Japan-hospitals : the journal of the Japan Hospital Association最新文献_第5页

Main medical conditions of frail elderly patients that require intensive care under the Japanese Long-Term Care Insurance (LTCI) system: a comparison with German LTCI. 日本长期护理保险制度下需要重症监护的体弱老年患者的主要医疗条件:与德国长期护理保险制度的比较

Japan-hospitals : the journal of the Japan Hospital Association Pub Date : 2011-07-01

Kiichiro Onishi

{"title":"Main medical conditions of frail elderly patients that require intensive care under the Japanese Long-Term Care Insurance (LTCI) system: a comparison with German LTCI.","authors":"Kiichiro Onishi","doi":"","DOIUrl":"","url":null,"abstract":"Background: Although the number of frail elderly individuals has rapidly increased with global aging, few studies have assessed the main medical conditions that are covered by Long-Term Care Insurance (LTCI) systems.Objectives and methods: To improve preventive care strategies, the author researched data from 553 frail elderly individuals above 65 years of age in the Osaka central area. Logistic regression analysis was used to identify severe diseases associated with levels of care higher than level 3 (3+) under the Japanese LTCI system, which is equivalent to the care standards of the German LTCI system. The main medical conditions were also compared between the LTCI systems of both countries.Results: Diseases significantly associated with Japanese level of care 3+ were renal failure (odds ratio 6.3), fracture (5.3), dementia (4.4), and cerebrovascular disease (CVD; 2.5) in males and fracture (7.5), heart failure (3.6), dementia (3.3), CVD (2.9), and depression (2.8) in females. Main medical conditions in Japanese patients by gender were dementia (males 29%, females 21%), CVD (males 27%, females 22%), neoplasm (males 11%), and fracture or fracture sequelae (females 24%). Among German LTCI recipients, the main medical conditions by gender were diseases of the circulatory system (males 23%, females 19%) and mental and behavioral disorders (males 17%, females 20%).Conclusion: Dementia and diseases of the circulatory system, especially CVD, were the most common main recipients. Intensive blood pressure control and thorough diabetes treatment are the top preventive healthcare strategies for both diseases of the circulatory system and dementia to avoid disease progression and accumulation. Early detection and treatment of cancer in males and prevention of fractures in females are of particular importance.","PeriodicalId":79651,"journal":{"name":"Japan-hospitals : the journal of the Japan Hospital Association","volume":" 30","pages":"77-83"},"PeriodicalIF":0.0,"publicationDate":"2011-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29964889","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}

引用次数: 0

Medical tourism--why are Japanese hospitals still incapable, resistive or opposed to competing in this global trend? 医疗旅游——为什么日本医院仍然无力、抗拒或反对在这一全球趋势中竞争?

Japan-hospitals : the journal of the Japan Hospital Association Pub Date : 2011-07-01

John C Wocher

引用次数: 0

Japan hospitals. Foreword. 日本医院。前言。

Japan-hospitals : the journal of the Japan Hospital Association Pub Date : 2011-07-01

Tsuneo Sakai

引用次数: 0

Preventive care strategies based on disease prevalence among Japanese urban elderly: focus on disease prevention in mildly frail elders with long-term care insurance. 基于日本城市老年人疾病患病率的预防保健战略:重点关注有长期护理保险的轻度体弱老年人的疾病预防。

Japan-hospitals : the journal of the Japan Hospital Association Pub Date : 2011-07-01

Kiichiro Onish

{"title":"Preventive care strategies based on disease prevalence among Japanese urban elderly: focus on disease prevention in mildly frail elders with long-term care insurance.","authors":"Kiichiro Onish","doi":"","DOIUrl":"","url":null,"abstract":"Aim: To investigate the relationship between prevalent diseases and medical conditions in frail elderly in Japan who require lighter levels of care in order to improve preventive care strategies.Methods: Data from Japanese long-term care insurance (LTCI) documentation was used to investigate the relationship between the prevalence of diseases and medical conditions among 553 frail elderly people (193 men and 360 women) over 65 years old in a central area of Osaka prefecture. Logistic regression analysis was used to determine the associations among related diseases and main medical conditions in the lightest levels of care required.Results: With age, the prevalence of hypertension, heart disease, dementia, and fractures increased, whereas neoplasms, cerebrovascular disease, and diabetes mellitus decreased. Neoplasms and circulatory disease were significantly more common in men, and musculoskeletal disease and injury were more common in women among main medical conditions requiring light care. Diseases significantly associated with the lightest level of care were hyperlipidemia (odds ratio 3.0), osteoporosis without fracture (1.9), and gonarthrosis (1.7) in women.Conclusions: Efforts to control musculoskeletal diseases and lifestyle diseases are essential preventive care strategies, especially in the preliminary stages of care under LTCI. Previously proven measures such as the cancer screening, intensive blood pressure control, continuous nutritional management, and thorough diabetes treatment beginning in middle age can help to prevent fractures, cancer, cerebrovascular disease, and dementia, all of which severely erode quality of life.","PeriodicalId":79651,"journal":{"name":"Japan-hospitals : the journal of the Japan Hospital Association","volume":" 30","pages":"67-75"},"PeriodicalIF":0.0,"publicationDate":"2011-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29964888","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}

