The Vanguard of Community-based Integrated Care in Japan: The Effect of a Rural Town on National Policy
Introduction: Japan has the largest percentage of elderly people in the world. In 2012 the government implemented a community-based integrated care system which provides seamless community healthcare resources for elderly people with chronic diseases and disabilities. Methods: This paper describes...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Ubiquity Press
2017-04-01
|
| Series: | International Journal of Integrated Care |
| Subjects: | |
| Online Access: | http://www.ijic.org/articles/2451 |
| _version_ | 1818360805744181248 |
|---|---|
| author | Yu Hatano Masatoshi Matsumoto Mitsuaki Okita Kazuo Inoue Keisuke Takeuchi Takako Tsutsui Shuhei Nishimura Takuo Hayashi |
| author_facet | Yu Hatano Masatoshi Matsumoto Mitsuaki Okita Kazuo Inoue Keisuke Takeuchi Takako Tsutsui Shuhei Nishimura Takuo Hayashi |
| author_sort | Yu Hatano |
| collection | DOAJ |
| description | Introduction: Japan has the largest percentage of elderly people in the world. In 2012 the government implemented a community-based integrated care system which provides seamless community healthcare resources for elderly people with chronic diseases and disabilities. Methods: This paper describes the challenges of establishing a community-based integrated care system in 1974 in Mitsugi, a rural town of Japan. This system has influenced the government and become the model for the nationwide system. Results: In the 1970s, Mitsugi’s aging population was growing faster than Japan’s, but elder care was fragmented among a variety of service sections. A community-based integrated care system evolved because of the small but aging population size and the initiative of some local leaders of medical care and politics. After the system took effect, the proportion of bedridden people and medical care costs for the elderly dropped in Mitsugi while it continued to rise everywhere else in Japan. Mitsugi’s community-based integrated care system is now shaping national policy. Conclusion: Mitsugi is in the vanguard of Japan’s community-based integrated care system. The case showed the community-based integrated care system can diffuse from rural to urban areas. |
| first_indexed | 2024-12-13T21:06:38Z |
| format | Article |
| id | doaj.art-2de6b742908f4e87ab8d26f72c8def3e |
| institution | Directory Open Access Journal |
| issn | 1568-4156 |
| language | English |
| last_indexed | 2024-12-13T21:06:38Z |
| publishDate | 2017-04-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | International Journal of Integrated Care |
| spelling | doaj.art-2de6b742908f4e87ab8d26f72c8def3e2022-12-21T23:31:28ZengUbiquity PressInternational Journal of Integrated Care1568-41562017-04-0117210.5334/ijic.24512633The Vanguard of Community-based Integrated Care in Japan: The Effect of a Rural Town on National PolicyYu Hatano0Masatoshi Matsumoto1Mitsuaki Okita2Kazuo Inoue3Keisuke Takeuchi4Takako Tsutsui5Shuhei Nishimura6Takuo Hayashi7Shobara City Soryo Clinic, 71 Shimoryoke, Soryo, Shobara, Hiroshima 729-3703Department of Community-Based Medical System, Faculty of Medicine, Hiroshima University, 1-2-3 Kasumi, Minami-ku Hiroshima 734-8551Department of Internal Medicine, Mitsugi General Hospital, 124 Ichi, Mitsugi, Onomichi, Hiroshima 722-0393Department of Community Medicine, Chiba Medical Center, Teikyo University School of Medicine, 3426-3 Anesaki, Ichihara, Chiba 299-0111Department of Community-Based Medical System, Faculty of Medicine, Hiroshima University, 1-2-3 Kasumi, Minami-ku Hiroshima 734-8551,Graduate school of business,University of Hyogo, 8-2-1 Gakuen-nishimachi, Kobe-shi-Nishi-ku Hyogo 651-2197Department of Brain Surgery, Mitsugi General Hospital, 124 Ichi, Mitsugi, O,nomichi, Hiroshima 722-0393Department of Orthopaedics, Mitsugi General Hospital, 124 Ichi, Mitsugi, Onomichi, Hiroshima 722-0393Introduction: Japan has the largest percentage of elderly people in the world. In 2012 the government implemented a community-based integrated care