研究者詳細 - 髙橋　徳幸

論文 - 髙橋　徳幸

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Coordinated empathy in attending general practitioners: an interpretive phenomenological approach to constructing a conceptual model of empathy. 査読有り国際誌 Open Access

Muramatsu E, Takahashi N, Aomatsu M, Suematsu M, Miyazaki K

BMC primary care 26 巻 ( 1 ) 頁： 130 2025年4月

担当区分：責任著者記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Springer Science and Business Media LLC

DOI： 10.1186/s12875-025-02834-w

Open Access

PubMed

その他リンク： https://link.springer.com/article/10.1186/s12875-025-02834-w/fulltext.html

Online Problem-Based Learning in Child and Adolescent Psychiatry at Nagoya University, Japan 査読有り国際共著国際誌 Open Access

Daseul Kwon, Takeshi Kondo, Noriyuki Takahashi, Hideki Takami, Hiroshi Nishigori, Branko Aleksic, Itzel Bustos-Villalobos, Tetsuya Yagi, Norbert Skokauskas

International Medical Education 2024年12月

To teach is to learn twice, revisited: a qualitative study of how residents learn through teaching in clinical environments 査読有り国際誌 Open Access

Kondo, T; Takahashi, N; Aomatsu, M; Nishigori, H

BMC MEDICAL EDUCATION 24 巻 ( 1 ) 頁： 829 2024年8月

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：BMC Medical Education

Background: Teaching helps the teacher’s own learning as a professional—as the saying goes, ‘to teach is to learn twice’. Near-peer teaching in clinical practice has been shown to contribute to the development of both teaching skills and necessary competencies for doctors. Research on how near-peer teachers learn through their teaching roles has mainly focused on classroom learning. However, understanding how the phenomenon of ‘teaching is learning twice’ occurs in clinical settings and its influencing factors is important for the development of a quality workplace learning environment. Therefore, this study investigated how residents learn through teaching in clinical practice and the factors influencing this process. Methods: This study’s methodology is based on the constructivist grounded theory from a social constructivist perspective. Several teaching hospitals in Japan were included, and the study participants were post-graduate year 2 residents (PGY2s) from these hospitals. The interviews were recorded, transcribed into text, and analysed by the first author. Results: From January 2016 to July 2022, 13 interviews were conducted with 11 PGY2s from nine educational hospitals. The PGY2s played diverse educational roles in clinical settings and learned competencies as physicians in almost all areas through such roles. We found that knowledge transfer and serving as role models stimulated PGY2s’ intrinsic motivation, encouraged reflection on their own experiences, and promoted self-regulated learning. Further, educating about procedural skills and clinical reasoning prompted reflection on their own procedural skills and thought processes. Supporting post-graduate year 1 residents’ reflections led to the refinement of PGY2s’ knowledge and thought processes through the verbal expression of their learning experiences. Such processes required the formation of a community of practice. Thus, education promoted learning through reflection and clarified the expert images of themselves that PGY2s envisaged. Conclusions: The study found that residents acquire various physician competencies through multiple processes by teaching as near-peer teachers in clinical settings, that a community of practice must be formed for near-peer teaching to occur in a clinical setting, and that teaching brings learning to those who teach by promoting reflection and helping them envision the professionals they aim to be.

DOI： 10.1186/s12909-024-05814-3

その他リンク： https://link.springer.com/article/10.1186/s12909-024-05814-3/fulltext.html

名古屋大学医学生の卒前卒後における研究業績の実態と入学区分別の検討

近藤文音, 和田遊太, 宮良紋奈, 岡崎研太郎, 末松三奈, 高橋徳幸, 宮崎景, 大橋渉, 葛谷雅文

医学教育 55 巻 ( Suppl. ) 頁： 210 - 210 2024年7月

総合診療科指導医の共感に対する認識構造の解明

村松瑛心, 高橋徳幸, 青松棟吉, 末松三奈, 宮崎景

日本プライマリ・ケア連合学会学術大会 15回巻頁： 342 - 342 2024年6月

総合診療科指導医の共感に対する認識構造の解明

村松瑛心, 高橋徳幸, 青松棟吉, 末松三奈, 宮崎景

日本プライマリ・ケア連合学会学術大会 15回巻頁： 342 - 342 2024年6月

Investigating the perceptions of career development as the Japanese regional quota medical students and graduates in A prefecture 査読有り国際誌 Open Access

