06s-01
INTRODUCTION TO HEALTH SERVICE AND MEDICAL CARE IN JAPAN

Ryoji MATOBA, et al. (Graduate School of Medicine)

Objective
Japan has achieved tremendous improvements in life expectancy during the last 50 years and leads the international life expectancy tables. This course will provide an overview of systems of health service and medical care in this country, with special reference to rapid aging of the population, trends of epidemiology of lifestyle-related diseases, and characteristics of life style of the people in Japan.

Textbook and Reference Books
R Detels, WW Holland, J McEwen, GS Omenn (ed.): Oxford Textbook of Public Health, Vol. 1-3, Oxford University Press, 1997.
WJ Stephen: An Analysis of Primary Medical Care - An International Study, Cambridge University Press, 1979.
Ministry of Health and Welfare: Annual Report on Health and Welfare 1990 - 1991, Japan International Cooperation of Welfare services, 1992.
Ministry of Health and Welfare: Health and Welfare Statistics in Japan, Health and Welfare Statistics Association, 1992.

Lecture Outline
1. Lifestyle and Health Prof. Dr. MORIMOTO K.
2. Occupational stress Res. Asst. Dr. NAKAYAMA K.
3. Measurement of salivary stress marker Res. Asst. Dr. TODA M.
4. