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Educ Prim Care. 2020 Feb 12:1-5. doi: 10.1080/14739879.2020.1727780. [Epub ahead of print]

Social accountability across cultures, does the concept translate? An explorative discussion with primary care colleagues in Japan.

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Centre for Population Health Sciences, Usher Institute, University of Edinburgh, Edinburgh, UK.
Department of Community and Family Medicine, Centre for Medical Education and Career Development, Fukushima University, Fukushima, Japan.
Department of Education for Community-Oriented Medicine, Nagoya University Graduate School of Medicine, Showaku, Japan.


This article sets out to explore and clarify the concept of social accountability in a global health context. It examines some of the cross-cultural challenges when translating social accountability across healthcare systems with specific reference to Japanese primary care. Finally, the role of social accountability in postgraduate education and medical professionalism will be considered with practical recommendations focusing on education and training in primary care.


Primary care; cultural competency; family physician; postgraduate medical education; social accountability

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