Before we begin these are my personal views and don’t necessarily reflect the views of my employer. In this post I will be exploring whether Japanese culture and new methodologies can co-exist in the Japanese healthcare system today. In the last post we began to explore the main disease areas and how hurdles can be caused in medical care by cultural beliefs. My research then turned to the physicians themselves.
Physicians
It is no secret that there is a massive shortage of physicians in Japan, getting to the root of the reason is another matter. I therefore armed myself with my i-phone and got on the subway again. I find this was the best way to strike up a conversation on the subway, the Japanese are techno crazy and love to talk technology, pharma marketers please take note, if you campaign in Japan tie it to a technical fad and you will find you make leaps and bounds. After comparing notes on our i-phones and having fun with our apps I asked my Japanese companion about this shortage and what they thought about physicians.
Firstly they explained that it is cultural, only the more affluent people can become physicians and receive the best schooling. They felt that affluent kids stayed in the same circles and that traditionally clever affluent men (women are less likely to become doctors) are quiet with a shy retiring nature. These quiet intellects are then not likely to become doctors or prone to mix with the classes outside their own. This would explain the massive government drive for foreign medical students. My companion also stated that for more common ailments there is simply no need to go to a doctor as a natural remedy would be used and I have to admit I have not seen one medical pharmacy since I have arrived here. So we have the onset of common ailments where doctors are not really used but this then leads to a shortage of physicians for the more serious conditions which of course has been disastrous.
DTC Marketing
This shortage of doctors has also had an impact on the DTC marketing for pharmaceutical companies. According to The Yomiuri Shimbun a survey by the advertising agency Dentsu Inc. shows 10.3 billion yen was spent on DTC ads for drugs in 2009, 1.6 times more than the previous year’s 6.5 billion yen. However the conditions advertised must not lead to consumers going to a doctor or hospital, the medical system simply couldn’t take the influx of patients. Recent ads have targeted such problems as male pattern baldness, nicotine addiction, frequent urination, insomnia, heartburn, acne and arterial sclerosis.
As per norm the pharmaceutical company must not be named but what about conditions such as AIDS, diabetes or cancer. Where are the awareness schemes, the information for the Japanese populace on these diseases. The Japanese governments main concern is that people do not think they have certain illnesses and start to take unnecessary medication but surely this is the physicians job to discern who needs which treatment. This also brings up the unsettling question of what if the consumer does have one of these serious conditions and due to the lack of awareness schemes, they have no idea what is wrong with them? Unfortunately this question has an answer as in 2009 UNAIDS stated that Japan is the only developed country in the world to report an INCREASE in AIDS and HIV growth among the populace.
This is a pretty damning statement which looks like a cover up but once you start to understand the culture of Japan you begin to see why these things happen. The Japanese are not uneducated, far from it. They are an extremely graceful forward thinking race, providing wonderment and truly great feats in technology, which can sometimes be overlooked due to this beautiful culture which may stop progress in some areas but has certainly pushed the boundaries forward in others, which we look into on the next post.
英語から日本語に翻訳
医師
それは秘密がある日本の医師の大規模な不足している、その理由のルートになっている別の問題である。従って私は私のi -携帯電話で自分自身を武装し、地下鉄になってきた。日本の場合は、キャンペーンの技術ブームにネクタイ私はこれが最良の方法は地下鉄で会話を始めることだった見つけるには、日本人はクレイジーテクノされ、技術の話を愛し、製薬マーケティング担当者が注意ください、あなたはあなたが作るでしょう飛躍的に。我々のi -電話でメモを比較し、我々のアプリで私はこの不足についての私の日本の仲間を求め、彼らが医師考え楽しみ後。
まず彼らは、それは文化だけより豊かな人々が医師になることが、最高の教育を受けると説明した。彼らは、豊かな子供たちが同じ円にとどまり、伝統的な巧妙な豊かな男性（女性は少ない医師）静かな恥ずかしがり屋引退自然とさになる可能性があることを感じた。これらの静かな知性は、医師またはやすいクラスで自分の外に混在させることになりそうではありません。これは外国人医学生のための大規模な政府のドライブを説明する。私の仲間はまた、より一般的な病気のあるsimply不要doctor to自然療法としてgoを使用れるだろうと私は私がここに到着してsince私は1医療薬局を見ていない認めるにしているstated。そこで、一般的な病気の医師が実際に使われていないが、これはして医師不足のコースの悲惨されているより深刻な状況につながる発症している。
DTCのマーケティング
医師のこの不足はまた、製薬企業のDTCマーケティングに影響を与えている。読売新聞に電通は10.3億円のDTC広告の2009年に薬物、1.6倍、前年の65億円以上を費やしていた示します広告代理店の調査によると。しかし、条件が消費者の医師または病院に行くにつながることがあります広告、医療システムは、単に患者の流入を取ることができなかった。最近の広告は、男性型脱毛症、ニコチン中毒、頻尿、不眠、胸焼け、にきびや動脈硬化などの問題を標的にして。
ノルムの製薬会社を1としての名前はいけませんが、何エイズ、糖尿病や癌などの条件について。どこに意識スキーム、これらの疾患で、日本国民のための情報です。日本政府は、主な関心は、人々は、特定の病気を持っているが、不必要な薬を服用する確かにこのは、医師の仕事人が治療を必要とはっきりさせる開始とは思わないです。これはまた、消費者がいない場合は自分を、これらの深刻な状況と意識のスキームの不足を持っているの不安疑問が浮かぶ、彼らはどのような人が間違っている見当がありますか？残念ながら、この問題は2009年エイズで、日本は世界で唯一の先進国のエイズと民衆のHIVの成長の増加を報告している説明したように答えている。
Ishi
Sore wa himitsu ga aru Nippon no ishi no dai kibona fusoku shite iru, sono riyū no rūto ni natte iru betsu no mondaidearu. Shitagatte watashi wa watashi no i – keitai denwa de jibun jishin o busō shi, chikatetsu ni natte kita. Nippon no baai wa, kyanpēn no gijutsu būmu ni nekutai watashi wa kore ga sairyō no hōhō wa chikatetsu de kaiwa o hajimeru kotodatta mitsukeru ni wa, nipponjin wa kureijītekuno sa re, gijutsu no hanashi o aishi, seiyaku māketingu tantō-sha ga chūi kudasai, anata wa anata ga tsukurudeshou Hiyaku-teki ni. Wareware no i – denwa de memo o hikaku shi, wareware no apuri de watashi wa kono fusoku nitsuite no watashi no Nippon no nakama o motome, karera ga ishi kangae tanoshimi-go.
