{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T07:51:38Z","timestamp":1772697098548,"version":"3.50.1"},"reference-count":40,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T00:00:00Z","timestamp":1770422400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,2,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Caregiver burden represents a pressing public health challenge in aging societies. The quality of primary care may shape caregiver experiences, yet current evidence remains scarce.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective(s)<\/jats:title>\n                    <jats:p>To examine the association between primary care quality and overall and domain-specific caregiver burden among family caregivers aged \u226560 years in Shirakawa City, Japan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a cross-sectional study involving adults aged \u226560 years in Shirakawa City, Japan, as part of the 2023 Shirakawa Quality of Life (QOL) Project. The sample included 250 family caregivers who self-identified as providing care for a relative. Primary care quality was measured using the Person-Centered Primary Care Measure (PCPCM) (score range: 0\u20134; higher scores = better quality) and caregiver burden using the Burden Index of Caregivers (BIC) (score range: 0\u201344; higher scores = greater burden). Multivariable linear regression with multiple imputations was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Higher quality of primary care was significantly associated with lower caregiver burden overall (adjusted \u03b2 = \u22122.8; 95% CI, \u22124.1 to \u22121.5). Consistent associations were found across time-dependent, emotional, existential, and physical burden domains. A weaker but still statistically significant association emerged from service-related burden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These findings indicate that person-centered primary care may contribute to reducing multiple dimensions of caregiver burden. Longitudinal studies are needed to clarify causal relationships and guide the development of targeted interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/fampra\/cmag005","type":"journal-article","created":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T12:43:21Z","timestamp":1770209001000},"source":"Crossref","is-referenced-by-count":0,"title":["Exploring the impact of person-centered primary care for caregivers on family caregiver burden in Japan: a cross-sectional study"],"prefix":"10.1093","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0659-2417","authenticated-orcid":false,"given":"Akihiro","family":"Ozaka","sequence":"first","affiliation":[{"name":"Department of General Medicine, Shirakawa Satellite for Teaching and Research (Shirakawa STAR), Fukushima Medical University , Shirakawa City, Fukushima 961-0005 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Fukushima Medical University , Shirakawa City, Fukushima 961-0005 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sayaka","family":"Shimizu","sequence":"additional","affiliation":[{"name":"Section of Clinical Epidemiology, Department of Community Medicine, Graduate School of Medicine, Kyoto University , Kyoto City, Kyoto 606-8507 ,","place":["Japan"]},{"name":"Department of Research, Patient Driven Academic League (PeDAL) , Chuo-ku, Tokyo 604-0924 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsukasa","family":"Kamitani","sequence":"additional","affiliation":[{"name":"Section of Education for Clinical Research, Kyoto University Hospital , Kyoto 606-8507 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sayaka","family":"Nishioka","sequence":"additional","affiliation":[{"name":"Section of Clinical Epidemiology, Department of Community Medicine, Graduate School of Medicine, 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