{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:07:09Z","timestamp":1792786029707,"version":"4.5.0"},"reference-count":18,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:00:00Z","timestamp":1756425600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Health and Labor Sciences Research Grant from the Ministry of Health, Labor, and Welfare of Japan","award":["23FE1002"],"award-info":[{"award-number":["23FE1002"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to evaluate the knowledge, experience, and challenges faced by care and welfare professionals in supporting patients with rheumatoid arthritis (RA) in Japan, and to identify issues related to coordination between medical and welfare services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A nationwide questionnaire survey was conducted using stratified regional sampling. The target population included 1000 members each from the Japan Care Manager Association (JCMA) and the Japanese Association of Certified Social Workers (JASW). The survey assessed respondents\u2019 knowledge of RA, support experience, actual practices, views on interdisciplinary collaboration, and perceptions of patients\u2019 understanding of available systems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Valid responses were obtained from 390 JCMA members and 330 JASW members. While basic knowledge of RA symptoms and disease course was common, awareness of RA-specific medications was limited, especially among JASW respondents. Many participants had little experience supporting RA patients. The reported challenges included insufficient information from physicians, a lack of structured information sharing, and underestimation of care needs in long-term care certification. Patients and families also showed limited understanding of healthcare and welfare systems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings highlight the need for improved education, better interdisciplinary coordination, and enhanced information sharing. Comprehensive efforts are essential to ensure continuous, high-quality care for RA patients in community settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/mr\/roaf080","type":"journal-article","created":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:43:55Z","timestamp":1756381435000},"page":"218-226","source":"Crossref","is-referenced-by-count":1,"title":["Support for patients with rheumatoid arthritis provided by care and welfare professionals in Japan: a cross-sectional study"],"prefix":"10.1093","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7686-3211","authenticated-orcid":false,"given":"Toshihiro","family":"Matsui","sequence":"first","affiliation":[{"name":"Department of Rheumatology Research, Clinical Research Center for Allergy and Rheumatology, National Hospital Organization Sagamihara National Hospital , Kanagawa ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6636-2835","authenticated-orcid":false,"given":"Mie","family":"Fusama","sequence":"additional","affiliation":[{"name":"Health Sciences Department of Nursing, Kansai University of International Studies , Hyogo ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4359-9987","authenticated-orcid":false,"given":"Kimito","family":"Kawahata","sequence":"additional","affiliation":[{"name":"Department of Rheumatology and Allergology, St Marianna University School of Medicine , Kanagawa ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1640-1373","authenticated-orcid":false,"given":"Ryoko","family":"Sakai","sequence":"additional","affiliation":[{"name":"Department of Public Health and Epidemiology, Meiji Pharmaceutical University , Tokyo ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7181-7494","authenticated-orcid":false,"given":"Takahiko","family":"Sugihara","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Department of Internal Medicine, Toho University School of Medicine , Tokyo ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-2422-8850","authenticated-orcid":false,"given":"Miho","family":"Tsujimura","sequence":"additional","affiliation":[{"name":"Department of Rheumatology Research, Clinical Research Center for Allergy and Rheumatology, National Hospital Organization Sagamihara National Hospital , Kanagawa ,","place":["Japan"]},{"name":"Department of Pharmacy, Koga Community Hospital , Shizuoka ,","place":["Japan"]},{"name":"School of Pharmacy, Nihon University , Chiba ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5932-2616","authenticated-orcid":false,"given":"Isao","family":"Matsushita","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Kanazawa Medical University , Ishikawa ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8292-3962","authenticated-orcid":false,"given":"Nobuyuki","family":"Yajima","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Department of Medicine, Showa Medical University School of Medicine , Tokyo ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8621-7643","authenticated-orcid":false,"given":"Takeo","family":"Isozaki","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Department of Medicine, Showa Medical University School of Medicine , Tokyo ,","place":["Japan"]},{"name":"Department of Pathogenesis and Translational Medicine, Graduate School of Pharmacy, Showa Medical University , Tokyo ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noriyoshi","family":"Shimahara","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Center for Rheumatic Diseases, Dogo Spa Hospital , Matsuyama ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3641-2723","authenticated-orcid":false,"given":"Shotaro","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Rheumatology and Allergology, St Marianna University School of Medicine , Kanagawa ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6494-4823","authenticated-orcid":false,"given":"Rei","family":"Ono","sequence":"additional","affiliation":[{"name":"Department of Pathogenesis 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