{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T21:55:56Z","timestamp":1740174956320,"version":"3.37.3"},"reference-count":28,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,11,8]],"date-time":"2024-11-08T00:00:00Z","timestamp":1731024000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,11,8]],"date-time":"2024-11-08T00:00:00Z","timestamp":1731024000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Pharm Health Care Sci"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Unlike in urban areas, community healthcare in medically underpopulated areas in Japan is constantly challenged because of the uncertainty in effectively using the limited resources. However, no study has focused on human resources or identified the actual state of pharmacists\u2019 support in the community. Therefore, our study identified the actual status and problems of pharmacists involved in home medical care in medically underpopulated areas and discussed the roles required of pharmacists and specific methods of support.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>The content of semi-structured interviews with care managers involved in home healthcare in Misugi town, Tsu City, between November 10, 2023 and March 13, 2024, was analyzed qualitatively using the grounded theory approach.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Five care managers participated in the study. Semi-structured interviews on the actual situation and challenges faced by pharmacists indicated that the following roles were required for pharmacists: as in other regions, it was observed that elderly people with dementia and those living alone managed their medicines, adjusted leftover medicines, collaborated with other professions, bridged with physicians, checked medication status through frequent visits, and adhered to internal medication regimens. Issues related to the characteristics of depopulated areas were identified including human resources, limitations of healthcare resources, economic burden, limits on the number of visits by pharmacists. As a characteristic of communities with no pharmacies and only in-hospital prescribing, pharmacists were expected by care managers to manage the problems caused by in-hospital prescribing.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Our findings suggest that pharmacists should ensure the number of visits and collaborate with attending physicians, visiting nurses, and care managers to conduct drug management for patients with dementia and older adults living alone. Community healthcare specialists and those involved in the healthcare planning system can also utilize these findings while planning home healthcare to those who live in medically underpopulated areas in Japan.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40780-024-00395-1","type":"journal-article","created":{"date-parts":[[2024,11,8]],"date-time":"2024-11-08T11:50:15Z","timestamp":1731066615000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A qualitative study on the current status and problems of pharmacists in home healthcare from the viewpoint of care managers in medically underpopulated areas in Japan"],"prefix":"10.1186","volume":"10","author":[{"given":"Yuji","family":"Nakagawa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideo","family":"Kato","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6445-4410","authenticated-orcid":false,"given":"Takuya","family":"Iwamoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,11,8]]},"reference":[{"key":"395_CR1","unstructured":"National Institute of Population and Social Security Research. http:\/\/www.ipss.go.jp\/pp-zenkoku\/j\/zenkoku2017\/pp29_gaiyou.pdf Accessed 10 May 2024."},{"issue":"12","key":"395_CR2","doi-asserted-by":"publisher","first-page":"688","DOI":"10.5649\/jjphcs.45.688","volume":"45","author":"A Suzuki","year":"2019","unstructured":"Suzuki A, Hanya M, Kamei H. A qualitative study regarding the involvement of pharmacists and current Status of Multi-occupational Cooperation\/issues in Home Medical Care Yakuzaisi no zaitakuiryou deno kakawarikata oyobi tasyokusyurennkei no gennjyou to kadai Ni kannsuru situtekikenkyuu (in Japanese). J Pharm Health Care Sci. 2019;45(12):688\u201397.","journal-title":"J Pharm Health Care Sci"},{"key":"395_CR3","unstructured":"Fujisawa F, Ishimaru M, Ikebe T, Imanishi T, Okamura M, Kawabata T, Takayama A, Kusumoto M. Case Study in Depopulated Area and its significance collaborated with practicing nurses kasotiikikanngosyoku to kanngodaigakukyouinn tono genntiniokeru jireikenntou to sonoigi (in Japanese). J Gifu Coll NursingAn Official J Japan Prim Care Association. 