1. Reviewing the definition of “elderly”Based on comprehensive analysis of data on longitudinal studies of functional independence in the elderly and clinical and pathological data, I proposed the change of the definition of elderly to those over 75 years instead of the current 65 years.2. Philosophy and strategies of the medical care of elderly3. Concept of integrated medicine4. Kampo-medicine plays a major role as the main partner of the modern western medicine in establishing the integrated medical system in Japan, which will contribute to the upgrading of medical care of elderly.
Elderly ; Medical ; Century ; medical care ; System

We investigated the system of emergency medical service in the Chuno area in Gifu prefecture.It was found that about 20,000 emergency cases were carried into the Emergency Medical Center (EMC) in Chuno Kosei Hospital annually. About 90% were patitents with mild disease or injury. During the past four years an increasing number of severely ill patients such as those acute myocardial infarction and cerebral apoplexy were transfered to our EMC from other hospitals in the Chuno area.We found that many emergency patients came to our EMC, which was not staffed with so many emergency care specialists nor equiped with so many beds for emergency patients. Therefore, we requested residents, family doctors, primary care clinics, common hospitals and administrators in the Chuno area, to contribute their share to emergency medical care together with EMC.In conclusion, we thought it necessary to build a better system of emergency medical care in this area promptly.
Area ; Medical ; Central ; Bale out ; medical care

It is said that medical care is a social application of medicine to the benefit of community or individual. In step with progress in medicine, medical care has been made all the more complicated. Moreover, the system supporting medical care has fallen behind the times when its surroundings have been changing drastically. This situation could be ascribed to the institutional fatigue that the system itself is suffering from after a long period of existence. It also can be pointed out that there have been revolutionary changes in traditional Japanese cultural values together with the awareness of people concering health. However, the primary factor that lies behind need of reform is financial difficulties. At present, in connection with deregulation of medical care, the introduction of mixed medical care and the entry of joint-stock corporations are taken up for discussion as topics of the day. In the meantime heated debates are being held over the subjects of institutional reform including the setting up of medical care for the aged as part of the fee-for-service system and reconstruction of the network of providers of health care and services. Moreover, the institutions that are engaged in the practice of medicine are expected to tackle a broad range of tasks- -catching up with ever-progressing information technology, disclosure of information, and strengthening of safety measures against medical accients, among many others. However, these are not the issues which have cropped up in recent years. Many have been brought up and discussed from an angle a little different from what it is today. It is now high time for us to discuss these issues through and through in light of actual situations while looking back on the history of medical care and its system. In this paper the author shall dwell on the development of the nation's medical system and point out some problems confronting us today with the use of some materials thus far presented by the Japan Medical Association. His view is based on his personal experience in hospital management and with the Japan Medical Association.
medical care ; Medical ; Medicine ; g <3> ; seconds

It is just fitting for the oldest medical school in the Philippines, the UST Faculty of Medicine & Surgery, which just celebrated its sesquicentennial year, to initiate this trailblazing stethoscope tagging ceremony for 418 second-year medical students belonging to USTFMS Batch 2026. This activity is aligned with enhancing the Thomasian identity (one of the strategic directional areas [SDA 2] of the university) once they graduate, the Thomasian Physician identity. The stethoscope remains the symbolic representation of physician and patient care. The innovative and pivotal activity, completely different from other international medical schools’ rite of passage, was marked with meaningful symbolisms unique to USTFMS. This rite also involved a pledge to the patroness of the Department of Medicine, Mary Untier of Knots, who would thus qualify for a robust faith formation program of the university (key result area [KRA 1]). Indeed, this would be the beginning of an annual celebration of strengthening faith, hope, and charity (patient care advocacy), TRIA HAEC, the three virtues of St. Paul that comprise the core values of Thomasian education.
Schools, Medical ; Students, Medical ; Stethoscopes ; Patient Care

Realization on the strategic orientation of people's health protection and care in stage of 2001 - 2010, stepping up the movement of patriotic emulation, striving for realization the instruction of Uncle Ho "The good physician must be an affectionate mother". With glorious tradition of Public Health Branch, under leading of Communist Party of Viet Nam, leading of Government, Public Health Branch will surmount difficult, exert all one's strength strive to conduct step by step the Health Branch that keep pace with tasks, worthiness with the faith of Communist Party and people, realization on better in the task of people's health protection and care
Ethics, Medical ; Delivery of Health Care

This paper introduced the major achievements in the people health protection and care during past 30 years. They included the enhancement of the preventive medicine, consolidation of the local health network, strengthen of the quality of the consultation and treatment, improvement of morbidity rate, consideration of the health education and communication, integration of many health activities and socialization of the people health protection and care.
Ethics, Medical ; Delivery of Health Care

When working, officials and staffs from any sector must have occupational ethics. However, the health sector requires the highest occupational ethics. That is natural obligation of this sector because the health and life for everybody are most valuable matters
Ethics, Medical ; Delivery of Health Care

Study on the implementation of government policy for local health care staffs at Hanoi, Ho Chi Minh City, and Thua Thien-Hue in the year 2004. Results: there were medical doctors in 100% of medical stations, pharmacists in 46.1% of medical stations, and traditional physicians in 15.3% of medical stations. The services such as examinations, treatments, delivery attendance, first aid, vaccinations, preventions, and heath communications and educations were provided at 100% of medical stations. Almost local health staffs aware on government policies for commune health care. 88.2% of local health staffs knew Decision No 58 and No 131. 76.4% of local health care staffs were trained additionally.
Medical Staff ; Delivery of Health Care

Primary Health Care ; Education, Medical

PURPOSE: High-quality hospice and palliative medicine curricula are necessary in Korean medical schools. This study evaluated changes in students' knowledge and attitudes toward both hospice and palliative care following the completion of a course on these topics, as well as the course's overall role in the basic medical education curriculum.METHODS: Questionnaires measuring knowledge and attitudes were collected before and after the course from 76 fourth-year medical students, who had received instructions integrating both hospice and palliative care in 2016.RESULTS: The questionnaire item “Select the correct answer on the use of opioid pain control in hospice and palliative care” changed the most in terms of number of correct answers pre- and post-course (3.50 and 5.32, respectively; P<0.001). Pre- and post-course, the numbers of students who answered “Strongly Agree” and “Agree” to questions concerning their attitudes toward hospice and palliative care (“I know the purposes and roles of hospice and palliative care”) were 17 (22.4%) and 65 (85.6%), respectively (P≤0.001). Affirmative responses also increased for “As a pre-physician, I know when to describe and advise hospice and palliative care to patients”, from 22 (28.9%) to 65 (85.6%; P≤0.001).CONCLUSION: This study showed that comprehensive hospice education in the form of an integrated educational course might promote changes in medical students' knowledge and attitudes toward hospice and palliative medicine.
Curriculum ; Education ; Education, Medical ; Hospice Care ; Hospices ; Humans ; Palliative Care ; Palliative Medicine ; Schools, Medical ; Students, Medical