{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T10:14:44Z","timestamp":1783332884156,"version":"3.54.6"},"reference-count":18,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T00:00:00Z","timestamp":1774224000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Japan Research Group of the Ministry of Health, Labour and Welfare for Research Conducive to the Visualization and Societal Implementation of Unmet Medical Needs in Rheumatic Diseases","award":["24FE0401"],"award-info":[{"award-number":["24FE0401"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Telemedicine is a promising solution for addressing regional disparities, and for improving access to specialized care for patients with rheumatic diseases in Japan. This review provides a comprehensive overview of the current challenges, proposed clinical models, and future directions for implementing telemedicine for these conditions. Drawing from the European Alliance of Associations for Rheumatology points to consider and national surveys, we highlight the potential of hybrid care models, the importance of digital literacy, and the need for interdisciplinary collaboration in this field. We introduce innovative remote care systems currently being piloted in island regions to deliver high-quality care in underserved settings. Additionally, we discuss the outcomes of a health economic simulation, revealing the benefits and financial concerns regarding the current reimbursement structures. Key barriers \u2013 technical, clinical, patient-related, organizational, and legal \u2013 are analysed alongside proposed countermeasures. Finally, we outline a research agenda to evaluate the effectiveness, safety, and sustainability of telemedicine. With appropriate policy support and system development, telemedicine could play a pivotal role in enhancing the quality and equity of rheumatologic care in Japan.<\/jats:p>","DOI":"10.1093\/mr\/roag023","type":"journal-article","created":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T12:46:35Z","timestamp":1774010795000},"page":"504-515","source":"Crossref","is-referenced-by-count":0,"title":["A proposal for the implementation of telemedicine in Japan for rheumatoid arthritis, juvenile idiopathic arthritis, and systemic lupus erythematosus: Review article"],"prefix":"10.1093","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2606-995X","authenticated-orcid":false,"given":"Shin-ya","family":"Kawashiri","sequence":"first","affiliation":[{"name":"Center for Collaborative Medical Education and Development, Nagasaki University Institute of Biomedical Sciences , Nagasaki ,","place":["Japan"]},{"name":"Department of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences , Nagasaki ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsushi","family":"Kawakami","sequence":"additional","affiliation":[{"name":"Department of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences , Nagasaki ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0568-1496","authenticated-orcid":false,"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 Pediatric Rheumatology, Tokyo Women's Medical University Hospital , Tokyo ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,3,23]]},"reference":[{"key":"2026070605222578300_ref1","doi-asserted-by":"crossref","first-page":"2438","DOI":"10.1007\/s11606-024-08853-0","article-title":"Unveiling the adoption and barriers of telemedicine in US hospitals: a comprehensive analysis (2017-2022)","volume":"39","author":"Jiang","year":"2024","journal-title":"J Gen Intern Med"},{"key":"2026070605222578300_ref2","volume-title":"Telemedicine Model Reference Book (in Japanese)","author":"Ministry of Internal Affairs and Communications","year":"2024"},{"key":"2026070605222578300_ref3","volume-title":"Results of the Review of Telephone and Online Medical Consultations from January to March 2021 (in Japanese)","author":"Ministry of Health, Labour and 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