20052018;5(1):117\u201323."},{"key":"395_CR4","doi-asserted-by":"crossref","unstructured":"Imanishi T, Okamura M, Kawabata T, Takayama A, Kusumoto M. Questionnaire Survey for Care Managers Regarding Their Awareness about the Role of Pharmacists in Home Medical Care: Objective Analysis Using Text Mining zaitakuiryou niokeru yakuzaisi no yakuwari ni taisuru keamanejya no ishikityousa (in Japanese). An Official Journal of the Japan Primary Care Association. 2018;41(3):92\u201399.","DOI":"10.14442\/generalist.41.92"},{"key":"395_CR5","unstructured":"Tsu City. Tsu City Website. https:\/\/www.info.city.tsu.mie.jp\/www\/contents\/1001000000814\/ Accessed 10 May 2024."},{"key":"395_CR6","unstructured":"Ministry of Internal Affairs and Communications. Act on Special Measures for the Promotion of Self-Reliance in Depopulated Areas and related ministerial ordinances. http:\/\/www.soumu.go.jp\/main_sosiki\/jichi_gyousei\/c-gyousei\/2001\/kaso\/kasomain1.htm Accessed 10 May 2024."},{"key":"395_CR7","volume-title":"Grounded Theory Approach, how to create a theory guraundeddo seoryi apurochi, rironn wo umidasumade (in Japanese)","author":"S Saikikureiguhiru","year":"2012","unstructured":"Saikikureiguhiru S. Grounded Theory Approach, how to create a theory guraundeddo seoryi apurochi, rironn wo umidasumade (in Japanese). Tokyo: sinyousya; 2012."},{"key":"395_CR8","volume-title":"Seminar on qualitative research methods, learning the grounded theory Approach Shitutekikennkyuuhouzeminaru, guraundeddo seoryi apurochi wo manabu (in Japanesa)","author":"S Saikikureiguhiru","year":"2013","unstructured":"Saikikureiguhiru S, Mito Y, Iwata Y, Takahashi K. Seminar on qualitative research methods, learning the grounded theory Approach Shitutekikennkyuuhouzeminaru, guraundeddo seoryi apurochi wo manabu (in Japanesa). 2nd ed. Tokyo: igakusyoinn; 2013.","edition":"2"},{"key":"395_CR9","unstructured":"Saikikureiguhiru S. Introduction to the Grounded Theory Approach guraundeddo seoryi apurochi gaironn (in Japanese). KEIO SFC J. 2014;14:30\u201343."},{"key":"395_CR10","unstructured":"Corbin JM, Strauss AL. [Basics of Qualitative Research: Grounded Theory Procedures and Techniques] shitutekikennkyuunokiso guraundeddo seoryi apurochi kaihatunogihou to syugi (in Japanese). 3rd edn. Translated by Misao H and Morioka T, igakusyoinn, Tokyo, 2012;61\u2013162."},{"key":"395_CR11","first-page":"1","volume-title":"Seminar on Qualitative Research Methods, expanded edition. Learning the grounded theory Approach Shitutekikennkyuuhouzeminaru Zoukyoubann Guraundeddo Seoryi Apurochi wo manabu (in Japanese)","author":"S Saikikureiguhiru","year":"2008","unstructured":"Saikikureiguhiru S. Seminar on Qualitative Research Methods, expanded edition. Learning the grounded theory Approach Shitutekikennkyuuhouzeminaru Zoukyoubann Guraundeddo Seoryi Apurochi wo manabu (in Japanese). Tokyo: igakusyoinn; 2008. pp. 1\u2013288."},{"key":"395_CR12","first-page":"233","volume-title":"Practice of the grounded theory Approach Guraundeddo Seoryi Apurochi no jissenn (in Japanese)","author":"Y Kinoshita","year":"2003","unstructured":"Kinoshita Y. Practice of the grounded theory Approach Guraundeddo Seoryi Apurochi no jissenn (in Japanese). Tokyo: koubunndou; 2003. pp. 233\u20139."