Details of a Researcher - Haruta, Junji

Papers - Haruta, Junji

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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

[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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Japanese Version of the Self-assessment Scale of Interprofessional Competency

J Haruta, R Goto

(No Title) 2022

sj-xlsx-1-jpc-10.1177 _21501319221124316–Supplemental material for What Role Expectations Do Primary Care Physicians in Japan Hold for Physical Therapists Regarding Primary Care?

R Goto, J Haruta, S Ozone

(No Title) 2022

sj-xlsx-1-jpc-10.1177 _21501319221107317–Supplemental material for Verification of a Sense of Community Scale for Hospitals in Japan

R Goto, J Haruta, S Ozone

(No Title) 2022

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.

「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

CiNii Research

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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Impact of Early Exposure to Simulation Program on Undergraduate Medical Students’ Interest in Urology

T Kimura, K Kojo, M Shiga, I Chihara, A Ikeda, S Kandori, T Kojima, ...

Journal of Medical Education and Curricular Development 8, 23821205211020750 8 23821205211020750 2021.01

Joint Work

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What Role Conceptions Do Multi-Healthcare Professionals Have of Physicians and What Role Expectation Do They Have of Physicians in a Community?

J Haruta, R Goto, S Ozone, T Maeno

BMC Family Practice (BMC Family Practice) 22 ( 1 ) 217 2021

Joint Work

Background: To create an effective community-based integrated care system, interprofessional collaboration based on healthcare professionals’ mutual understanding of their respective roles must be promoted. This study aimed to identify the role conception and role expectation that other healthcare professionals have towards physicians in the context of a community-based integrated care system. Methods: We organized focus groups and adopted ‘Role Theory’ as a theoretical framework. We collected data from healthcare professionals attending a conference on community-based integrated care systems in Japan. Fifty-four non-physician healthcare professionals consented to participate in 7 focus groups. Theme analysis based on the verbatim recorded transcripts was conducted in accordance with the framework of “Role Theory”. Results: The role conception of physicians is as a figure of intellectual authority positioned at the top of a traditional hierarchy, with a personal character of criticism/autonomy/closedness, not accommodative of interference from others, and upholding the Biomedical Model as an absolute standard. In response to this, the role expectation of physicians in the community is that they undertake actions that only physicians can undertake to ensure that a flat organization functions properly in providing medical explanations during patient transitions, and to offer healthcare support for patients who are difficult to access. This role expectation also includes the perception of patients as human beings, with physicians adapting to the Bio-Psycho-Social Model, explaining to patients about their disease as an authoritative voice based on an understanding of psychosocial circumstances, and sharing the prognosis of disease or disability. The expected personal character is a person with an open mind who allows others to seek advice, as well as a sense of approachableness which facilitates such seeking of advice. Conclusion: In the context of a community-based integrated care system, physicians should consider the understanding of their role conception and role expectation that other professionals have of them, and endeavor to create an open relationship with all healthcare professionals while giving careful consideration to their own role.

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Primary care physicians’ narratives on COVID‐19 responses in Japan: Professional roles evoked under a pandemic

J Haruta, S Horiguchi, J Miyachi, J Teruyama, S Kimura, J Iida, S Ozone, ...

Journal of General and Family Medicine 2021

Joint Work

Primary care physicians’ narratives on COVID-19 responses in Japan: Professional roles evoked under a pandemic

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

Journal of General and Family Medicine (Journal of General and Family Medicine) 22 ( 6 ) 316 - 326 2021

Joint Work, ISSN 2189-7948

Background: Within the vague system of primary care and COVID-19 infection control in Japan, we explored how primary care (PC) physicians exhibited adaptive performance in their institutions and communities to cope with the COVID-19 pandemic from January to May 2020. Methods: Narrative analysis conducted by a team of medical professionals and anthropologists. We purposefully selected 10 PC physicians in community-based hospitals and clinics and conducted a total of 17 individual and group interviews. The verbatim transcript data were analyzed using the conceptual framework of adaptive performance. Results: We identified three “phases” of the time period (January–May 2020). In Phase 1, PC physicians initially perceived the disease as a problem unrelated to them. In Phase 2, the Diamond Princess outbreak triggered adaptive performance of the physicians, who began to deal with medical issues related to COVID-19 by using social networking services and applying the collected information to their organization and/or communities. Following this, in Phase 3, the PC physicians’ adaptive performance in their own communities and institutions emerged in the face of the pandemic. Reflecting their sensitivity to local context, the PC physicians were seen to exhibit adaptive performance through dealing with context-dependent problems and relationships. Conclusions: PC physicians exhibited adaptive performance in the course of coping with the realities of COVID-19 in shifting phases and in differing localities in the early stages of the pandemic. The trajectories of adaptive performance in later stages of the pandemic remain to be seen.

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