Considerations on the implementation of DCT: a SCAT-based analysis of fact-finding interviews in Europe and the United States, with implications for regions newly adopting DCT, including Japan

We identified specific issues common to medical devices and pharmaceutical clinical trials. In addition, the experiences of those in charge were used to identify specific issues in the DCT introduction phase. Information on the latest overseas DCT methods, such as patient neighborhood institutions and remote services that use ambulances, mobile vans, tents, supermarkets, and pharmacies to replace implementing medical institutions, was obtained. Currently, Japan lags behind Europe and the United States in terms of DCT diffusion. However, we hope to resolve many of the aforementioned issues in the future to actively introduce DCT in Japan, thereby preventing Japan from being left behind in international joint trials. Furthermore, this study's findings will be of significant value to countries and regions that are striving to fully adopt DCT.