{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T15:33:12Z","timestamp":1782747192319,"version":"3.54.5"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T00:00:00Z","timestamp":1773878400000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"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":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to investigate how changes in outpatient care during the coronavirus disease (COVID\u201019) pandemic affected the quality of medical care provided by Japanese physicians.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A cross\u2010sectional, anonymous online survey was conducted among members of the Japan Geriatrics Society between October and December 2022. Physicians were asked about changes in outpatient care and their perceived impact on the quality of care. Descriptive statistics,\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      tests, and multivariate logistic regression analyses were used to examine the relationships between care changes and perceived declines in care quality.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 321 respondents, 135 (42.1%) reported that the quality of their medical care was negatively affected during the pandemic. Significant associations were found between the perceived decline in care quality and a decrease in the number of new outpatients at outpatient clinics, extended intervals between return visits, and conduct of outpatient telephone consultations. Extended intervals between return visits and conduct of outpatient telephone consultations were also independently associated with difficulties in understanding patients' conditions and living situations. These relationships remained significant after adjusting for covariates, such as physician experience and facility type.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Changes in outpatient care during the COVID\u201019 pandemic, particularly extended intervals between return visits and conduct of outpatient telephone consultations, were significantly associated with a decline in physician\u2010perceived care quality. These disruptions impair physicians' ability to assess patients comprehensively and underscore the need to maintain continuity of care and holistic evaluation practices, especially for older adults, during public health emergencies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ggi.70458","type":"journal-article","created":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T02:39:53Z","timestamp":1773974393000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Effects of Outpatient Care Changes During the\n                    <scp>COVID<\/scp>\n                    \u201019 Pandemic on the Quality of Physician Care in Japan: A Cross\u2010Sectional Study"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5942-6562","authenticated-orcid":false,"given":"Junpei","family":"Tanabe","sequence":"first","affiliation":[{"name":"Department of Rehabilitation, Faculty of Health Sciences Hiroshima Cosmopolitan University  Hiroshima Japan"},{"name":"Department of Medicine for Integrated Approach to Social Inclusion, Graduate School of Biomedical and Health Sciences Hiroshima University  Hiroshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hungu","family":"Jung","sequence":"additional","affiliation":[{"name":"Department of Medicine for Integrated Approach to Social Inclusion, Graduate School of Biomedical and Health Sciences Hiroshima University  Hiroshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuji","family":"Iwamoto","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Faculty of Health Sciences Hiroshima Cosmopolitan University  Hiroshima Japan"},{"name":"Department of Medicine for Integrated Approach to Social Inclusion, Graduate School of Biomedical and Health Sciences Hiroshima University  Hiroshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4015-6056","authenticated-orcid":false,"given":"Kenta","family":"Hirohama","sequence":"additional","affiliation":[{"name":"Department of Medicine for Integrated Approach to Social Inclusion, Graduate School of Biomedical and Health Sciences Hiroshima University  Hiroshima Japan"},{"name":"Department of Rehabilitation Sakamidorii Hospital  Hiroshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5762-4066","authenticated-orcid":false,"given":"Shinya","family":"Ishii","sequence":"additional","affiliation":[{"name":"Department of Medicine for Integrated Approach to Social Inclusion, Graduate School of Biomedical and Health Sciences Hiroshima University  Hiroshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,19]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"World Health Organization Second Round of the National Pulse Survey on Continuity of Essential Health Services During the COVID\u201019 Pandemic: Interim Report(2021)."},{"key":"e_1_2_13_3_1","first-page":"1","article-title":"Telemedicine Use Among Physicians by Physician Specialty: United States, 2021","volume":"493","author":"Myrick K. L.","year":"2024","journal-title":"NCHS Data Brief"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13561-024-00553-z"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.33944"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-025-21393-4"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocpiqo.2021.06.006"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-046227"},{"key":"e_1_2_13_9_1","doi-asserted-by":"crossref","unstructured":"F. A.McAlister Z.Hsu Y.Dong C.vanWalraven andJ. A.Bakal Changes in Outpatient Care Patterns and Subsequent Outcomes During the COVID\u201019 Pandemic: A Retrospective Cohort Analysis From A Single\u2010Payer Healthcare System. medRxiv(2022).","DOI":"10.1101\/2022.03.07.22272032"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2021.04.027"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12911-022-01952-0"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12020212"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/20552076241233148"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.3399\/BJGPO.2021.0192"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.14490"},{"key":"e_1_2_13_16_1","unstructured":"Ministry of Health Labour and Welfare Japan Ethical Guidelines for Medical and Health Research Involving Human Subjects. 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