{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T09:04:27Z","timestamp":1779786267142,"version":"3.53.1"},"reference-count":31,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T00:00:00Z","timestamp":1776816000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T00:00:00Z","timestamp":1776816000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Gen and Family Med"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Academic departments related to regional health care in Japan play a crucial role in addressing healthcare disparities and workforce shortages. However, a comprehensive understanding of their structures, leadership, and activities is lacking. This study aimed to provide the first nationwide profile of academic departments related to regional healthcare (chiiki iryou) in Japanese medical schools.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A cross\u2010sectional study of 82 Japanese medical schools was conducted in 2024. Data on departments whose names included\n                      <jats:italic>chiiki<\/jats:italic>\n                      and their chairpersons were collected from official university websites and the National Physician Registration Database. To assess research output, a PubMed search was conducted for English\u2010language original articles published over a 2\u2010year period, where the chairperson was listed as the first, second, or last author.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 145 chairpersons from 168 eligible departments were included in the analysis. Most of the departments were at national universities (66.1%), were headed by endowed chairpersons (78.0%), who were predominantly male (94.5%). Analysis of chairperson characteristics revealed: (1) a predominance of Internal Medicine specialists (44.1%) and a limited proportion of certified General Medicine specialists (10.3%); (2) limited research output, with 36.6% having no PubMed\u2010indexed articles published during the study period; (3) a research focus primarily on clinical (59.9% of articles) and basic science (15.6% of articles), with few articles focusing on regional healthcare issues.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This nationwide study reveals a lack of diversity in chairperson characteristics, with a predominance of Internal Medicine specialists, limited international research output, and a possible mismatch between academic focus and regional healthcare needs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jgf2.70120","type":"journal-article","created":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T13:41:14Z","timestamp":1776865274000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Leadership and Research Productivity in Japan's Academic Departments of Regional Healthcare: A Nationwide Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-1926-0029","authenticated-orcid":false,"given":"Hiroki","family":"Yasuhara","sequence":"first","affiliation":[{"name":"Division of Primary Health Care, Faculty of Medical Sciences University of Fukui  Fukui Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9092-4626","authenticated-orcid":false,"given":"Satoshi","family":"Inaba","sequence":"additional","affiliation":[{"name":"Department of General Internal Medicine Fukuchiyama City Hospital  Kyoto Japan"},{"name":"Department of General Medicine &amp; Community Healthcare Kyoto Prefectural University of Medicine  Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinya","family":"Aoki","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Shioda Hospital Chiba Japan  Katsuura Chiba Japan"},{"name":"Department of Community\u2010Oriented Medical Education, Graduate School of Medicine Chiba University  Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeshi","family":"Kawaguchi","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine St. Marianna University School of Medicine  Kawasaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoki","family":"Ikai","sequence":"additional","affiliation":[{"name":"Division of Primary Health Care, Faculty of Medical Sciences University of Fukui  Fukui Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9322-8455","authenticated-orcid":false,"given":"Takashi","family":"Watari","sequence":"additional","affiliation":[{"name":"Integrated Clinical Education Center Kyoto University Hospital  Kyoto Japan"},{"name":"General Medicine Center Shimane University Hospital  Shimane Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,22]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.2105\/ajph.2007.123778"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(15)60910\u20102"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.2105\/ajph.2020.305868"},{"issue":"2","key":"e_1_2_11_5_1","article-title":"Transition of Physician Distribution (1980\u20132002) in Japan and Factors Predicting Future Rural Practice","volume":"9","author":"Inoue K.","year":"2009","journal-title":"Rural and Remote Health"},{"key":"e_1_2_11_6_1","unstructured":"Cabinet Office Government of Japan \u201cAnnual Report on the Aging Society: Summary FY2023 \u201d(2025)."},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.2185\/jrm.2023\u2010047"},{"key":"e_1_2_11_8_1","unstructured":"Australian Government Department of Health and Aged Care \u201cRural Health Multidisciplinary Training (RHMT) Program \u201d(2025)."},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12960\u2010021\u201000644\u20106"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.22605\/RRH1908"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.22605\/RRH3112"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12909\u2010024\u201006135\u20101"},{"issue":"1","key":"e_1_2_11_13_1","first-page":"7","article-title":"Rural Health Research: Building Capacity and Influencing Policy in the United States and Canada","volume":"37","author":"Hartley D.","year":"2005","journal-title":"Canadian Journal of Nursing Research"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajr.12142"},{"key":"e_1_2_11_15_1","unstructured":"Ministry of Health Labour and Welfare \u201cList of Endowed Chairs Related to Community Medicine \u201d(2009)."},{"key":"e_1_2_11_16_1","volume-title":"The Department Chair as Academic Leader","author":"Hecht I. 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