Suematsu, M; Inoue, R; Takahashi, N; Miyazaki, K; Okazaki, K; Miyata, Y; Ohashi, W; Kuzuya, M

JOURNAL OF GENERAL AND FAMILY MEDICINE 25 巻 ( 3 ) 頁： 166 - 169 2024年5月

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Journal of General and Family Medicine

Background: There are few reports about the perceptions of the regional quota called Chiikiwaku medical students and graduates. Method: Eighty-four medical students and 41 graduates were enrolled in A prefecture. The questionnaire comprised 22 items scored on a 7-point Likert scale, focusing on perceptions of merit and demerit of Chiikiwaku. The data were collected online. Results: Chiikiwaku students scored higher on an item such as ‘regional quotas are a solution to the doctor shortage’. Chiikiwaku graduates felt more burdened than Chiikiwaku students. Conclusion: Our results suggested that the perception of Chiikiwaku was different between Chiikiwaku students and graduates.

DOI： 10.1002/jgf2.689

通所介護施設でのドラムサークルが施設利用者に与える効果の機序質的研究

鈴木謙一, 末松三奈, 高橋徳幸, 宮崎景, 岡崎研太郎

日本老年医学会雑誌 61 巻 ( Suppl. ) 頁： 188 - 188 2024年5月

Impacts of "Diabetes Theater," a participative educational workshop for health care professionals, on participants: a patient empowerment perspective 査読有り国際誌 Open Access

Abe, R; Okazaki, K; Takahashi, N; Suematsu, M; Kuzuya, M

DIABETOLOGY INTERNATIONAL 15 巻 ( 2 ) 頁： 307 - 312 2024年4月

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Diabetology International

Introduction: Patient empowerment, as part of patient-centered care, is important in the treatment of diabetes. However, this concept is still not well-understood by healthcare professionals, because it differs substantially from traditional approaches. We developed the “Diabetes Theater” workshop to promote a better understanding of patient empowerment. The present study sought to characterize the learning experience and impact of Diabetes Theater on participants’ perceptions regarding patient empowerment. Methods: We analyzed the data using mixed methods. Quantitative data were collected using a questionnaire with a five-item, 11-point Likert scale derived from the Diabetes Attitude Scale. The qualitative component asked the question “If you had to tell your colleagues at work two things you felt or learned at the Diabetes Theater, what would they be?” Quantitative data were analyzed using t tests, and free-text responses were analyzed using Steps for Coding and Theorization. Results: We received 131 responses. Nurses were the most numerous respondents, followed by dietitians, physicians, and pharmacists. Scores for the five items after participation increased in the direction of promoting participants’ understanding of and attitudes toward patient empowerment compared to pre-participation. Scores for most questions increased significantly, regardless of the participants’ occupation. In their answers to the open-ended questions, participants reported that they had learned about patient empowerment. Discussion: Diabetes Theater appears to be a useful method for healthcare professionals to accurately understand the philosophy of patient empowerment in diabetes.

DOI： 10.1007/s13340-024-00692-y

Web of Science

Scopus

PubMed

その他リンク： https://link.springer.com/article/10.1007/s13340-024-00692-y/fulltext.html

Efficient detection of somatic UBA1 variants and clinical scoring system predicting patients with variants in VEXAS syndrome 査読有り国際誌

