{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T04:50:23Z","timestamp":1791262223380,"version":"4.1.0"},"reference-count":26,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:00:00Z","timestamp":1791158400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:00:00Z","timestamp":1791158400000},"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":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Although professional guidance generally discourages physicians from treating their own family members, family physicians often become involved in caring for dying relatives. However, little is known about how they experience caring for dying relatives. This study aims to explore how family physicians made sense of caring for a dying family member while simultaneously inhabiting the roles of physician and family member.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted an interpretative phenomenological analysis (IPA) of family physicians in Japan who had cared for a dying family member as the primary physician. Participants were recruited through purposive sampling. Semi\u2010structured interviews were conducted and analyzed iteratively according to the methodology of IPA, focusing on how participants made sense of their experiences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Seven family physicians participated. Participants described a dynamic interplay between two identities, physician and family member, throughout the process of providing end\u2010of\u2010life care. Four interrelated themes were identified: negotiating for practical family needs, leading decision\u2010making within the family contexts, redefining the best care, and using the physician role as both protection and connection. Participants fluidly navigated and integrated these identities. Care was guided less by biomedical correctness than by relational considerations, with participants balancing responsibility and emotional burden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Caring for a dying family member involves not only role conflict but also the integration of professional and familial identities. This duality can enable context\u2010sensitive and meaningful care while introducing ethical and emotional complexity. Rather than focusing solely on prohibiting such involvement, support should help physicians navigate these roles in practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jgf2.70187","type":"journal-article","created":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T03:50:58Z","timestamp":1791258658000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dual Identities of Family Physicians Caring for Their Dying Family Members: An Interpretative Phenomenological Analysis"],"prefix":"10.1002","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0783-7351","authenticated-orcid":false,"given":"Junki","family":"Mizumoto","sequence":"first","affiliation":[{"name":"Department of Family Practice Ehime Seikyo Hospital  Matsuyama Japan"},{"name":"Center for General Medicine Education, School of Medicine Keio University  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8195-1267","authenticated-orcid":false,"given":"Hirohisa","family":"Fujikawa","sequence":"additional","affiliation":[{"name":"Department of General Medicine Juntendo University Faculty of Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,5]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/virtualmentor.2012.14.5.coet1\u20101205"},{"key":"e_1_2_12_3_1","unstructured":"General Medical Council \u201cGood Medical Practice \u201d (2024) https:\/\/www.gmc\u2010uk.org\/professional\u2010standards\/the\u2010professional\u2010standards\/good\u2010medical\u2010practice."},{"issue":"1","key":"e_1_2_12_4_1","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1186\/s12875-022-01631-z","article-title":"General Practitioners Treating Their Own Family Members: A Cross\u2010Sectional Survey in Germany","volume":"23","author":"M\u00fccke N. 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M.","year":"2001","journal-title":"Western Journal of Medicine"},{"issue":"2","key":"e_1_2_12_8_1","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1007\/s10730-011-9174-5","article-title":"When Physicians Intervene in Their Relatives' Health Care","volume":"24","author":"Scarff J. R.","year":"2012","journal-title":"HEC Forum: An Interdisciplinary Journal on Hospital Ethics, Law, and Policy"},{"issue":"7","key":"e_1_2_12_9_1","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1001\/archfami.3.7.599","article-title":"\u2018Common Sense and a Thick Hide\u2019. Physicians Providing Care to Their Own Family Members","volume":"3","author":"Reagan B.","year":"1994","journal-title":"Archives of Family Medicine"},{"issue":"20","key":"e_1_2_12_10_1","doi-asserted-by":"crossref","DOI":"10.3390\/healthcare12202021","article-title":"Examining Physicians' Approaches to Treating Relatives in Primary Health Care Centers: Insights From a Qualitative Study","volume":"12","author":"Alhamdan M. R.","year":"2024","journal-title":"Health"},{"issue":"8","key":"e_1_2_12_11_1","article-title":"A Doctor in the House, an Ethical Consideration on Treating Their Family Members: A Mixed\u2010Method Study","volume":"15","author":"Vijayalakshmi S.","year":"2023","journal-title":"Cureus"},{"issue":"1","key":"e_1_2_12_12_1","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1370\/afm.2152","article-title":"Family Physicians Managing Medical Requests From Family and Friends","volume":"16","author":"Giroldi E.","year":"2018","journal-title":"Annals of Family Medicine"},{"issue":"5","key":"e_1_2_12_13_1","first-page":"493","article-title":"End\u2010Of\u2010Life Palliative Care: Role of the Family Physician","volume":"112","author":"McGregor T. 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An Analysis of the Practice of Physicians' Treating Their Own Families","volume":"267","author":"La Puma J.","year":"1992","journal-title":"Journal of the American Medical Association"}],"container-title":["Journal of General and Family Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jgf2.70187","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jgf2.70187","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jgf2.70187","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T03:51:05Z","timestamp":1791258665000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jgf2.70187"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,5]]},"references-count":26,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1002\/jgf2.70187"],"URL":"https:\/\/doi.org\/10.1002\/jgf2.70187","archive":["Portico"],"relation":{},"ISSN":["2189-7948","2189-7948"],"issn-type":[{"value":"2189-7948","type":"print"},{"value":"2189-7948","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,5]]},"assertion":[{"value":"2026-04-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70187"}}