{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T15:37:21Z","timestamp":1789227441661,"version":"build-2803163510"},"reference-count":19,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,7,11]],"date-time":"2023-07-11T00:00:00Z","timestamp":1689033600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100014475","name":"Pfizer Health Research Foundation","doi-asserted-by":"publisher","award":["21\u20108"],"award-info":[{"award-number":["21\u20108"]}],"id":[{"id":"10.13039\/100014475","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2023,8]]},"abstract":"\n Aim<\/jats:title>\n Geriatricians and primary care physicians in Japan are expected to provide care to older patients with multimorbidity.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A questionnaire survey was carried out to understand the current approaches to older patients with multimorbidity. A total of 3300 participants, including 1650 geriatric specialists (G) and 1650 primary care specialists (PC) were enrolled. A 4\u2010point Likert scale was used to score the following items: diseases that cause difficulty in treatment (diseases), patient backgrounds that cause difficulty in treatment (backgrounds), important clinical factors and important clinical strategies. Statistical comparisons were made between the groups. In the Likert scale, higher scores show a greater degree of difficulty.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n We obtained responses from 439 and 397 specialists in the G and PC, respectively (response rates 26.6 and 24.1%). The overall scores for \u201cdiseases\u201d and \u201cbackgrounds\u201d were significantly higher in the G than those in the PC (\n P<\/jats:italic>\n \u2009<\u20090.001 and\n P<\/jats:italic>\n \u2009=\u20090.018). The top 10 items in the \u201cbackgrounds\u201d and in the \u201cimportant clinical strategies\u201d were all matched between the groups. The overall score of the \u201cimportant clinical factors\u201d was not statistically different between the groups; however, \u201clow nutrition,\u201d \u201cbedridden activities of daily living,\u201d \u201cliving alone\u201d and \u201cfrailty\u201d were found only in the top 10 items of the G, and \u201cfinancial problems\u201d was found in those of the PC.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n Geriatricians and primary care physicians have many similarities and differences in their approaches to multimorbidity management. Therefore, there is an urgent need to establish a system in which they can share a common understanding to manage older patients with multimorbidity.\n Geriatr Gerontol Int 2023; 23: 628\u2013638<\/jats:bold>\n .\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/ggi.14638","type":"journal-article","created":{"date-parts":[[2023,7,11]],"date-time":"2023-07-11T22:26:51Z","timestamp":1689114411000},"page":"628-638","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Questionnaire survey of geriatricians and primary care physicians' approaches to treating older patients with multimorbidity"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-9318-6539","authenticated-orcid":false,"given":"Takuma","family":"Kimura","sequence":"first","affiliation":[{"name":"Department of R&D Innovation for Home Care Medicine Tokyo Medical and Dental University School of Medicine Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1419-3574","authenticated-orcid":false,"given":"Ken","family":"Shinmura","sequence":"additional","affiliation":[{"name":"Department of General Internal Medicine Hyogo Medical University, School of Medicine Nishinomiya Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,11]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.14065"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-018-21917-6"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.5888\/pcd16.180170"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h176"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-046749"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-063729"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2017.09.006"},{"key":"e_1_2_8_9_1","first-page":"NG56","volume-title":"Multi\u2010Morbidity: Clinical Assessment and Management","author":"National Institute for Health and Care Excellence","year":"2016"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2012.04188.x"},{"key":"e_1_2_8_11_1","article-title":"Martin Fortin: interventions for improving outcomes in patients with multimorbidity in primary care and community setting: a systematic review","volume":"10","author":"Smith SM","year":"2021","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(87)90171-8"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwq433"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-014-0223-1"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp12X652373"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-017-2724-z"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-020-4983-3"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-018-0832-4"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1038\/bmt.2012.244"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2013.09.021"}],"container-title":["Geriatrics & Gerontology International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ggi.14638","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,16]],"date-time":"2023-08-16T19:39:12Z","timestamp":1692214752000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ggi.14638"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,11]]},"references-count":19,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2023,8]]}},"alternative-id":["10.1111\/ggi.14638"],"URL":"https:\/\/doi.org\/10.1111\/ggi.14638","archive":["Portico"],"relation":{},"ISSN":["1444-1586","1447-0594"],"issn-type":[{"value":"1444-1586","type":"print"},{"value":"1447-0594","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,11]]},"assertion":[{"value":"2023-04-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-26","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-11","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}