Maeda, A; Tsuchida, N; Uchiyama, Y; Horita, N; Kobayashi, S; Kishimoto, M; Kobayashi, D; Matsumoto, H; Asano, T; Migita, K; Kato, A; Mori, I; Morita, H; Matsubara, A; Marumo, Y; Yuji, I; Machiyama, T; Shirai, T; Ishii, T; Kishibe, M; Yoshida, Y; Hirata, S; Akao, S; Higuchi, A; Rokutanda, R; Nagahata, K; Takahashi, H; Katsuo, K; Ohtani, T; Fujiwara, H; Nagano, H; Hosokawa, T; Ito, T; Haji, Y; Yamaguchi, H; Hagino, N; Shimizu, T; Koga, T; Kawakami, A; Kageyama, G; Kobayashi, H; Aoki, A; Mizokami, A; Takeuchi, Y; Motohashi, R; Hagiyama, H; Itagane, M; Teruya, H; Kato, T; Miyoshi, Y; Kise, T; Yokogawa, N; Ishida, T; Umeda, N; Isogai, S; Naniwa, T; Yamabe, T; Uchino, K; Kanasugi, J; Takami, A; Kondo, Y; Furuhashi, K; Saito, K; Ohno, S; Kishimoto, D; Yamamoto, M; Fujita, Y; Fujieda, Y; Araki, S; Tsushima, H; Misawa, K; Katagiri, A; Kobayashi, T; Hashimoto, K; Sone, T; Hidaka, Y; Ida, H; Nishikomori, R; Doi, H; Fujimaki, K; Akasaka, K; Amano, M; Matsushima, H; Kashino, K; Ohnishi, H; Miwa, Y; Takahashi, N; Takase-Minegishi, K; Yoshimi, R; Kirino, Y; Nakajima, H; Matsumoto, N

RHEUMATOLOGY 63 巻 ( 8 ) 頁： 2056 - 2064 2023年9月

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Rheumatology (United Kingdom)

Objectives: To efficiently detect somatic UBA1 variants and establish a clinical scoring system predicting patients with pathogenic variants in VEXAS (vacuoles, E1 enzyme, X-linked, autoinflammatory, somatic) syndrome. Methods: Eighty-nine Japanese patients with clinically suspected VEXAS syndrome were recruited [81 males and 8 females; median age of onset 69.3 years (interquartile range 62.1–77.6)]. Peptide nucleic acid–clamping PCR (PNA-PCR), regular PCR targeting exon 3 clustering UBA1 variants and subsequent Sanger sequencing were conducted for variant screening. Partitioning digital PCR or targeted amplicon deep sequencing was also performed to evaluate the variant allele frequency (VAF). We developed our clinical scoring system to predict UBA1 variant-positive and -negative patients and assessed the diagnostic value of our system using receiver operating characteristics (ROC) curve analysis. Results: Forty patients (44.9%) with reported pathogenic UBA1 variants were identified, including a case having a variant with VAF of 1.7%, using a highly sensitive method. Our clinical scoring system considering age >50 years, cutaneous lesions, lung involvement, chondritis and macrocytic anaemia efficiently predicted patients with UBA1 variants (the area under the curve for the scoring total was 0.908). Conclusion: Genetic screening with the combination of regular PCR and PNA-PCR detected somatic UBA1 variants with high sensitivity and specificity. Our scoring system could efficiently predict patients with UBA1 variants.

DOI： 10.1093/rheumatology/kead425

Web of Science

Scopus

PubMed

Myelodysplastic syndrome with trisomy 8 presenting periodic fever and multiple<i> MEFV</i> gene variants outside exon 10: a case report 査読有り国際誌 Open Access

Takahashi, N; Hanajiri, R; Suzuki, M; Anan, C; Inagaki, A; Kishida, D; Ozawa, S; Kohri, S; Kamiya, N; Sato, M; Sato, J

NAGOYA JOURNAL OF MEDICAL SCIENCE 85 巻 ( 1 ) 頁： 195 - 203 2023年2月

担当区分：筆頭著者,　責任著者記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Nagoya Journal of Medical Science

