Addressing health challenges in rural Japan: a thematic analysis of social isolation and community solutions

Abstract Background The establishment of sustainable connections between medical professionals and rural citizens is pivotal for effective community healthcare. Our study focuses on understanding and resolving health problems arising from social isolation, a critical barrier to achieving this goal,...

Full description

Bibliographic Details
Main Authors: Ryuichi Ohta, Toshihiro Yakabe, Chiaki Sano
Format: Article
Language:English
Published: BMC 2024-01-01
Series:BMC Primary Care
Subjects:
Online Access:https://doi.org/10.1186/s12875-024-02266-y
_version_ 1827382045266935808
author Ryuichi Ohta
Toshihiro Yakabe
Chiaki Sano
author_facet Ryuichi Ohta
Toshihiro Yakabe
Chiaki Sano
author_sort Ryuichi Ohta
collection DOAJ
description Abstract Background The establishment of sustainable connections between medical professionals and rural citizens is pivotal for effective community healthcare. Our study focuses on understanding and resolving health problems arising from social isolation, a critical barrier to achieving this goal, especially in the context of the coronavirus disease 2019(COVID-19) pandemic's impact on community dynamics respecting social cognitive theory. This study investigates the link between social isolation and rural community healthcare. We aim to develop methods that improve interaction and collaboration between healthcare providers and rural communities, ultimately enhancing the region's healthcare system. Methods Employing thematic analysis based on social cognitive theory, we conducted semi-structured interviews with 57 community workers in rural communities. This qualitative approach enabled us to delve into the nuances of social isolation and its multifaceted impact on health and community well-being. Results Our analysis revealed four key themes: the impact of aging on social dynamics, shifts in community relationships, unique aspects of rural community networking, and the role of these networks in driving community health. Notably, we identified specific challenges, such as the erosion of intergenerational interactions and the hesitancy to seek support, exacerbated by social isolation and negatively impacting community health. Conclusions Our study reveals the complex factors affecting rural community sustainability, particularly social isolation influenced by privacy concerns and changing social dynamics. Emphasizing the importance of social cognitive theory, it highlights the need for adaptable healthcare systems and strong community-medical collaborations. Future research should focus on developing culturally sensitive, practical strategies for enhancing these collaborations, especially involving physicians, to address rural communities' unique challenges.
first_indexed 2024-03-08T14:13:49Z
format Article
id doaj.art-1658060b95cb41f491fc62ac28edd882
institution Directory Open Access Journal
issn 2731-4553
language English
last_indexed 2024-03-08T14:13:49Z
publishDate 2024-01-01
publisher BMC
record_format Article
series BMC Primary Care
spelling doaj.art-1658060b95cb41f491fc62ac28edd8822024-01-14T12:31:08ZengBMCBMC Primary Care2731-45532024-01-012511910.1186/s12875-024-02266-yAddressing health challenges in rural Japan: a thematic analysis of social isolation and community solutionsRyuichi Ohta0Toshihiro Yakabe1Chiaki Sano2Community Care, Unnan City HospitalCommunity Care, Unnan City HospitalDepartment of Community Medicine Management, Faculty of Medicine, Shimane UniversityAbstract Background The establishment of sustainable connections between medical professionals and rural citizens is pivotal for effective community healthcare. Our study focuses on understanding and resolving health problems arising from social isolation, a critical barrier to achieving this goal, especially in the context of the coronavirus disease 2019(COVID-19) pandemic's impact on community dynamics respecting social cognitive theory. This study investigates the link between social isolation and rural community healthcare. We aim to develop methods that improve interaction and collaboration between healthcare providers and rural communities, ultimately enhancing the region's healthcare system. Methods Employing thematic analysis based on social cognitive theory, we conducted semi-structured interviews with 57 community workers in rural communities. This qualitative approach enabled us to delve into the nuances of social isolation and its multifaceted impact on health and community well-being. Results Our analysis revealed four key themes: the impact of aging on social dynamics, shifts in community relationships, unique aspects of rural community networking, and the role of these networks in driving community health. Notably, we identified specific challenges, such as the erosion of intergenerational interactions and the hesitancy to seek support, exacerbated by social isolation and negatively impacting community health. Conclusions Our study reveals the complex factors affecting rural community sustainability, particularly social isolation influenced by privacy concerns and changing social dynamics. Emphasizing the importance of social cognitive theory, it highlights the need for adaptable healthcare systems and strong community-medical collaborations. Future research should focus on developing culturally sensitive, practical strategies for enhancing these collaborations, especially involving physicians, to address rural communities' unique challenges.https://doi.org/10.1186/s12875-024-02266-yRural communitySustainabilitySocial isolationPhysicianHelp-seekingSocial cognitive theory
spellingShingle Ryuichi Ohta
Toshihiro Yakabe
Chiaki Sano
Addressing health challenges in rural Japan: a thematic analysis of social isolation and community solutions
BMC Primary Care
Rural community
Sustainability
Social isolation
Physician
Help-seeking
Social cognitive theory
title Addressing health challenges in rural Japan: a thematic analysis of social isolation and community solutions
title_full Addressing health challenges in rural Japan: a thematic analysis of social isolation and community solutions
title_fullStr Addressing health challenges in rural Japan: a thematic analysis of social isolation and community solutions
title_full_unstemmed Addressing health challenges in rural Japan: a thematic analysis of social isolation and community solutions
title_short Addressing health challenges in rural Japan: a thematic analysis of social isolation and community solutions
title_sort addressing health challenges in rural japan a thematic analysis of social isolation and community solutions
topic Rural community
Sustainability
Social isolation
Physician
Help-seeking
Social cognitive theory
url https://doi.org/10.1186/s12875-024-02266-y
work_keys_str_mv AT ryuichiohta addressinghealthchallengesinruraljapanathematicanalysisofsocialisolationandcommunitysolutions
AT toshihiroyakabe addressinghealthchallengesinruraljapanathematicanalysisofsocialisolationandcommunitysolutions
AT chiakisano addressinghealthchallengesinruraljapanathematicanalysisofsocialisolationandcommunitysolutions