},{"issue":"1","key":"395_CR13","first-page":"117","volume":"5","author":"M Fujisawa","year":"2005","unstructured":"Fujisawa M, Ishimaru M, Ikebe T. Case Study in Depopulated Area and its significance collaborated with practicing nurses kasotiikikangosyoku to kanngodaigakukyouinn tode genntiniokeru jireikenntou to sonoigi (in Japanese). J Gifu Coll Nurs. 2005;5(1):117\u201323.","journal-title":"J Gifu Coll Nurs"},{"key":"395_CR14","doi-asserted-by":"publisher","first-page":"100","DOI":"10.5649\/jjphcs.29.100","volume":"29","author":"H Koyama","year":"2003","unstructured":"Koyama H, kusaki H, Inada S, Nishida K, Mori S. The risk of adverse reactions in Elderly patients undergoing polypharmacy koureikannjya no tazaiheiyouryouhou Niokeru Yakubutusougosayou no kikennsei (in Japanese). J Pharm Health Care Sci. 2003;29:100\u20136.","journal-title":"J Pharm Health Care Sci"},{"key":"395_CR15","first-page":"2","volume":"35","author":"Y Nakamura","year":"2016","unstructured":"Nakamura Y, Kishimoto K, Yamaura K, Hukushima N. A qualitative study: factors related to the prevalence of Leftover drugs for senior patients in Japan Koureisya no yakubututiryou niokeru zannyakuhassei tyoukika no youinnnikannsuru shitutekikennkyuu (in Japanese). Japanese Soc Social Pharm. 2016;35:2\u20139.","journal-title":"Japanese Soc Social Pharm"},{"key":"395_CR16","first-page":"373","volume":"10","author":"C Takami","year":"2000","unstructured":"Takami C. The problems pertaining to medication for Elderly Home residents zaitakukoureisya no hukuyaku no jittai tazaiheiyousya wo taisyouni (in Japanese). Kawasaki Med Welf J. 2000;10:373\u20139.","journal-title":"Kawasaki Med Welf J"},{"issue":"1","key":"395_CR17","first-page":"19","volume":"37","author":"S Seto","year":"2018","unstructured":"Seto S, Kato H, Kohyama N, Kobayashi Y, Yamamoto T, Kogo M. Management of Leftover Medicine Associated with the change of prescription form through collaboration between General Practitioners and Community pharmacists: a Research Survey Sinnryoujyoishi to yakuzaishi no rennkei Ni Muketa Syohousennnyoushikihenbnkou Ni Tomonau Zannyakukannri Ni kannnsuru tyousakennkyuu (in Japanese). Japanese Soc Social Pharm. 2018;37(1):19\u201326.","journal-title":"Japanese Soc Social Pharm"},{"issue":"1","key":"395_CR18","first-page":"101","volume":"31","author":"J Katsuno","year":"2009","unstructured":"Katsuno J, Yukawa H, Ideguchi N. Multidisciplinary collaboration in the introduction of Home Rehabilitation-A Report on cases where patient\u2019s QOL was improved by the participation of pharmacists in Care conferences Zaitakurihabiridounyuu Niokeru Tasyokusyurennkei Yakkyokuyakuzaishi no sabisutanntousyakaigi wo hukumeta kennyojirei no houkoku (in Japanese). Japanese J Cancer Chemother. 2009;31(1):101\u20133.","journal-title":"Japanese J Cancer Chemother"},{"issue":"11","key":"395_CR19","doi-asserted-by":"publisher","first-page":"1393","DOI":"10.1248\/yakushi.129.1393","volume":"129","author":"N Akai","year":"2009","unstructured":"Akai N, Fujita W, Tokuyama S. The attitude survey of Medical Staff on the participation of community pharmacists in the Palliative Home Care Yakuzaishi no zaitakukannwakeasannkaku Ni kannsuru ishi narabini komedhikaru no ishikityousa (in Japanese). Yakugaku Zasshi. 2009;129(11):1393\u2013401.","journal-title":"Yakugaku Zasshi"},{"key":"395_CR20","first-page":"45","volume":"51","author":"S Yamaguchi","year":"2011","unstructured":"Yamaguchi S. Multidisciplinary collaboration in Home Healthcare Zaitakauiryou Niokeru tasyokusyurennkei (in Japanese). Iyakunomonn. 2011;51:45\u20139.","journal-title":"Iyakunomonn"},{"issue":"1","key":"395_CR21","first-page":"7","volume":"41","author":"M Onda","year":"2004","unstructured":"Onda M, Kobayashi S, Kuroda K, Zenda H. Factors influencing patient satisfaction on medication counseling and instruction in hospitals byouinn Niokeru Kusurinosetumei Ni Taisuru Kannjyamannzokudo Ni Eikyou wo ataeru innshi Ni kansuru kennkyuu (in Japanese). J Japanese Soc Hosp Adm. 2004;41(1):7\u201314.","journal-title":"J Japanese Soc Hosp Adm"},{"issue":"3","key":"395_CR22","doi-asserted-by":"publisher","first-page":"92","DOI":"10.14442\/generalist.41.92","volume":"41","author":"T Imanishi","year":"2018","unstructured":"Imanishi T, Okamura M, Kawabata T, Takayama A, Kusumoto M. Questionnaire Survey for Care managers regarding their awareness about the role of pharmacists in Home Medical Care: Objective Analysis using text mining zaitakuiryou Ni Okeru Yakuzaishi no Yakuwari Ni Taisuru Keamanejya no isikityousa -tekisutomainnninngu niyoru kyakkanntekikaiseki- (in Japanese). Official J Japan Prim Care Association. 