Mazu karera wa, sore wa bunka dake yori yutakana hitobito ga ishi ni naru koto ga, saikō no kyōiku o ukeru to setsumei shita. Karera wa, yutakana kodomo-tachi ga onaji en ni todomari, dentō-tekina kōmyōna yutakana dansei (josei wa sukunai ishi) shizukana hazukashi gari-ya intai shizen to sa ni naru kanō-sei ga aru koto o kanjita. Korera no shizukana chisei wa, ishi matawa yasui kurasu de jibun no soto ni konzai sa seru koto ni nari-sōde wa arimasen. Kore wa gaikoku-jin igaku-sei no tame no dai kibona seifu no doraibu o setsumei suru. Watashi no nakama wa mata, yori ippan-tekina byōki no aru simply fuyō doctor to shizen ryōhō toshite go o shiyō rerudarou to watashi wa watashi ga koko ni tōchaku shite since watashi wa 1 iryō yakkyoku o mite inai mitomeru ni shite iru stated. Sokode, ippan-tekina byōki no ishi ga jissai ni tsukawa rete inaiga, kore wa shite ishi fusoku no kōsu no hisan sa rete iru yori shinkokuna jōkyō ni tsunagaru hasshō shite iru.
DTC no māketingu
Ishi no kono fusoku wa mata, seiyaku kigyō no DTC māketingu ni eikyō o ataete iru. Yomiurishinbun ni Dentsū wa 10. 3 Oku-en no DTC kōkoku no 2009-nen ni yakubutsu, 1. 6-Bai, zen’nen no 65 oku-en ijō o tsuiyashite ita shimeshimasu kōkoku dairi-ten no chōsa ni yoru to. Shikashi, jōken ga shōhi-sha no ishi matawa byōin ni iku ni tsunagaru koto ga arimasu kōkoku, iryō shisutemu wa, tan’ni kanja no ryūnyū o toru koto ga dekinakatta. Saikin no kōkoku wa, dansei-gata datsumō-shō, nikochin chūdoku, shiki nyō, fumin, muneyake, nikibi ya dōmyaku kōka nado no mondai o hyōteki ni shite.
Norumu no seiyaku kaisha o 1 toshite no namae wa ikemasenga, nan eizu, tōnyō-byō ya gan nado no jōken nitsuite. Doko ni ishiki sukīmu, korera no shikkan de, Nippon kokumin no tame no jōhōdesu. Nippon seifu wa, omona kanshin wa, hitobito wa, tokutei no byōki o motte iruga, fu hitsuyōna kusuri o fukuyō suru tashika ni kono wa, ishi no shigoto-jin ga chiryō o hitsuyō to hakkiri sa seru kaishi to wa omowanaidesu. Kore wa mata, shōhi-sha ga inai baai wa jibun o, korera no shinkokuna jōkyō to ishiki no sukīmu no fusoku o motte iru no fuan gimon ga ukabu, karera wa dono yōna hito ga machigatte iru kentō ga arimasu ka? Zan’nen’nagara, kono mondai wa 2009-nen eizu de, Nippon wa sekai de yuiitsu no senshin-koku no eizu to minshū no HIV no seichō no zōka o hōkoku shite iru setsumei shita yō ni kotaete iru.
Kore wa, appu ga kabā 1-kai anata wa naze korera no koto ga okoru no o miru o kaishi suru Nippon no bunka o rikai shi hajimeru yō ni, kanari hametsu-tekina sutētomentodesu. Nipponjin wa mugaku, haruka ni sore karade wa arimasen. Karera wa hijō ni yūgana tanoshimi rēsu o kangaete, gijutsu no shin no idaina kōseki, kore mo ichibu no chiiki de wa shinpo o teishi suru koto ga tashika ni wareware ni miru hito de, kyōkai-sen o susume rarete iru kono utsukushii bunka no tame, miotoshi suru koto ga dekimasu odoroki o teikyō shite imasu Tsugi no kiji.
