Keio University, Fujisawa, Kanagawa, Japan.
Oishi Clinic for Internal and Cardiovascular Medicine, Aoi-ku, Shizuoka, Japan.
J Prim Care Community Health. 2022 Jan-Dec;13:21501319221088668. doi: 10.1177/21501319221088668.
Reflecting the rapidly aging society, there has been a worldwide increase in the number of health cafés and dementia cafés which can provide a variety of support to people with illnesses and their families in the community. Nevertheless, health cafés organized by primary care physicians are rarely reported, and the social value of these activities has not yet been fully elucidated.
This study was aimed to investigate the value and impact that the health café organized by the primary care physician, brings to the visitors, the clinic, and the community.
Conversations between the author (YO), who belongs to a medical clinic that has been operating for many years in Shizuoka City, and visitors of the health café were qualitatively analyzed using Steps for Coding and Theorization (SCAT), which is a sequential and thematic qualitative analysis technique consisting of 4 steps.
Sixteen people participated in the study. The values and impacts of holding a health café were social support, opportunities for cognitive and behavioral changes, complementary functions to outpatient care, advantages for medical care, the creation of encounters with diverse individuals, connections with local community organizations, and motivating visitors to become proactive actors.
It was considered valuable for physicians in community-based medical clinics to have opportunities to interact with patients and local residents outside the clinical settings. Because they can potentially enhance their role as primary care physicians in the community. In addition, the impact on the community is that local residents can receive social support, increase community ties, and make people more proactive about their health.
反映出社会的迅速老龄化，全球范围内的健康咖啡馆和痴呆症咖啡馆的数量有所增加，这些咖啡馆可以为社区中患有疾病的人和他们的家人提供各种支持。然而，由初级保健医生组织的健康咖啡馆却很少有报道，这些活动的社会价值尚未得到充分阐明。
本研究旨在调查由初级保健医生组织的健康咖啡馆给来访者、诊所和社区带来的价值和影响。
作者（YO）在静冈市经营一家医疗诊所多年，对健康咖啡馆来访者之间的对话进行了定性分析，使用了编码与理论化步骤（SCAT），这是一种由 4 个步骤组成的顺序和主题定性分析技术。
共有 16 人参加了这项研究。举办健康咖啡馆的价值和影响包括社会支持、认知和行为改变的机会、对门诊护理的补充功能、医疗优势、与不同个体的相遇机会、与当地社区组织的联系，以及激励来访者成为积极主动的参与者。
对于社区基础医疗诊所的医生来说，有机会在临床环境之外与患者和当地居民互动，这被认为是有价值的。因为他们有可能增强自己在社区中的初级保健医生角色。此外，对社区的影响是，当地居民可以获得社会支持、增加社区联系，并使人们更加积极主动地关注自己的健康。
