Yamada Toru, Kimura Takuma, Shinohara Takahiro, Ouchi Shuji, Mabuchi Suguru, Ishida Takeshi, Hashimoto Masayoshi
Department of General Medicine, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Bunkyo-ku, Tokyo, Japan.
Department of R&D Innovation for Home Care Medicine, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Bunkyo-ku, Tokyo, Japan.
J Am Med Dir Assoc. 2025 May;26(5):105536. doi: 10.1016/j.jamda.2025.105536. Epub 2025 Mar 14.
To compare the use of point-of-care ultrasound between physicians providing home medical care and other physicians in Japan.
A cross-sectional comparative study.
The participants were members of 3 societies related to home medical care in Japan.
A web-based survey was conducted between April and June 2024 to assess use of point-of-care ultrasound, physicians' training history and needs in this technique, ultrasound machine availability and types, and barriers and facilitators for wider adoption.
Overall, 692 physicians (461 providing home medical care) participated. There were more point-of-care ultrasound users among those providing home medical care (75.9% vs 67.1%; P = .014). There was no significant difference in training history (34.3% vs 36.4%; P = .587), but training needs were significantly greater among home medical care providers (80.9% vs 66.7%; P < .001). This group also had better access to ultrasound machines (53.6% vs 35.5%; P < .001), with higher personal ownership rates and handheld device usage (29.1% vs 4.8%, P < .001; 59.7% vs 13.2%, P < .001). The main barrier was insufficient training opportunities, especially for home care providers (61.6% vs 51.5%; P = .011), followed by inadequate training environments (46.4% vs 32.9%; P = .001), challenges in image acquisition (59.0% vs 37.2%; P < .001), and interpretation skills (51.4% vs 32.9%; P < .001). Facilitators included improved access to ultrasound machines and increased training opportunities and available mentors, with home care providers significantly emphasizing training opportunities (71.2% vs 62.3%; P = .019).
Home medical care providers were more likely to use point-of-care ultrasound and have better access to machines; however, they faced barriers related to skills and training opportunities. As handheld devices become prevalent, systematic training in this technique is becoming essential.
比较日本提供家庭医疗服务的医生与其他医生使用即时超声检查的情况。
横断面比较研究。
参与者为日本3个与家庭医疗服务相关学会的成员。
于2024年4月至6月进行了一项基于网络的调查，以评估即时超声检查的使用情况、医生的培训经历及对该技术的需求、超声设备的可获得性及类型，以及更广泛应用的障碍和促进因素。
总体而言，692名医生（461名提供家庭医疗服务）参与了调查。提供家庭医疗服务的医生中即时超声检查使用者更多（75.9%对67.1%；P = 0.014）。培训经历无显著差异（34.3%对36.4%；P = 0.587），但家庭医疗服务提供者的培训需求显著更高（80.9%对66.7%；P < 0.001）。该组使用超声设备的机会也更好（53.6%对35.5%；P < 0.001），个人拥有率和手持设备使用率更高（29.1%对4.8%，P < 0.001；59.7%对13.2%，P < 0.001）。主要障碍是培训机会不足，尤其是家庭护理提供者（61.6%对51.5%；P = 0.011），其次是培训环境不足（46.4%对32.9%；P = 0.001）、图像采集困难（59.0%对37.2%；P < 0.001）和解读技能（51.4%对32.9%；P < 0.001）。促进因素包括超声设备可及性提高、培训机会增加和有可用的指导者，家庭护理提供者显著强调培训机会（71.2%对62.3%；P = 0.019）。
家庭医疗服务提供者更有可能使用即时超声检查且设备可及性更好；然而，他们面临与技能和培训机会相关的障碍。随着手持设备的普及，对该技术进行系统培训变得至关重要。
