Transcript Home care

Creation of New Social System in
Super-aging Society
June 16, 2014
Tetsuyu Medical Institute Corporation
Shinsuke Muto, MD, MBA, Ph.D.
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Aging of Asia
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The demise of the “population bonus” period in Asian countries
“Population bonus” Periods of Asia
1950
1960
1970
1980
1990
2000
2010
2020
2030
2040
2050
NISS + China + Thailand
Japan
Hong Kong
Singapore
China
South Korea
ASEAN + India
Thailand
Vietnam
Indonesia
Malaysia
India
Philippines
Source: Prepared by the Bank of Tokyo-Mitsubishi UFJ, Ltd. based on statistics of the United Nations.
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Asia is expected to be aging much faster than ROW
Changes in the aging rates of Asian countries
45%
1. Japan
40 %
35 %
25 %
2. South Korea
3. Singapore
4. China
5. Thailand
20 %
Developed regions
30 %
15 %
10 %
5%
0% 1950
1960
1970
1980
1990
2000
2010
2020
2030
2040
2050 (Year)
Source: UN, World Population Prospects : The 2010 Revision
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Aging of Japan
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Japan has already entered a super-aging society
2005
2030
2055
75 years of age
Age (years)
Age (years)
Age (years)
Source: Population Projection for Japan―the National Institute of Population and Social Security Research
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Mortality
(Thousand)
Estimate
In 2040
1.66 Million
Actual
1951
1960
1970
1980
1990
2000
7
2010
2020
2030
2040
2050
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Place of death
Deaths at medical
institute
Deaths at home
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Social security cost（Medical cost）
JPY Trillion
Ratio to National
Income(NI)
National medical cost
Ratio to GDP
1955
1960
1970
1980
1990
9
2000
2009
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Social security cost (People to support aging society)
# of young people to support one elderly person over 65
years old
4,5
4
3,9
3,5
3
2,8
2,5
2,3
2
2
1,5
1,7
1,4
1,3
1
0,5
0
2000
2009
2015
2015
10
2035
2045
2055
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Medical and Welfare cost will increase by 30 trillion JPY by 2025
■Comparison of Japanese Medical and Welfare Expense in 2012 and 2025
¥73.8 trillion
¥54.0
trillion
¥44.0 trillion
￥35.1
trillion
From 2012 to 2025
(in 13 years)...
+ ¥29.8 trillion
× 168%
×154%
Medical cost
¥8.9
trillion
2012 (Actual)
Welfare cost
×222%
¥19.8
trillion
2025 (Forecast)
Source: The Ministry of Health, Labour and Welfare *Graphics redesigned by You home clinic
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Home care saves money in caring for the elderly
■Comparison of monthly medical and welfare cost for elderly people
between hospital and home care per capita
Hospital care （30days）
Normal Unit (not ICU)
Home care （1month）
Medical care (every other week) and
Welfare service at home
¥ 487,020 / Month
1/3 of
Hospital care
Medical
Care Cost
¥ 166,080 / Month
Welfare
Care Cost
Source：2013.11 MEDIVA Co..Ltd *Graphics redesigned by You home clinic
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Not everyone’s cognitive/physical abilities decrease with aging
Cognitive ability classified by generation
1,5
Language (vocabulary) ability
Short-term memory
Normal walking speed
(m/sec)
(Cognitive point)
Day-to-day problem-solving skills
Walking speed classified
by generation (Males)
1,4
1,3
1,2
1,1
2002
1
0,9
0,8
1992
65 to 69
70 to 74
75 to 79
80 or over (years)
Source: A study on the longitudinal and transverse changes in the physical functions of elderly Japanese―Takao Suzuki et al.
Source: Cornelius and Caspi
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Elderly feeling anxiety about daily lives, albeit their wealth
Elderly people’s awareness of
anxiety about their daily lives
Financial assets of household
heads classified by age
1 7851 860
(10,000 yen)
947
927
Feeling anxiety
about future lives
72%
74
(38)
1. The disease and health problems 78%
2. Being in a physically disabled 53%
(262)
Source: A 2009 awareness survey on the daily lives of elderly people―the Cabinet Office
Source: A 2009 fact-finding survey on national consumption―Bureau of Statistics
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Our activities
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Our activities to revive community where elderly live happy
■3
steps to reconstruct community model in super-aged society
Step１
ICT home medical care system
Step２
ICT team care system
Step
3
ICT comprehensive livelihood support system
Evolution to a new social/community model
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Step 1: ICT home medical care system
Electronic
Medical
record
• Home care-use
electronic medical
record
• Cloud-based
electronic medical
record
Contact
center
• Back office
operational support
(data entry etc.)
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Home medical
care cloud
• Enables doctors to
focus more
exclusively on
medical
examinations and
patient care
• Equipped with
functions needed for
home care, including
task and scheduled
route management
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Home medical care cloud (1/3)
©2013ZENRIN CO．， LTD．（Z14LD第886号）
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Home medical care cloud (2/3)
©2013ZENRIN CO．， LTD．（Z14LD第886号）
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Home medical care cloud (3/3)
©2013ZENRIN CO．， LTD．（Z14LD第886号）c
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Step 2: ICT team care system
Family members
not living with
Patients and families
patients
Sanatorium
ward
General
hospital
Home clinics
Clinics
Facility staff
Cloud system
Pharmacists
Visiting nurses
Care managers
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Helpers
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What made us move forward
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Step 3: ICT comprehensive livelihood support system
Interface with disasteraffected residents
• Visits made to 20,000
households, with
assessments
conducted of 10,000
Creation of database
Coordination of support
Provision
of services
• Information was
• Support has been
evaluated by specialists
provided to approx.
to identify the key
3,000 households
support person required
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Our system proved powerful for comprehensive survivor support
■Analysis of data
■Monthly report meeting
■Forums with government & NPOs
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Our new project: Evolving to a new social/community system
=Newly innovated
Elderly people in
need of nursing
care and
caregivers
Face-toface contact
Medical and
nursing care staff
Public-private platform
Public services
Home medical and
nursing care cloud
Home medical care
Home nursing care
Coordinating function
Self-reliant
elderly people
Communicators
Private service
Health support
Family support
Healthy life cloud
Livelihood support
Social participation
and life motivation
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