{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T14:30:12Z","timestamp":1772721012804,"version":"3.50.1"},"reference-count":23,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T00:00:00Z","timestamp":1759363200000},"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>To assess rheumatologists\u2019 awareness of social insurance, welfare systems, and home medical care for rheumatoid arthritis (RA) patients in Japan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An anonymous, web-based questionnaire was distributed to 5\u2009128 members of the Japan College of Rheumatology between April 11 and 30, 2024. The survey covered demographics, knowledge of support systems, and attitudes towards home medical care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 478 rheumatologists responded (response rate 9.3%). Whilst over 80% had some understanding of the High-Cost Medical Expense Benefit and Long-Term Care Insurance systems, knowledge of the Disability Pension and long-term care facility characteristics was limited. About 73% reported facing difficulties in patient support due to insufficient knowledge. Medical Social Workers played a central role in providing patient support; however, their availability was limited in smaller clinics. Although 95.3% of respondents recognized the growing need for home medical care, only 24.5% had practical experience. Major concerns included the lack of RA expertise amongst physicians caring for patients living at home and challenges in medication management after care transition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Despite recognizing the importance of integrating social support and medical care, significant gaps remain in rheumatologists\u2019 knowledge and engagement, especially in home care settings. Educational and systemic improvements are needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/mr\/roaf085","type":"journal-article","created":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T12:10:37Z","timestamp":1759320637000},"page":"282-289","source":"Crossref","is-referenced-by-count":0,"title":["Awareness of social insurance, welfare systems, and home medical care among rheumatologists 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":[{"role":"author","vocabulary":"crossref"}]},{"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":[{"role":"author","vocabulary":"crossref"}]},{"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":[{"role":"author","vocabulary":"crossref"}]},{"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":[{"role":"author","vocabulary":"crossref"}]},{"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":[{"role":"author","vocabulary":"crossref"}]},{"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":[{"role":"author","vocabulary":"crossref"}]},{"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":[{"role":"author","vocabulary":"crossref"}]},{"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":[{"role":"author","vocabulary":"crossref"}]},{"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, Showa Medical University Graduate School of Pharmacy , Tokyo ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noriyoshi","family":"Shimahara","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Center for Rheumatic Diseases, Dogo Spa Hospital , Matsuyama ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"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":[{"role":"author","vocabulary":"crossref"}]},{"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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