{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T06:59:11Z","timestamp":1790405951681,"version":"4.1.0"},"reference-count":18,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T00:00:00Z","timestamp":1787788800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T00:00:00Z","timestamp":1787788800000},"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":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Primary care is an important setting for prevention, but implementation gaps may arise before clinicians can identify patients eligible for preventive services. We described self\u2010reported preventive care implementation among Japanese primary care physicians and examined whether lower implementation co\u2010occurred with eligibility\u2010identification difficulty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a nationwide web\u2010based cross\u2010sectional survey of physician members of the Japan Primary Care Association from May to June 2025. Respondents reported recommendation consistency for 30 preventive services, difficulty identifying eligible patients, and perceived barriers. Service\u2010level implementation and eligibility\u2010identification difficulty were summarized in a two\u2010axis map.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 258 respondents, 56.2% reported structured preventive care training and 53.9% used outpatient reminders. \u201cMostly achieved\u201d recommendation was relatively high for hypertension, diabetes, and dyslipidaemia screening and influenza vaccination, but low for screening for domestic violence, chlamydia\/gonorrhea, abdominal aortic aneurysm, anxiety, and depression, respiratory syncytial virus vaccination, and folic acid counseling. Difficulty identifying eligible patients was highest for domestic violence screening (14.0%), chlamydia\/gonorrhea screening (13.6%), hepatitis C screening (10.5%), and respiratory syncytial virus vaccination (7.8%). Common barriers were time constraints, insufficient knowledge or skills, low patient interest, and financial or reimbursement issues.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Self\u2010reported implementation varied substantially across services. Some low\u2010implementation services also involved eligibility\u2010identification difficulty, suggesting an upstream implementation problem. Japanese primary care may need systems that make eligibility visible through training, reminders, prompts, registries, and team\u2010based workflows.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jgf2.70166","type":"journal-article","created":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T04:52:20Z","timestamp":1787892740000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Eligibility\u2010Identification Difficulty and Self\u2010Reported Preventive Care Implementation Among Japanese Primary Care Physicians"],"prefix":"10.1002","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3358-4367","authenticated-orcid":false,"given":"Hironori","family":"Yamada","sequence":"first","affiliation":[{"name":"Shinjuku Tsurukame Clinic  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6115-4519","authenticated-orcid":false,"given":"Kei","family":"Miyazaki","sequence":"additional","affiliation":[{"name":"Department of General Medicine and General Internal Medicine Nagoya City University Graduate School of Medical Sciences  Nagoya Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1380-406X","authenticated-orcid":false,"given":"Makito","family":"Yaegashi","sequence":"additional","affiliation":[{"name":"Shinjuku Tsurukame Clinic  Tokyo Japan"},{"name":"Tokushukai Medical Corporation  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-4356-9666","authenticated-orcid":false,"given":"Kuniko","family":"Nakayama","sequence":"additional","affiliation":[{"name":"My Family Clinic Gamagori Medical Corporation MEFA Jin\u2010Aikai  Gamagori Aichi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rei","family":"Suganaga","sequence":"additional","affiliation":[{"name":"Kameda Family Clinic Tateyama  Tateyama Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-3643-0183","authenticated-orcid":false,"given":"Nobuaki","family":"Kusaka","sequence":"additional","affiliation":[{"name":"Department of Postgraduate Education Center Kameda Medical Center  Tateyama Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wataru","family":"Hirohashi","sequence":"additional","affiliation":[{"name":"Ouchi Clinic Nishiarai, Medical Corporation Daiwakai Heisei Medical Welfare Group  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0371-1951","authenticated-orcid":false,"given":"Tomio","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Faculty of Medicine Osaka Medical and Pharmaceutical University  Takatsuki Osaka 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