Primary Care Physician Characteristics and Low-Value Care Provision in Japan
The findings of this cross-sectional analysis suggest that low-value care services were common and concentrated among a small number of primary care physicians in Japan, with older physicians and not board-certified physicians being more likely to provide low-value care. Policy interventions targeting at a small number of certain types of physicians providing large quantities of low-value care may be more effective and efficient than those targeting all physicians uniformly.
Authors
- Kazuhiro Abe (ORCID: https://orcid.org/0000-0003-2681-5921)
- Atsushi Miyawaki (ORCID: https://orcid.org/0000-0001-6126-1464)
- John N. Mafi (ORCID: https://orcid.org/0000-0002-0322-7636)
- Alexandra M. Klomhaus (ORCID: https://orcid.org/0000-0002-7676-3595)
- Yusuke Tsugawa (ORCID: https://orcid.org/0000-0002-1937-4833)
- Rei Goto (ORCID: https://orcid.org/0000-0002-7484-4957)
- Daichi Sato
- Kei Kitajima
Institutions
- RAND Corporation (US)
- University of Tsukuba (JP)
- University of California, Los Angeles (US)
- Health Sciences University of Hokkaido (JP)
- Keio University (JP)
- Hokkaido University (JP)
- The University of Tokyo (JP)
Publication Details
- Journal
- JAMA Health Forum
- Published
- 2025-06-06
- DOI
- https://doi.org/10.1001/jamahealthforum.2025.1430
- Citations
- 3
- Primary Topic
- Healthcare cost, quality, practices
- Type
- article
- Field-Weighted Citation Impact
- 8.45
Funders
- Arnold Ventures
- National Institutes of Health
- Agency for Healthcare Research and Quality
- Japan Society for the Promotion of Science
- National Institute on Aging
- National Institute on Minority Health and Health Disparities