{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T20:03:34Z","timestamp":1783454614209,"version":"3.55.0"},"reference-count":6,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T00:00:00Z","timestamp":1779667200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T00:00:00Z","timestamp":1779667200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Dermatology"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Japan is a super\u2010aging society with universal health insurance, but routine preventive foot and nail care is reimbursed only for limited high\u2010risk conditions. To compare patients using an insurance\u2010funded foot\u2010care service with those using a subsequently introduced hospital\u2010based self\u2010pay preventive foot\u2010care clinic and to identify factors associated with self\u2010pay clinic use. We retrospectively analyzed de\u2010identified records from an insurance\u2010funded program (April 2019\u2013March 2023) and a self\u2010pay preventive clinic (April 2023\u2013March 2025). Group differences were assessed using Welch's\n                    <jats:italic>t<\/jats:italic>\n                    \u2010test and chi\u2010square tests. Independent predictors were estimated by multivariable logistic regression. The analysis included 1741 patients (1157 insurance\u2010funded and 584 self\u2010pay). Self\u2010pay clinic users were older than insurance\u2010funded service users (mean 76.1 versus 72.8\u2009years) and were more likely to live alone (50.9% versus 27.0%). Older age, living alone, and higher copayment tiers were independently associated with self\u2010pay clinic use, whereas sex and public assistance status were not. Self\u2010pay preventive foot\u2010care clinic use was concentrated among older patients, particularly those living alone. These findings suggest unmet demand for preventive foot and nail care, but do not establish comparative clinical effectiveness or cost\u2010effectiveness.\n                  <\/jats:p>","DOI":"10.1111\/1346-8138.70327","type":"journal-article","created":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T04:33:52Z","timestamp":1779770032000},"page":"1020-1025","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors Associated With Utilization of a Hospital\u2010Based Self\u2010Pay Preventive Foot\u2010Care Clinic in Japan: A Retrospective Observational Study"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-1766-2013","authenticated-orcid":false,"given":"Ayaka","family":"Okubo","sequence":"first","affiliation":[{"name":"Department of Dermatology Muroran City General Hospital  Muroran Hokkaido Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,25]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"Regional Care Prevention Manual: \u201cFoot and Nail Care Project\u201d","author":"Ministry of Health, Labour and Welfare of Japan","year":"2003"},{"key":"e_1_2_12_3_1","volume-title":"Interpretation of Article 17 of the Medical Practitioners Act, Article 17 of the Dental Practitioners Act, and Article 31 of the Public Health Nurses, Midwives and Nurses Act (Notification, 26 July 2005)","author":"Ministry of Health, Labour and Welfare of Japan","year":"2005"},{"key":"e_1_2_12_4_1","volume-title":"Medical Fee Schedule and Explanatory Notes: J001\u20107 Nail Removal Without Anesthesia","author":"Ministry of Health, Labour and Welfare of Japan","year":"2024"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40266-021-00917-8"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.2174\/1872213X13666191026090713"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/07853890.2024.2336989"}],"container-title":["The Journal of Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1346-8138.70327","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1346-8138.70327","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1346-8138.70327","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T18:46:42Z","timestamp":1783450002000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1346-8138.70327"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,25]]},"references-count":6,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1111\/1346-8138.70327"],"URL":"https:\/\/doi.org\/10.1111\/1346-8138.70327","archive":["Portico"],"relation":{},"ISSN":["0385-2407","1346-8138"],"issn-type":[{"value":"0385-2407","type":"print"},{"value":"1346-8138","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,25]]},"assertion":[{"value":"2026-02-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}