Table 1 Field note data of the students and faculty's interactions in the community diagnosis program sessions

1

This town has a high suicide rate and I would like to come up with a plan to reduce it

The community’s judgement is biased and prejudiced, and a simple plan is presented based on that judgment

Facilitate comparison of stratified data and exploration of their relationship to the context

(A) He could not understand community context

(F) Which age group has more suicides than Japan as a whole? What factors might be behind that?

2

X area has few medical facilities, so it would be good to increase the number of medical facilities

Judgments are made with a view to the subject area only

Present perspectives in relation to the surroundings

(A) Not capturing issues in relation to neighboring wards with many large hospitals

(F) What are the neighboring wards like? What is the status of medical facilities in those wards?"

3

The aging rate is not so high in this area, and there are enough hospitals and other facilities, so there is no need to think about medical care issues in this area

Time frame not captured

Present time horizons

(A) You are trying to make a decision based on only one part of the recent data

(F) Why isn't this town aging as well as some other cities?"

In 5–10 years, when we are all doctors, how will the demographics of this town have changed?"

4

I thought that if the price of medical checkups were reduced by about 1,000 yen (approx. $7), the rate of checkups would increase

Misalignment of group characteristics and action plans

Reconfirm target population characteristics

(A) Failure to capture the barriers to accessing health screenings for hard-working generations

(F) Do you think everyone's father or mother would go for a health checkup if it cost ¥1,000 less?"

5

I thought the average household income was low in this district, and therefore happiness was also declining

Seeing cause and effect from one's own natural perspective

Encourage reflection on their assumptions

(A) Stereotypical perspective

(F) I wonder if the average household income is really lower in towns with lower levels of happiness?" Bhutan has a high level of happiness, but what about household income?"

6

If they're healthy on the physical exam, why not give them a financial incentive?

Expects to benefit from information and resource inputs only

Consider implications for Behavioral Science Interventions

(A) Not assuming the disadvantages of monetary intervention as an incentive, and viewing the art of motivating people only in terms of major interventions

(F) Why do you take a medical checkup? To get money? Doesn't that change your sense of purpose?"

It's hard for someone without symptoms to get a physical, but do you know the term “nudge” in behavioral economics?