Myelodysplastic syndrome is associated with the development of autoinflammatory conditions, such as recurrent fever, polymyalgia, arthralgia, and erythema. Trisomy 8 is a common chromosomal abnormality in patients with myelodysplastic syndrome. Myelodysplastic syndrome with trisomy 8 involves autoinflammatory conditions, especially Behçet’s disease-like symptoms with intestinal mucosal damage. MEFV variants, particularly those in exon 10, are pathogenic in familial Mediterranean fever, the most common autoinflammatory disease, presenting typical symptoms such as periodic fever and pleuritis/pericarditis/ peritonitis. MEFV variants outside exon 10 are common in Japanese patients with familial Mediterranean fever and are associated with atypical symptoms, including myalgia and erythema. MEFV variants in myelodysplastic syndrome with trisomy 8 have rarely been investigated, although myelodysplastic syndrome with trisomy 8 might develop autoinflammatory conditions similar to those in familial Mediterranean fever. We encountered a 67-year-old man who had myelodysplastic syndrome with trisomy 8 and multiple MEFV variants outside exon 10. He presented with periodic fever, as well as chest/abdominal pain, myalgia, and erythema, although the symptoms did not fulfill the diagnostic criteria of familial Mediterranean fever. We discussed the possibility that these symptoms are modified by MEFV variants outside exon 10 in myelodysplastic syndrome with trisomy 8

DOI： 10.18999/nagjms.85.1.195

A 2-item version of the Japanese Consultation and Relational Empathy measure: a pilot study using secondary analysis of a cross-sectional survey in \nprimary care 査読有り国際共著国際誌 Open Access

Takahashi, N; Matsuhisa, T; Takahashi, K; Aomatsu, M; Mercer, SW; Ban, N

FAMILY PRACTICE 39 巻 ( 6 ) 頁： 1169 - 1175 2022年11月

担当区分：筆頭著者,　責任著者記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Family Practice

Background: The Consultation and Relational Empathy (CARE) measure is a patient-reported measure of physician empathy which is widely used internationally. The Japanese version of the CARE measure has very high internal reliability, suggesting that a shorter version may have adequate validity and reliability. Objective: To investigate a valid shorter version of the Japanese CARE measure. Methods: We conducted a pilot study using secondary analysis of previous data obtained from 9 general practitioners and 252 patients and used to develop the Japanese CARE measure. All 1,023 possible combinations of the Japanese CARE items (n = 1-10) were candidates for the short measure. The internal consistency (Cronbach's alpha) and the correlations between candidate short questionnaires and the original questionnaire were calculated. After selecting the most valid short questionnaire, inter-rater reliability was determined using generalizability theory, and construct validity (Spearman's rho) was determined using patient satisfaction. Results: Two items were selected for a pilot shorter version: item 6 "Showing care and compassion"and item 9 "Helping you to take control."These showed high internal consistency and correlations with the 10-item measure (Cronbach's alpha = 0.920, correlation = 0.979). Forty-five questionnaires per doctor allowed us to reliably differentiate between practitioners. The construct validity for the pilot short measure was high (Spearman's rho 0.706, P < 0.001). Conclusion: We generated a pilot 2-item version of the Japanese CARE measure. This pilot 2-item version provides a basis for future validation studies of short CARE measures in other languages.

DOI： 10.1093/fampra/cmac034

我が国における地域枠医学生及び卒業生の地域枠に関する認識

谷口拓未, 井上理香子, 末松三奈, 高橋徳幸, 岡崎研太郎, 大橋渉, 葛谷雅文, 前野哲博

医学教育 53 巻 ( Suppl. ) 頁： 131 - 131 2022年7月

Key factors for overcoming psychological insulin resistance: A qualitative study in Japanese people with type 2 diabetes 査読有り国際共著国際誌 Open Access