2018;41(3):92\u20139.","journal-title":"Official J Japan Prim Care Association"},{"issue":"5","key":"395_CR23","doi-asserted-by":"publisher","first-page":"843","DOI":"10.1248\/yakushi.131.843","volume":"131","author":"Y Nanaumi","year":"2011","unstructured":"Nanaumi Y, Onda M, Sakurai H, Tanaka R, Tsubota K, Matoba S, Mukai Y, Arakawa Y, Hayase Y. A Research Survey on the information gathering methods, attitudes, and requests from Care Managers about the Pharmaceutical service by pharmacists in Home Care Zaitakukea Niokeru Yakuzaishigyoumu Nitaisuru Keamanejya no jyouhousyuusyuusyudann oyobi isiki Youbou Ni kannsuru tyousakennkyuu (in Japanese). Yakugaku Zasshi. 2011;131(5):843\u201351.","journal-title":"Yakugaku Zasshi"},{"issue":"1","key":"395_CR24","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1016\/j.cnur.2007.10.006","volume":"43","author":"JR Wu","year":"2008","unstructured":"Wu JR, Moser DK, Lennie TA, Burkhart PV. Medication adherence in patients who have heart failure: a review of the literature. Nurs Clin North Am. 2008;43(1):133\u201353.","journal-title":"Nurs Clin North Am"},{"key":"395_CR25","first-page":"1","volume":"41","author":"S Fusho","year":"2004","unstructured":"Fusho S, Fujisawa M, Matsuyama Y, Watanabe K, Kato S, Nakagawa M. Visiting nurse\u2019s supports of taking Medicine by the patient at Home Zaitakuryouyousya no hukuyaku nikakawaru houmonnkanngosi no jittai to kadai (in Japanese). J Gifu Coll Nurs. 2004;41:1\u20137.","journal-title":"J Gifu Coll Nurs"},{"issue":"2","key":"395_CR26","first-page":"91","volume":"37","author":"H Yanagimoto","year":"2018","unstructured":"Yanagimoto H, Sakurai T, Furuta H, Kurosawa N. Survey on perceptions of Home Care Physicians and nurses regarding Home Medical Care and expectations to pharmacists zaitakui oyobi houmonnkanngoshi no zaitakugyoumu heno ishiki oyobi yakuzaishi heno kitai nikannsuru tyousakennkyuu (in Japanese). Japanese Soc Social Pharm. 2018;37(2):91\u2013101.","journal-title":"Japanese Soc Social Pharm"},{"key":"395_CR27","doi-asserted-by":"crossref","unstructured":"Yokomaku K, Yasuhara T, Ueda1 M, Nagata M, Aoe M, Kushihata T, Sone T. Qualitative Research on the Current Situation of pharmacists involved in Home Medical Care in medium-sized medical areas tyuukiboiryoukenn no zaitakuiryou Ni Kakawaru Yakuzaisi no gennjyou Ni kannsuru situtekikennkyuu (in Japanese). J Pharm Health Care Sci. 2021;47(10):549\u201357.","DOI":"10.5649\/jjphcs.47.549"},{"key":"395_CR28","unstructured":"Ministry of Health, Labour and Welfare. Regional Comprehensive Care System. http:\/\/www.mhlw.go.jp\/stf\/seisakunitsuite\/bunya\/hukushi_kaigo\/kaigo_koureisha\/chiiki-houkatsu\/ Accessed 10 May 2024."}],"container-title":["Journal of Pharmaceutical Health Care and Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40780-024-00395-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40780-024-00395-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40780-024-00395-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,8]],"date-time":"2024-11-08T12:04:48Z","timestamp":1731067488000},"score":1,"resource":{"primary":{"URL":"https:\/\/jphcs.biomedcentral.com\/articles\/10.1186\/s40780-024-00395-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,8]]},"references-count":28,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["395"],"URL":"https:\/\/doi.org\/10.1186\/s40780-024-00395-1","relation":{},"ISSN":["2055-0294"],"issn-type":[{"type":"electronic","value":"2055-0294"}],"subject":[],"published":{"date-parts":[[2024,11,8]]},"assertion":[{"value":"7 July 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 October 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 November 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was conducted in compliance with the Ethical Guidelines for Medical Research Involving Human Subjects and was based on a research plan approved by the Ethical Review Committee for Medical Research at Mie University Hospital (No. H2023-188).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declared no potential conflicts of interest with respect to the research, authorship, and\/or publication of this article.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"71"}}