system which provides seamless community healthcare resources for elderly people with chronic diseases and disabilities. Methods: This paper describes the challenges of establishing a community-based integrated care system in 1974 in Mitsugi, a rural town of Japan. This system has influenced the government and become the model for the nationwide system. Results: In the 1970s, Mitsugi’s aging population was growing faster than Japan’s, but elder care was fragmented among a variety of service sections. A community-based integrated care system evolved because of the small but aging population size and the initiative of some local leaders of medical care and politics. After the system took effect, the proportion of bedridden people and medical care costs for the elderly dropped in Mitsugi while it continued to rise everywhere else in Japan. Mitsugi’s community-based integrated care system is now shaping national policy. Conclusion: Mitsugi is in the vanguard of Japan’s community-based integrated care system. The case showed the community-based integrated care system can diffuse from rural to urban areas.http://www.ijic.org/articles/2451community-based integrated carerural areaJapannational policy |
| spellingShingle | Yu Hatano Masatoshi Matsumoto Mitsuaki Okita Kazuo Inoue Keisuke Takeuchi Takako Tsutsui Shuhei Nishimura Takuo Hayashi The Vanguard of Community-based Integrated Care in Japan: The Effect of a Rural Town on National Policy International Journal of Integrated Care community-based integrated care rural area Japan national policy |
| title | The Vanguard of Community-based Integrated Care in Japan: The Effect of a Rural Town on National Policy |
| title_full | The Vanguard of Community-based Integrated Care in Japan: The Effect of a Rural Town on National Policy |
| title_fullStr | The Vanguard of Community-based Integrated Care in Japan: The Effect of a Rural Town on National Policy |
| title_full_unstemmed | The Vanguard of Community-based Integrated Care in Japan: The Effect of a Rural Town on National Policy |
| title_short | The Vanguard of Community-based Integrated Care in Japan: The Effect of a Rural Town on National Policy |
| title_sort | vanguard of community based integrated care in japan the effect of a rural town on national policy |
| topic | community-based integrated care rural area Japan national policy |
| url | http://www.ijic.org/articles/2451 |
| work_keys_str_mv | AT yuhatano thevanguardofcommunitybasedintegratedcareinjapantheeffectofaruraltownonnationalpolicy AT masatoshimatsumoto thevanguardofcommunitybasedintegratedcareinjapantheeffectofaruraltownonnationalpolicy AT mitsuakiokita thevanguardofcommunitybasedintegratedcareinjapantheeffectofaruraltownonnationalpolicy AT kazuoinoue thevanguardofcommunitybasedintegratedcareinjapantheeffectofaruraltownonnationalpolicy AT keisuketakeuchi thevanguardofcommunitybasedintegratedcareinjapantheeffectofaruraltownonnationalpolicy AT takakotsutsui thevanguardofcommunitybasedintegratedcareinjapantheeffectofaruraltownonnationalpolicy AT shuheinishimura thevanguardofcommunitybasedintegratedcareinjapantheeffectofaruraltownonnationalpolicy AT takuohayashi thevanguardofcommunitybasedintegratedcareinjapantheeffectofaruraltownonnationalpolicy AT yuhatano vanguardofcommunitybasedintegratedcareinjapantheeffectofaruraltownonnationalpolicy AT masatoshimatsumoto vanguardofcommunitybasedintegratedcareinjapantheeffectofaruraltownonnationalpolicy AT mitsuakiokita vanguardofcommunitybasedintegratedcareinjapantheeffectofaruraltownonnationalpolicy AT kazuoinoue vanguardofcommunitybasedintegratedcareinjapantheeffectofaruraltownonnationalpolicy AT keisuketakeuchi vanguardofcommunitybasedintegratedcareinjapantheeffectofaruraltownonnationalpolicy AT takakotsutsui vanguardofcommunitybasedintegratedcareinjapantheeffectofaruraltownonnationalpolicy AT shuheinishimura vanguardofcommunitybasedintegratedcareinjapantheeffectofaruraltownonnationalpolicy AT takuohayashi vanguardofcommunitybasedintegratedcareinjapantheeffectofaruraltownonnationalpolicy |