Medicine, Kampo ; Future

Life Style ; Future ; Disease

In January 2004, a panel of experts (chairman : Satoshi Ueda) commissioned by the Health and Welfare Bureau for the Elderly, the Ministry of Health, Labor and Welfare, came up with an idea suggesting a direction the nation’s rehabilitation project for the aged should take in the future. This has rekindled the debate over the way the rehabilitation work for the old people should be carried out the inevitable subject of discussion that had been taken place on and off since the nursing care insurance system came into being.We have been involved in the rehabilitation of those people mainly with the after-effects of strokes since the early 1960’s when the Japanese government embarked on the rehabilitation project for the elderly.In this paper, we examined our ways of grappling with the task of rehabilitation for the aged people in retrospect. At the same time, from the standpoint of the philosophy that the rehabilitation work for the aged should be aimed at recovering their mental and physical functions to improve their quality of life, we envisioned the future of the rehabilitation project for the old people with stress placed on the following two points :(1) the working on a rehabilitation program for the aged after the model of the international classification of functioning, disability and health ; and(2) the building up of a community-based rehabilitation system interlocked with an overall program for the promotion of health care, welfare and security in the local community.
Rehabilitation aspects ; Work ; Future ; Elderly ; Rehabilitation therapy

Yamamoto Kumiai General Hostpital is located in Noshiro City 60 kilometers north of Akita City. The area served by the hospital has a population of about 100,000. We have 20 medical care departments, 534 beds, and 600 satff members. The hospital was founded on February 1, 1933 with 2 departments of internal medicine and surgery, 4 doctors, and 22 beds. On November 10, 1955, the hospital was destroyed by fire, but it was rebuilt next year. In 1963, an extension was built, and the member of beds increased to 340. Because of the hospital's insufficient capacity and again facilities, construction of a new hospital was decided. In August 1989, we moved to the new hospital building.The biggest task of the hospital is to hire and retain doctors. In 1994, the number of doctores increased to 46, but it was not enough. Therefore, we needed continued efforts to secure more doctors. A weakened management base due to a decrease in the number of patients has become a big problem. We are now at a turning point.The number of people receiving thorough medical checkups in a year is over 6,000, and a health examination center needs to be established. The number of people undergoing early-morning general checkups amounts to 5,000 per year. The number of emergency patients is about 13,000 annually.As a community-core hospital, we consider that it is most important to “secure the quality of health care.” We are planning to function as a clinical teaching hospital.We are also aiming at establishing ourselves as a community medical support hospital, a tertiary emergency medical care center, and an emergency hospital.We will do our very best to protect people's health and life for the future, keeping in mind the philosophy at the time of the foundation of the hospital:coping with the change of the times, and going along with the inhabitants of this area.
Hospitals ; seconds ; Yamamoto ; Future ; medical care

Recently, the Jepanese government have advanced home medical care services. They former health care system was reformed to place much emphasis on home care. But there are many problems:for instance, the difficulty of coordinating discharges from a hospital and cooperation between hospitals and regional clinics. Especially, the biggest problem was that medical staff in wards do not have knowledge of the realities of home medical care and visiting nursing services. In this session, we invite four persons who are actively involved in the front lines in the field of home medical care. We expect they will speak about realities of home care and make you understand the potential of home medical care.
medical care ; Nursing Services ; Home care aspects ; Home ; Future

Spinal fusion surgery ; Homologous Grafts ; Skeletal bone ; Future