Before we begin these are my personal views and don’t necessarily reflect the views of my employer. I love Japan, I love the people, I love the breath-taking scenery, I love the food, and most of all I love the culture. For the next week or so I will be writing a series of healthcare reports in an attempt to give you a snapshot of the paradoxes that exist in the Japanese healthcare system today and the changes to come.
If you know Japan you will know that their culture is the ultimate thing that the Japanese pride above all else, from their excellent train systems to their genteel manners, their culture is ingrained in everything they do, everything they innovate and stretches back thousands of years. This culture is compounded by the fact these amazingly resilient people literally rebuilt their major cities and economy after WW II and it was this mindset, this history, these cultural beliefs that kept Japan Japanese whilst surrounded by the new facades of new builds and lost heritage.
When marketing or researching health in Japan, culture should be the first avenue explored and how this effects and moulds the healthcare system in Japan today.
Cancer is now the number one killer in Japan according to the Daily Yomiuri. With lung cancer claiming the most lives. Smoking is perfectly acceptable here. It is seen as social with smoking allowed in most cafe’s and bars across the countries. Those with less tolerance will have smoking rooms, with smokers counting too many to lose as customers.
This high incidence of smoking would show a lack of awareness schemes and education from doctor to patient, however a beloved showbiz reporter, Masuru Nashimoto, has just died from lung cancer. Why this has also shocked the Japanese populace is Masuru didn’t smoke, leading to reports of passive smoking causing Masuru’s illness, could this lead to the start of a massive change and disease awareness scheme?
Homeopathy/Natural Remedies
Even though this natural remedy was founded by German doctors around 200 years ago, the Japanese have embraced it. When speaking with people on the subway they will insist on following natural remedies their parents have given them rather than going to a doctor or taking medication. These natural remedies are prone NOT to be used in conjunction with pharmaceutical or medical drugs. As was found by the Japanese Association of Midwives when they surveyed their members after the parents of a baby girl died who were not given the option of vitamin K filed suit.
It was found that 36 out of 433 practicing midwives were not providing vitamin K to newborn babies, a vitamin which prevents intracranial bleeding in newborns, preferring to explain homeopathic remedies to new mothers. The survey also found that the mothers themselves had refused vitamin K opting instead for natural remedies, which of course is detrimental for the newborn. Once again we have a marrying of medical care and old cultural beliefs, but how long can the two coexist and do the medical profession have a duty to explain every possible option to their patients, even though it goes against the very culture that has made their country the great economical force it is today?
The next post will explore this question…..
英語から日本語に翻訳
私たちはこれらは私の個人的な見解であり、必ずしも私の雇用者の意見を反映していない開始する前に。私は日本を愛して、私は人を愛し、私は息が風景撮影が大好き、私は、食品を愛し、私は文化を愛する多くの。来週は私の試みあなた日本の医療制度で、今日存在して変更が来てパラドックスのスナップショットを与えるために医療一連のレポートを書くことになります。
あなたはその文化が究極のものその上品な作法には優秀な鉄道システムから日本の誇りは、何よりも、彼らの文化は、彼らはすべて、すべての彼らは革新的な根深いされ、数千年のバック広がっている知っている日本を知っていれば。この文化は、これらの驚くほど弾力性のある人は、文字通り二次世界大戦後に主要都市と経済の再建という事実によって悪化されており、この考え方は、この歴史が、これらの文化的信念は、日本、日本ながら、新しいの新しい外観に囲まれていた、失われた文化遺産を構築します。
いつマーケティングや日本の健康を調査し、文化が最初の通りを検討する必要がありますし、どのように効果と金型日本の医療制度、今日。
癌
がんは現在、読売新聞によると、日本でナンバーワンキラーです。肺癌は、ほとんどの生活を主張した。喫煙は完全に許容ここにあります。これは、喫煙最もカフェや国全体バーで許されて社会的と見られる。それらは以下の公差で、喫煙者も顧客として失うことの多くを数えると喫煙者専用ルームがあります。
喫煙のこの高頻度は患者に、しかし、単に肺がんで死亡したの最愛の芸能記者は、Masuru梨本医師からの意識のスキームや教育の欠如を示しています。なぜこれがまた、日本国民を驚かせたMasuruはたばこを吸わないで、受動喫煙の報告Masuruの病気の原因につながる、大規模な変化や病気の意識スキームの開始が、このリードが何ですか？
ホメオパシー/自然の救済
にもかかわらず、この自然療法は約ドイツの医師で200年前に設立され、日本はそれを受け入れている。時地下鉄の人々と話す彼らは自然療法を、次のに親のではなく、それらを与えている医師または薬を服用するつもりと主張します。これらの自然療法ではない傾向が医薬品や医療薬と一緒に使用される。社団法人日本助産師は女の赤ちゃんの親後にメンバーを調査によって発見されたとして誰がビタミンKが訴訟を起こしたのオプションを与えられていない死亡した。
そのうち36の433の練習助産師は、K新生児、新生児の頭蓋内出血を防ぐビタミン、新しい母親にホメオパシーを説明することを好むにビタミンを提供していないことが分かった。調査はまた、母親が自分自身は、Kの代わりにコースの新生児のための有害なものです自然療法、を選ぶビタミン拒否していたが見つかりました。再び我々は医療と古い文化的信念の結婚ているが、どのくらいできる2つの共存、医療専門職をしない義務を患者に可能なすべてのオプションを説明する必要があるにもかかわらず、それが作ってきた非常に文化に反するの国偉大な経済力、それが今日のですか？
次の投稿はこの質問を…..探求する
Anata wa sono bunka ga kyūkyoku no mono sono jōhin’na sahō ni wa yūshūna tetsudō shisutemu kara Nippon no hokori wa, nani yori mo, karera no bunka wa, karera wa subete, subete no karera wa kakushin-tekina nebukai sa re,-sū sen-nen no bakku hirogatte iru shitte iru Nippon o shitte ireba . Kono bunka wa, korera no odoroku hodo danryoku-sei no aru hito wa, mojidōri ni-ji sekai taisen-go ni shuyō toshi to keizai no saiken toyuu jijitsu niyotte akka sa rete ori, kono kangaekata wa, kono rekishi ga, korera no bunka-teki shin’nen wa, Nippon, Nipponnagara, atarashii no atarashii gaikan ni kakoma rete ita, ushinawa reta bunka isan o kōchiku shimasu.
