{"title":"Hospitals Must Select Management Strategies and Make the Kind of Decisions that will Achieve their Goals.","authors":"Tsuneo Sakai","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79651,"journal":{"name":"Japan-hospitals : the journal of the Japan Hospital Association","volume":" 34","pages":"3-21"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34005395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Healthcare Economist's View of Abenomics: Can \"Gambling\" Economic Policy Work?","authors":"Koichi Kawabuchi","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79651,"journal":{"name":"Japan-hospitals : the journal of the Japan Hospital Association","volume":" 34","pages":"29-34"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34005397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Risk Factors and Social Background Associated with Suicide in Japan: A Review.","authors":"Kiichiro Onishi","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Aim: </strong>This study examines, from multiple perspectives, the risk factors associated with, and the social background of, individuals committing suicide in Japan. Effective suicide prevention measures are also proposed.</p><p><strong>Method: </strong>An analysis of the risk factors for suicide, including the social background of suicide victims, suicide statistics, municipality surveys, interview surveys with bereaved families, mental health surveys, occupational injury inspections, and social resources available to victims, was conducted in the present study.</p><p><strong>Results: </strong>Histories of both mental illnesses (especially depression) and previous suicide attempts are high-risk factors for suicide. Abuse and experience of violence were the remote causes of suicide. On average, more than three crisis factors were present prior to suicide. For example, overwork, problems with human relations, physical/mental disease, and poverty could form a chain that leads to suicide, regardless of gender. More than 40% of suicide attempts were the result of prescription medication overdose. Overall, 70-90% of suicide victims had medical treatment or an expert consultation before death. Staff and financial backing for voluntary telephone consultation were insufficient. Meanwhile, psychiatric social workers could not provide adequate services.</p><p><strong>Conclusions: </strong>Help seeking is the basis for suicide prevention. In addition to medication management and reducing work hours, communication with caregivers and healthcare providers as well as intervention for the prevention and treatment of mental illness are essential to suicide prevention. Psychotherapy by clinical psychologists is highly recommended. Active placement of psychiatric social workers for telephone consultations and for emergency hospitals' staff at the expense of the government will reduce suicides, suicide attempts, and the human and financial burden on hospitals.</p>","PeriodicalId":79651,"journal":{"name":"Japan-hospitals : the journal of the Japan Hospital Association","volume":" 34","pages":"35-50"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34005398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Let's Laugh to Cure Diseases.","authors":"Kazue Takayanagi","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79651,"journal":{"name":"Japan-hospitals : the journal of the Japan Hospital Association","volume":" 34","pages":"51-4"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34005399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Maintenance and improvement of the functions of hospitals.","authors":"Tsuneo Sakai","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79651,"journal":{"name":"Japan-hospitals : the journal of the Japan Hospital Association","volume":" 33","pages":"3-15"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32603641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Development of a psoriasis patient assessment sheet.","authors":"Yoshiko Bai","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We surveyed 20 psoriasis patients with the goal of creating a convenient psoriasis assessment sheet. The survey focused on symptoms, treatment, exacerbation, concerns regarding the type and cost of treatment, and problems caused by healthcare provider words and attitudes. Using the results of this survey and the available literature, we extracted the following assessment items: treatment (symptoms, efficacy, adverse effects), lifestyle (stress, physical fatigue, colds, diet, drinking, sleeping, bathing, smoking), and concerns regarding type and cost of treatment.</p>","PeriodicalId":79651,"journal":{"name":"Japan-hospitals : the journal of the Japan Hospital Association","volume":" 33","pages":"45-53"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32603140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of international accreditation on patient care in a Japanese hospital: nurses' perspectives.","authors":"John C Wocher","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79651,"journal":{"name":"Japan-hospitals : the journal of the Japan Hospital Association","volume":" 33","pages":"17-27"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32603642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"FY2014 healthcare system reformation--would we be happier in Japan or Italy?","authors":"Koichi Kawabuchi","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79651,"journal":{"name":"Japan-hospitals : the journal of the Japan Hospital Association","volume":" 33","pages":"29-34"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32603643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reduction in the number of hospital beds in a super-aging society: an upsurge in isolation deaths.","authors":"Kiichiro Onishi","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Aim: </strong>This study examines the factors leading to more elderly Japanese patients dying alone, the costs associated with this, and potential solutions.</p><p><strong>Method: </strong>This is done through a review of the literature and data concerning Japanese housing policies, elderly households, isolation deaths and the costs of medical care and long-term care (LTC).</p><p><strong>Results: </strong>Due to the decline of the domestic economy, Japanese home ownership has lost its former function of asset-building, and elderly households are overspending. The demand for a final residence for low-income, frail, elderly tenants, who have greater risks of isolation deaths, will be increasing, especially in urban areas where there are inadequate postmortem examination systems. Elderly patients requiring a high level of treatment are forcibly discharged from hospitals and LTC costs peak after 90 years of age.</p><p><strong>Conclusions: </strong>Local governments should do what they can to facilitate the opening of more specialized nursing homes. It is essential to provide hospital beds to elderly patients with the imminent risk of dying to prevent them from isolation deaths because it is a human right to die with dignity. In order to accommodate elderly patients who need extensive medical treatments and to provide an appropriate place for the point of death, more convalescent beds are needed. Collaboration with hospitals, local governments, and integrated community care support centers (ICCSC) is the key to solving this problem.</p>","PeriodicalId":79651,"journal":{"name":"Japan-hospitals : the journal of the Japan Hospital Association","volume":" 33","pages":"35-43"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32603644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The reuse of medical devices intended for single use: the great difference of opinions.","authors":"John C Wocher","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79651,"journal":{"name":"Japan-hospitals : the journal of the Japan Hospital Association","volume":" 33","pages":"55-8"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32603141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}