Japan-hospitals : the Journal of the Japan Hospital Association

AIM AND METHOD: To improve employment support measures for patients with cancer, the author collected study reports and material published from January 2010 through January 2016 and analyzed cancer epidemiology, treatment costs, cancer's negative impact on patients, resignation rates, factors affecting employment, and the state of support in Japan. RESULTS: Approximately 30% of workers suffering from cancer (regular employees: 21%; non-regular employees: 39%) resigned from work...

The ageing society issue has necessitated the Japanese government conducting health reform. In order to reorganize the health service delivery system, the Ministry of Health, Labour and Welfare (MHLW) has prepared two massive health related data bases; DPC (Diagnosis Procedure Combination) data and NDB (National Receipt Database). The former gathers about 11 million discharged cases from 1,900 acute care hospitals annually. The latter gathers more than 1.7 billion claim data from all medical facilities every year...

DPC (Diagnosis Procedure Combination) is the Japanese original Case Mix system. The principal purpose of DPC introduction is not only for payment arrangement but also for modernization of the health system. To improve the quality of hospital management, to strengthen the responsibility of hospital for accountability, and to rationalize the health system are the three main objectives of the project. Based on the current DPC database, patients can know the clinical performance of each acute care hospital, such as volume stratified by diseases and disorders and related quality indicators...

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The "Social Healthcare Corporation" system was established on 1 April 2007 as a result of the revised Japanese Medical Care Law. As of 1 October 2014, 234 corporations are certified Social Healthcare Corporations. These corporations are allowed to issue public bonds. However, to this day (1 December 2014), no bonds have been issued. In this paper, we focus on cost analysis with respect to issuing public bonds.

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AIM: 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. METHOD: 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...

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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...

AIM: This study examines the factors leading to more elderly Japanese patients dying alone, the costs associated with this, and potential solutions. METHOD: 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). RESULTS: Due to the decline of the domestic economy, Japanese home ownership has lost its former function of asset-building, and elderly households are overspending...

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