Challenges in providing maternity care in remote areas and islands for primary care physicians in Japan: a qualitative study.

This study found six environmental/systemic factors and three specialty's factors as the main challenges for primary care physicians in providing maternity care in remote areas and islands for primary care physicians in Japan. Increasing the awareness of primary care and developing a maternity care training program to certify primary care physicians may enable more primary care physicians to engage in and provide women's health and maternity care in remote areas and islands.