引用次数: 0

Effect on self-esteem of workshop to induce laughter through praise. 以表扬引笑对工作坊自尊的影响。

Japan-hospitals : the journal of the Japan Hospital Association Pub Date : 2011-07-01

Kazue Takayanagi

引用次数: 0

Considering Japanese healthcare from an economist's perspective. 从经济学家的角度来看日本的医疗保健。

Japan-hospitals : the journal of the Japan Hospital Association Pub Date : 2010-07-01

Motoshige Itoh

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Current status and issues of medical care and the long-term care insurance system for the old-old elderly in Japan. 日本老年人医疗保健及长期护理保险制度的现状与问题

Japan-hospitals : the journal of the Japan Hospital Association Pub Date : 2010-07-01

Koichi Kawabuchi

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A case of laughter therapy that helped improve advanced gastric cancer. 笑声疗法帮助改善晚期胃癌的案例。

Japan-hospitals : the journal of the Japan Hospital Association Pub Date : 2010-07-01

Satoru Noji, Kazue Takayanagi

{"title":"A case of laughter therapy that helped improve advanced gastric cancer.","authors":"Satoru Noji, Kazue Takayanagi","doi":"","DOIUrl":"","url":null,"abstract":"We have reported the case of a patient diagnosed as having advanced gastric cancer at the age of 88 years old. An endoscopy revealed a type-2 gastric cancer of 25 x 30 mm in the lesser curvature of the middle stomach body and an IIa gastric cancer with T2 SS and cardiac accessory lesions. Both the type-2 and IIa lesions were defined as tub1 with surrounding atrophic gastritis and entero-epithelium metaplastic carcinoma. Considering the patient's age and her desire not to receive cancer treatment, we prescribed laughter therapy as recommended by the Society for Healing Environment. The program was implemented in a laughter-inducing environment and consisted of five stages: (1) Making the patient feel safe, (2) Relaxing the patient, (3) Increasing the effectiveness, (4) Improving her condition and (5) Increasing her joy of living. One year and seven months later, an endoscopy of the lesser curvature of the middle stomach body indicated that the lesions clearly improved with a morphological reduction into IIa + IIc masses. A tissue biopsy revealed that nucleus abnormality clearly improved from the initial diagnosis, with no irregularity in size. The suspected lesion was localized to a limited area near the stomach wall. Although partial gastric adenocarcinoma was suspected, the cancers turned into gastric adenoma, atrophic gastritis, and enteroepithelium metaplastic carcinoma. Now, five years after the initial diagnosis, she maintains a good condition. Laughter, one of our casual behaviors, has the effect of reducing the stress experienced by the human body. Laughter is expected to become alternative medicine in the future, and we hope to see more reports and evidence on soothing therapies using laughter.","PeriodicalId":79651,"journal":{"name":"Japan-hospitals : the journal of the Japan Hospital Association","volume":" 29","pages":"59-64"},"PeriodicalIF":0.0,"publicationDate":"2010-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30266722","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}

引用次数: 0

Health inequalities: is Japan a paradox? 健康不平等:日本是一个悖论吗?

Japan-hospitals : the journal of the Japan Hospital Association Pub Date : 2010-07-01

Patrick Hutt

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Healthcare for the uninsured--is there a perfect storm brewing? 针对无保险人群的医疗保健——一场完美风暴正在酝酿吗?

Japan-hospitals : the journal of the Japan Hospital Association Pub Date : 2010-07-01

John C Wocher

引用次数: 0