{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T16:14:53Z","timestamp":1775664893279,"version":"3.50.1"},"reference-count":4,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T00:00:00Z","timestamp":1754438400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Japan Research Group of the Ministry of Health, Labour and Welfare","award":["24FE0401"],"award-info":[{"award-number":["24FE0401"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12,22]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study assessed the needs, perceptions, and challenges associated with telemedicine in the treatment of oligoarticular\/polyarticular juvenile idiopathic arthritis (oJIA\/pJIA) and childhood-onset systemic lupus erythematosus (cSLE) in Japan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A nationwide survey was conducted using Google Forms targeting members of the Japan College of Rheumatology, the Paediatric Rheumatology Association of Japan, and paediatricians affiliated with core paediatric specialty training facilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Responses were received from 128 physicians, with 77%, 50%, 27%, and 21% of patients travelling for more than 1\u00a0hour, crossing prefectural borders, coming from areas with limited specialised care, and residing in remote islands and regions, respectively. JCR board-certified rheumatologists are more likely to treat these patients. Telemedicine was expected to reduce travel time (92.2%) and consultation time (92.2%), while concerns included patients\u2019 preference for in-person consultations (89.8%) and perceived differences in the quality of care (86.7%). Telemedicine was supported by 71.9% of respondents for stable oJIA\/pJIA cases and 76.3% for stable cSLE cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Many physicians support telemedicine for patients with oJIA\/pJIA or cSLE who travel long distances. Further studies should explore the quality differences between telemedicine and in-person consultations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/mr\/roaf075","type":"journal-article","created":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T11:34:50Z","timestamp":1754393690000},"page":"83-89","source":"Crossref","is-referenced-by-count":3,"title":["Telemedicine for paediatric rheumatic diseases in Japan: a national survey of physicians\u2019 perspectives"],"prefix":"10.1093","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5904-687X","authenticated-orcid":false,"given":"Yuzaburo","family":"Inoue","sequence":"first","affiliation":[{"name":"Department of General Medical Science, Graduate School of Medicine, Chiba University , Chiba ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takayuki","family":"Kishi","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Tokyo Women\u2019s Medical University , Tokyo ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomomi","family":"Sato","sequence":"additional","affiliation":[{"name":"Clinical Education Center for Physicians, Shiga University of Medical Science , Shiga ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuko","family":"Yamazaki","sequence":"additional","affiliation":[{"name":"Department of Rheumatology and Allergology, St. Marianna University School of Medicine , Kanagawa ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shigeru","family":"Iwata","sequence":"additional","affiliation":[{"name":"Department of Rheumatology and Clinical Immunology, Wakayama Medical University , Wakayama ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asami","family":"Abe","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Niigata Rheumatic Center , Niigata ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ken-ei","family":"Sada","sequence":"additional","affiliation":[{"name":"Department of Clinical Epidemiology, Kochi Medical School, Kochi University , Kochi ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eiichi","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Tokyo Women's Medical University School of Medicine , Tokyo ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keiichiro","family":"Nishida","sequence":"additional","affiliation":[{"name":"Locomotive Pain Center, Faculty of Medical Development Field, Okayama University , Okayama ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atsushi","family":"Kawakami","sequence":"additional","affiliation":[{"name":"Department of Immunology and Rheumatology, Division of Advanced Preventive Medical Sciences, Nagasaki University , Nagasaki ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yutaka","family":"Kawahito","sequence":"additional","affiliation":[{"name":"Inflammation and Immunology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine , Kyoto ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takako","family":"Miyamae","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Tokyo Women's Medical University School of Medicine , Tokyo ,","place":["Japan"]},{"name":"Department of Paediatric Rheumatology, Tokyo Women\u2019s Medical University Hospital , Tokyo ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,8,6]]},"reference":[{"key":"2025122205121113800_ref1","volume-title":"Telemedicine Model Reference Book (in Japanese)","author":"Ministry of Internal Affairs and Communications","year":"2024"},{"key":"2025122205121113800_ref2","volume-title":"Basic Policy for Promoting Online Consultations and Other Remote Medical Care (in Japanese)","author":"Ministry of Health, Labour, and Welfare","year":"2023"},{"key":"2025122205121113800_ref3","doi-asserted-by":"publisher","first-page":"1065","DOI":"10.1136\/annrheumdis-2022-222341","article-title":"2022 EULAR points to consider for remote care in rheumatic and musculoskeletal diseases","volume":"81","author":"Thurah","year":"2022","journal-title":"Ann Rheum Dis"},{"key":"2025122205121113800_ref4","volume-title":"Recommendations for Telemedicine Research","author":"Japanese Federation of Medical Associations","year":"2024"}],"container-title":["Modern 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