Itsu māketingu ya Nippon no kenkō o chōsa shi, bunka ga saisho no tōri o kentō suru hitsuyō ga arimasushi, dono yō ni kōka to kin-gata Nippon no iryō seido, kyō.
Gan
Gan wa genzai, Yomiurishinbun ni yoru to, Nippon de nanbāwankirādesu. Haigan wa, hotondo no seikatsu o shuchō shita. Kitsuen wa kanzen ni kyoyō koko ni arimasu. Kore wa, kitsuen mottomo kafe ya kuni zentai bā de yurusa rete shakai-teki to mi rareru. Sorera wa ika no kōsa de, kitsuen-sha mo kokyaku toshite ushinau koto no ōku o kazoeru to kitsuen-sha sen’yō rūmu ga arimasu.
Kitsuen no kono kō hindo wa kanja ni, shika shi, tan’ni haigan de shibō shita no saiai no geinō kisha wa, Masuru Nashimoto ishi kara no ishiki no sukīmu ya kyōiku no ketsujo o shimeshite imasu. Naze kore ga mata, Nippon kokumin o odoroka seta Masuru wa tabako o suwanaide, judō kitsuen no hōkoku Masuru no byōki no gen’in ni tsunagaru, dai kibona henka ya byōki no ishiki sukīmu no kaishi ga, kono rīdo ga nanidesu ka?
Homeopashī/ shizen no kyūsai
Ni mo kakawarazu, kono shizen ryōhō wa yaku doitsu no ishi de 200-nen mae ni setsuritsu sa re, Nippon wa sore o ukeirete iru. Toki chikatetsu no hitobito to hanasu karera wa shizen ryōhō o,-jinoni oya no dewa naku, sorera o ataete iru ishi matawa kusuri o fukuyō suru tsumori to shuchō shimasu. Korera no shizen ryōhō de wa nai keikō ga iyakuhin ya iryō-yaku to issho ni shiyō sa reru. Shadan hōjin Nippon josan-shi wa on’na no akachan no oya-go ni menbā o chōsa niyotte hakken sa reta toshite dare ga bitamin K ga soshō o okoshita no opushon o atae rarete inai shibō shita.
Sono uchi 36 no 433 no renshū josan-shi wa, K shinseiji, shinseiji no tōgai-nai shukketsu o fusegu bitamin, atarashii hahaoya ni homeopashī o setsumei suru koto o konomu ni bitamin o teikyō shite inai koto ga wakatta. Chōsa wa mata, hahaoya ga jibun jishin wa, K no kawari ni kōsu no shinseiji no tame no yūgaina monodesu shizen ryōhō, o erabu bitamin kyohi shite itaga mitsukarimashita. Futatabi wareware wa iryō to furui bunka-teki shin’nen no kekkonte iruga,-dono kurai dekiru 2tsu no kyōzon, iryō senmon-shoku o shinai gimu o kanja ni kanōna subete no opushon o setsumei suru hitsuyō ga aru ni mo kakawarazu, sore ga tsukutte kita hijō ni bunka ni hansuru no Kuni idaina keizai-ryoku, sore ga kyō nodesu ka?
Tsugi no tōkō wa kono shitsumon o….. Tankyū suru
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Excellent stuff here! My wife is Japanese and we have a house in Nagano. I have worked in Japan every summer for 18 years. For nyone who doubts, I can attest that EVERYTHING you have said here is true!
You mentioned the smoking issue in Japan, but have you EVER seen a culture that is capable of changing almost over night? Japan is such a country. Some other things might deserve mention. High salt consumption due to many pickles and miso. Also, copious quantities of white carbs leading to diabetes and POOR dental health.
Japan spends half what we do and gets better results. But that’s not the whole story, as you are noting. You are filling in the blanks. I am anxious to read more of your observations to determine what they do better in Japan that we do, i.e., things we can emulate both on the cost and the delivery sides.
You are now officially invited to join the National Bureau of Asian Research Japan forum! Hope to see you there.
http://nbrforums.nbr.org/foraui/subscribe.aspx?LID=5
David many thanks for your invitation to the NBR’s Japan Forum I have sent my acceptance and am looking forward to your points of view and discussions. David I am so glad you support my research one always worries about offending people in these situations. If I could spend more time in Japan researching the healthcare system believe me I would. I love the country and with reports coming through to us that there have just been two deaths on Victoza due to incorrect pescribing and medical education, alot more needs to be done. Doctors need to be questioned and we need a the patient movement to start kicking in. If you have any projects which will improve patient care where I can be of any help please do let me know.