Okazaki, K; Takahashi, N; Shingaki, T; Perez-Nieves, M; Stuckey, H

PRIMARY CARE DIABETES 16 巻 ( 3 ) 頁： 411 - 416 2022年6月

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Primary Care Diabetes

Aims: We report the key factors that motivate reluctant Japanese people with type 2 diabetes (T2D) to initiate insulin treatment. Methods: Participants were asked questions pertaining to 2 primary areas of exploration in a concurrent mixed methods approach: (a) understanding people's thoughts and perceptions before and after insulin initiation and any related factors; and (b) exploring the reasons behind people's responses. Data were analyzed using Steps for Coding and Theorization. Results: Participant responses broadly related to 3 themes which influence insulin initiation; 1. Advice from a health care provider (HCP) that insulin is an appropriate treatment; 2. Demonstration by HCPs on how to use the insulin pen/needle and the injection process; and 3. Resignation/surrender/acceptance of insulin, where participants felt there was no other choice but to commence insulin. Conclusions: Based on the 3 identified themes, it is important for HCPs to explain the benefits of insulin and demonstrate and explain the injection procedure to reluctant Japanese people with T2D. We also identified resignation/surrender/acceptance of insulin as a reason for treatment commencement. This study provides important information to assist HCPs in helping reluctant Japanese people with T2D to initiate basal insulin therapy.

DOI： 10.1016/j.pcd.2022.02.009

Diversity of academic general medicine A cross-sectional bibliometric study of original English-language research articles in general medicine and cardiology in Japan 査読有り国際誌 Open Access

Takahashi, N; Matsuhisa, T; Takahashi, K; Ban, NO

MEDICINE 101 巻 ( 11 ) 頁： e29072 2022年3月

担当区分：筆頭著者,　責任著者記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Medicine (United States)

Although research in general medicine is diverse, it has not been compared with research in a different medical specialty. The study aim was to understand the characteristics of research produced at Japanese university departments of general medicine and published in English-language journals, via comparison with another academic specialty, cardiology. In this cross-sectional study, a nationwide survey of the official websites of 82 university-affiliated medical schools in Japan was conducted in April 2020 to identify the heads of general medicine departments. We then surveyed the research output of these individuals in terms of original article output and research field diversity for journals listed in the Web of Science Core Collection of journals from 2010 to 2019. A similar survey of cardiology department publications was also conducted to provide a reference for intergroup comparisons and analysis of covariance. The analysis included 128 researchers from 78 general medicine departments and 96 researchers from 81 cardiology departments. The dominant research field of general medicine was general and internal medicine; that of cardiology was cardiac/cardiovascular systems. Data stratification by research field showed that general medicine researchers published significantly more articles than researchers in cardiology, a field that contains relatively few researchers. Furthermore, a comparison of individual researchers with the same number of published articles showed that researchers in general medicine departments published across a significantly wider range of fields than those in cardiology. This is the first study to describe the research characteristics of general medicine university departments in Japan through comparison with research in a different academic specialty. General medicine researchers in Japan comprise a heterogeneous group that mainly publishes research on general and internal medicine. Some general medicine researchers take a multidisciplinary approach to research and publishing.

DOI： 10.1097/MD.0000000000029072

Students' perception of a hybrid interprofessional education course in a clinical diabetes setting: a qualitative study 査読有り国際誌 Open Access

Suematsu, M; Okumura, K; Hida, T; Takahashi, N; Okazaki, K; Fuchita, E; Abe, K; Kamei, H; Hanya, M

INTERNATIONAL JOURNAL OF MEDICAL EDUCATION 12 巻頁： 195 - 204 2021年10月

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：International journal of medical education

Objectives: To explore what the student participants learned and how they felt about the use of three educational settings, namely, face-to-face workshop setting, asynchronous and synchronous online learning environments and interactions with outpatients in a real-world clinical setting in a hybrid interprofessional education course. Methods: This qualitative study used semi-structured in-depth interviews with healthcare undergraduate student participants in a course comprising workshops in three educational settings. A total of 15 healthcare undergraduate students, which included four medical, three pharmacy, five nursing and three nutrition students, completed this IPE course. All students agreed to participate in the study. We conducted four focus groups selected using convenient sampling. Focus group transcripts were analysed using the 'Steps for Coding and Theorization' qualitative data analysis method. We investigated the students' perception through the experience of three educational settings in the hybrid interprofessional education course. Results: The students recognised that this course had three types of educational spaces, namely, real, semi-real and unreal. Then, the positive changes in the awareness of students are trained in recognition of the patient perspective, the recognition of the roles discharged by the other professions and the recognition of the functions of their own profession after experiencing the educational spaces designated for this course. Conclusions: The repeated experience of participants to real, semi-real and unreal educational spaces promoted changes over time in the students' awareness of interprofessional competencies with respect to patient-centred care and ameliorated their readiness to undertake interprofessional tasks.

