DX strategy by building and promoting utilization of the comprehensive healthcare database

Abstract

Society 5.0 is a human-centered society that highly integrates cyber space and physical one. We aim to overcome the challenges of the information society (Society 4.0) so far, overcome the sense of blockage through social change, and make each person comfortable and active. For people with disabilities, ICT is useful not only as a support device, but also as a driving force in labor for individuals with a sense of purpose to shift to independent living in the community. Therefore, since the ratification and entry into force of the Convention on the Rights of Persons with Disabilities (2014), efforts to re-evaluate persons with disabilities as "living people with support needs" and to prepare a social support environment have been expanding. In Japan, a super-aging society where the disease structure has shifted to NCD, mortality is not the only outcome measure required for quality evidence-based care. It is necessary to have data to grasp the outcomes considering the viewpoints of service users and the social aspects of care, develop measurement scales, and connect them to the current care system operation. A comprehensive healthcare database can be expected to be constructed by adding Disability Database to EHR/PHR, which is medical big data, to enhance outcome information, and connecting mobile devices to incorporate the perspectives of patients, parties, and families. The main requirements for providing high-quality health, medical, welfare, and long-term care services for the QOL improvement measures of all individuals according to the actual conditions of each region toward the comprehensive community support system that will shift to 2025 will be: The national government needs "(1) collection / disability of failure data / enhancement of comprehensive DB, (2) development of analysis model / human resource development utilizing comprehensive DB," and, what is needed for local governments is "realization of efficient and effective measures to be carried out in collaboration with industry, government, academia and residents based on regional diagnosis utilizing big data such as comprehensive DB." In this way, we will be able to push forward with the promotion of DX through a comprehensive database toward a vibrant and advanced health country that Japan is aiming for in "Healthcare 2035."