Challenges in providing maternity care in remote areas and islands for primary care physicians in Japan: a qualitative study

BMC Family Practice
Ayako ShibataMachiko Inoue

Abstract

Maintaining a maternity care system is one of the biggest issues in Japan due to the decreasing number of obstetricians, especially in remote areas and islands. The aim of this qualitative study was to explore the challenges in women's health and maternity care in remote areas and islands for primary care physicians and obstetricians in order to provide an insight necessary to develop a better health care system. We conducted semi-structured interviews with 13 primary care physicians and 4 obstetricians practicing maternity care at clinics/hospitals in remote areas and islands across Japan. Interview data were analyzed, using the modified Grounded Theory Approach, to elucidate the challenges primary care physicians faced in their practice. Primary care physicians who engaged in maternity care recognized the following challenges: low awareness of primary care, lack of training opportunities, unclear goal of the training, lack of certification system, lack of consultation system, and lack of obstetricians to offer support. These six challenges along with the specialty's factors such as sudden changes of patients' condition were considered to result to the provider's hesitation and anxiety to engage in the practice. This study fou...Continue Reading

References

Sep 5, 2009·Intensive Care Medicine·Jennifer Kryworuchko, Daren K Heyland
Mar 1, 2011·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Sudha KoppulaJohn M Jordan
Jul 10, 2012·Journal of the American Board of Family Medicine : JABFM·Christine Chang PecciLarry Culpepper
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Jan 24, 2016·International Journal of Health Geographics·Soichi KoikeHideo Yasunaga
Mar 24, 2016·BMJ Open·Junichi HasegawaUNKNOWN Japan Association of Obstetricians and Gynecologists

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Citations

Sep 14, 2019·Journal of General and Family Medicine·Daisuke KatoMasatoshi Kondo

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