SRFP063: Japanese primary care physicians' experience in treating their own family members: A cross-sectional study

Taku Matsunaga, MD; Makoto Kaneko, MD, PhD; Machiko Inoue, MD, PhD, MPH

Abstract

Context: Guidelines around the world recommend that physicians should not treat their own family members. However, previous studies in the U.S. have shown that about 74-83% of physicians have experience in treating their family members and that primary care physicians have more experience compared to other specialists. In Japan, physicians do not have a guideline about treating their families, and little is known about the primary care physicians’ experience.
Objective: To investigate the experience in treating their own family members and relatives among primary care physicians in Japan.
Study Design: Cross-sectional study using an online questionnaire
Setting / Population Studied: Two thousand physicians in their third year or more after graduation who are members of Japan Primary Care Association.
Primary Outcome: Having experience in treating physicians’ own family members and relatives
Statistical Analysis Methods: We conducted a chi-square test to compare experience in treating the family members between clinic-based doctors and hospital-based doctors. Also, we performed a logistic regression analysis to adjust gender, age, presence of a doctor in the family, and physician’s workplace (rural or not rural).
Results: A total of 468 (23.4%) physicians responded to the questionnaire; 79.8% of them had experience in treating their family members or relatives. In univariate analysis, clinic-based physicians were associated with experience in treating the family members compared to hospital-based physicians (87.6% vs 74.9%: p=0.001). Multivariate analysis showed that a clinic-based physician (odds ratio 2.07: 95% confidence interval 1.19-3.67) and age (odds ratio 1.06: 95% confidence interval 1.04-1.09) were significantly related to the experience. Gender and workplace were not statistically significant factors.
Conclusions: A high percentage of Japanese primary care physicians also have experience in treating their own family members and relatives, especially those who work in clinics. The results of this study will serve as basic data for future studies on the care of physicians’ own families and relatives in Japan.
Leave a Comment
Judy Belle Brown
jbbrown@uwo.ca 11/20/2021

Important work - thank you!

Taku Matsunaga
tak.matsu7@gmail.com 11/22/2021

Thank you for your comment ! I will do my best to develop this research further.

Jack Westfall
jwestfall@aafp.org 11/21/2021

Terrific poster and presentation. Thanks for your work.

Taku Matsunaga
tak.matsu7@gmail.com 11/22/2021

I appreciate your comment. I think further research is needed in the future.

Gillian Bartlett
gillian.bartlett@health.missouri.edu 11/21/2021

What an interesting topic ! I did not think about this and you are right to highlight this as something that needs further work.

Taku Matsunaga
tak.matsu7@gmail.com 11/22/2021

Thank you for your comments. I think our next step is to expand the subjects of the study and track the outcomes and so on.

William R. Phillips
wphllps@uw.edu 11/21/2021

This is an interesting early study on a phenomenon we all experience as practicing family physicians. It's important for us to learn how these primary care doctor-patient phenomena same universal across different nations, languages and healthcare system. Your 23% survey response rate is better than a lot of the studies reported. I am interested in the future studies you have planned on this topic that will be added by these baseline data. I hope can you bring back findings from your future research. Thanks for sharing your work here at NAPCRG.

Taku Matsunaga
tak.matsu7@gmail.com 11/22/2021

Thank you very much for your valuable comments. I am very interested in the actual situation in other countries. I would like to do my best to develop this research theme further.

Diane Harper
harperdi@med.umich.edu 11/22/2021

awesome! Thank you for sharing your work with NAPCRG!

Andy Pasternak
avpiv711@sbcglobal.net 11/26/2021

Cool topic and timely for me as one of my relatives just asked me for a antibiotic script! ;)

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