal questionnaire study using the PSIQ. The PSIQ rates the nine items of "teamwork", "communication", "conducting assessment", "cultural awareness", "ethical awareness", "using records", "dealing with emergencies", "reflection", and "teaching" on a scale of 1-7 points. The study participants consisted of 118 fifth- and sixth-grade medical students who completed a mandatory 4-week clinical practice in a community-based medical education (CBME) curriculum. The data were collected before and after the CBME curriculum and after clinical practice at the time of graduation. To validate the internal structure of the PSIQ, we calculated Cronbach's alpha in the three phases. Additionally, to assess construct validity, we analyzed the trends and differences in each of the nine items of the PSIQ using repeated measures analysis of variance (ANOVA). We also showed the differences in effect size before and after the CBME curriculum. Results: The data of 105 medical students were analyzed. Cronbach's alpha in the three phases was 0.932, 0.936, and 0.939, respectively. PSIQ scores increased progressively for all items, and the F-test for repeated measures ANOVA of nine items' average score across the three phases showed a significant difference F(2,208) = 63.59, p<0.001. The effect size for professional identity of cultural awareness before and after the CBME curriculum was 0.67, or medium. Conclusions: We validated the PSIQ for medical students during clinical practice. Reflecting on professional identity may provide an opportunity for meaningful feedback on readiness to become a doctor.

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医学教育に社会科学を活かすために

飯田淳子, 木村周平, 伊藤泰信, 倉田誠, 浜田明範, 星野晋, 春田淳志, 錦織宏

Igaku Kyoiku / Medical Education (Japan) (Japan Society for Medical Education) 52 ( 4 ) 342 - 344 2021.08

Accepted, ISSN 0386-9644

Comparison of Interprofessional Collaboration, Work Burden, Workplace Satisfaction, and Relationship with Neighboring Facilities between Clinic/Small Hospital Staff and those at Regional Core Hospitals

Komori Satoko, Ozone Sachiko, Goto Ryohei, Haruta Junji

An Official Journal of the Japan Primary Care Association (JAPAN PRIMARY CARE ASSOCIATION) 44 ( 1 ) 11 - 16 2021.03

Joint Work, ISSN 2185-2928

Introduction: This study compared perceptions of interprofessional collaboration and recognition of work between clinic/small hospital staff and those at regional core hospitals.Methods: An anonymous, self-administered questionnaire was administered to the staff at 4 clinics/small hospital and those at 3 regional core hospitals responsible for regional medical care. The following items were compared between the 2 groups: Assessment of Interprofessional Team Collaboration (AITCS) Japanese version, Readiness for Interprofessional Learning Scale (RIPLS) Japanese version, workplace satisfaction, and relationship with neighboring facilities.Results: The subjects were 74 staff members at clinics and small hospital and 576 staff members at regional core hospitals; their average ages were 41.9 years and 40.6 years, respectively. Compared to staff at regional core hospitals, those at the clinics and small hospitals had significantly higher AITCS scores, RIPLS scores, and workplace satisfaction, and they also considered their institutions to have better relationship with neighboring facilities.Conclusion: The staff of clinics and small hospital were more aware of interprofessional collaboration than hospital staff, and were more satisfied with their workplaces. Understanding the underlying organizational differences may facilitate vertical integration in community-based integrated care systems.

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「ソーシャルディスタンス」の時代のエスノグラフィー：デジタルプラットフォームを活用した調査を事例として

4．照山絢子; 飯田淳子; 木村周平; 堀口佐知子; 春田淳志; 濱雄亮; 金子惇; 宮地純一郎; 小曽根早知子; 後藤亮平

白山人類学 24 101 - 114 2021.03

Research paper (scientific journal), Joint Work, Accepted

Ethnography in the Age of “Social Distancing”: A Case of a Project Utilizing Digital Platforms

照山, 絢子, 木村, 周平, 飯田, 淳子, 堀口, 佐知子, 春田, 淳志, 濱, 雄亮, 金子, 惇, 宮地, 純一郎, 小曽根, 早知子, 後藤, 亮平

白山人類学 = Hakusan Review of Anthropology (白山人類学研究会) 24 101 - 114 2021.03

Accepted, ISSN 1341-5980

The influence of family caregivers’ experience of interprofessional care on their participation in health checkups as preventive health behavior in Japan—a cross-sectional analysis

Nakayama G, Masumoto S, Haruta J, Maeno T

International Journal of Environmental Research and Public Health (International Journal of Environmental Research and Public Health) 18 ( 1 ) 1 - 12 2021.01

Joint Work, ISSN 16617827

Background: The role of family caregivers has been vital, especially in superaging societies like Japan’s. The caregivers’ experience of interprofessional care is a key aspect in their evaluation of the quality of integrated care. We sought to explore whether family caregivers’ experience of interprofessional care is associated with their own participation in health checkups as preventive health behaviors. Methods: We used cross-sectional data obtained during the development of the Japanese version of the Caregivers’ Experience Instrument (J-IEXPAC CAREGIVERS). Participants who had provided care for at least one year were surveyed (n = 251). We assessed family caregivers’ experience of interprofessional care using J-IEXPAC CAREGIVERS and their participation in health checkups. Results: Multivariate logistic regression analysis revealed that the J-IEXPAC CAREGIVERS total score was significantly associated with the caregivers’ participation in health checkups [odds ratio per 1-point increase = 1.05; 95% confidence interval 1.01–1.09]. Two domain scores (attention for the patient and attention for the caregiver) of J-IEXPAC CAREGIVERS were significantly associated with the outcome. Conclusions: Family caregivers with more positive experiences of interprofessional care were more likely to participate in health checkups. These results support the significance of family caregivers’ experience of care, which may promote preventive health behaviors.

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