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The present circumstances of pediatric practice by family physicians in Japan: Cross sectional research

The present circumstances of pediatric practice by family physicians in Japan: Cross sectional... BACKGROUNDPrimary care in Japan differs greatly from that in other countries, where the number of family physicians and general practitioners is much greater than that in Japan.1 In these countries, primary care is basically provided by general practitioners, regardless of the nature of the disease; when it is judged that specialized care in each department is necessary, the patient is referred to a specialist in those departments.2–5 The same is true for pediatric care. In the US, family physicians provide about 30% of pediatric primary care, and in the UK and Australia, general practitioners provide most primary care for children, and pediatricians often provide care when specialty care or inpatient care is needed.6–8 In recent years, family physicians or general practitioners, called hospitalists, are sometimes in charge of pediatric care up to secondary care, even for inpatient care in some countries.9 In Japan, however, even in primary care, internal medicine is practiced by internal medicine specialists, pediatrics by pediatricians, and orthopedics by orthopedic surgeons, even in clinics and small‐ and medium‐sized hospitals. Thus, in many cases, organ‐based or medical field‐based specialists are responsible for not only secondary or tertiary care but also primary care in Japan.10–12 As for pediatric http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of General and Family Medicine Wiley

The present circumstances of pediatric practice by family physicians in Japan: Cross sectional research

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References (43)

Publisher
Wiley
Copyright
© 2023 Japan Primary Care Association
eISSN
2189-7948
DOI
10.1002/jgf2.580
Publisher site
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Abstract

BACKGROUNDPrimary care in Japan differs greatly from that in other countries, where the number of family physicians and general practitioners is much greater than that in Japan.1 In these countries, primary care is basically provided by general practitioners, regardless of the nature of the disease; when it is judged that specialized care in each department is necessary, the patient is referred to a specialist in those departments.2–5 The same is true for pediatric care. In the US, family physicians provide about 30% of pediatric primary care, and in the UK and Australia, general practitioners provide most primary care for children, and pediatricians often provide care when specialty care or inpatient care is needed.6–8 In recent years, family physicians or general practitioners, called hospitalists, are sometimes in charge of pediatric care up to secondary care, even for inpatient care in some countries.9 In Japan, however, even in primary care, internal medicine is practiced by internal medicine specialists, pediatrics by pediatricians, and orthopedics by orthopedic surgeons, even in clinics and small‐ and medium‐sized hospitals. Thus, in many cases, organ‐based or medical field‐based specialists are responsible for not only secondary or tertiary care but also primary care in Japan.10–12 As for pediatric

Journal

Journal of General and Family Medicine – Wiley

Published: Jan 1, 2023

Keywords: family physician; Japan; pediatric practice; pediatric training

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