DOI： 10.5116/ijme.6165.59e0

Clinical Images: Extensive multiple organ involvement in VEXAS syndrome 査読有り国際誌 Open Access

Takahashi, N; Takeichi, T; Nishida, T; Sato, J; Takahashi, Y; Yamamura, M; Ogi, T; Akiyama, M

ARTHRITIS & RHEUMATOLOGY 73 巻 ( 10 ) 頁： 1896 - 1897 2021年10月

担当区分：筆頭著者,　責任著者記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Arthritis and Rheumatology

DOI： 10.1002/art.41775

その他リンク： https://nagoya.repo.nii.ac.jp/records/2000161#.YmFQ_C_3LnE

病院総合診療医の診療対象になりうる新しい成人発症自己炎症性疾患 : VEXAS 症候群査読有り

高橋徳幸, 佐藤寿一

日本病院総合診療医学会雑誌 17 巻 ( 5 ) 頁： 588 - 589 2021年9月

Effect of physician attire on patient perceptions of empathy in Japan: a quasi-randomized controlled trial in primary care 査読有り国際共著国際誌 Open Access

Matsuhisa, T; Takahashi, N; Takahashi, K; Yoshikawa, Y; Aomatsu, M; Sato, J; Mercer, SW; Ban, N

BMC FAMILY PRACTICE 22 巻 ( 1 ) 頁： 59 2021年3月

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：BMC Family Practice

Background: There is limited quantitative research on the effect of physician attire on patient–physician relationships. This study aimed to measure the influence of Japanese family physicians’ attire on the “human” aspects of medical care in terms of patient-perceived relational empathy. Methods: This was a multicenter, prospective, controlled trial conducted in primary clinics in Japan. We explored the effects of family physician attire (white coat vs. casual attire) on patient-perceived empathy. Family physicians were allocated to alternate weeks of wearing a white coat or casual attire during consultations. Patients’ perceptions of physician empathy were evaluated using the self-rated Japanese Consultation and Relational Empathy (CARE) Measure. We used a linear mixed model to analyze the CARE Measure scores, adjusting for cluster effects of patients nested within doctor, age, and sex of patients, and doctors’ sex and years of clinical experience. We used the same method with Bonferroni adjustment to analyze patient sex differences in perceived empathy. Results: A total of 632 patients of seven family physicians were allocated to white coat-wearing consultations (n = 328), and casual attire-wearing consultations (n = 304). There was no difference in CARE Measure scores between white coat and casual primary care consultations overall (p = 0.162). Subgroup analysis of patient sex showed that CARE Measure scores of male patients were significantly higher in the Casual group than in the White coat group (adjusted p-value = 0.044). There was no difference in female patient scores between White coat and Casual groups (adjusted p-value = 1.000). Conclusions: This study demonstrated that physician attire (white coat or casual attire) in a primary care setting did not affect patient-perceived relational empathy overall. However, male patients of physicians wearing casual attire reported higher physician empathy. Although empathy cannot be reduced to simple variables such as attire, white coats may have a negative effect on patients, depending on the context. Family physicians should choose their attire carefully. Trial registration: Japanese University Hospital Medical Information Network (UMIN-ICDR). Clinical Trial identifier number UMIN000037687 (Registered August 14, 2019, https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000042749). The study was prospectively registered.

DOI： 10.1186/s12875-021-01416-w

その他リンク： http://link.springer.com/article/10.1186/s12875-021-01416-w/fulltext.html

A novel online interprofessional education with standardised family members in the COVID-19 period 査読有り国際誌 Open Access

Suematsu, M; Takahashi, N; Okazaki, K; Fuchita, E; Yoshimi, A; Hanya, M; Noda, Y; Abe, K; Kuzuya, M

INTERNATIONAL JOURNAL OF MEDICAL EDUCATION 12 巻頁： 36 - 37 2021年3月

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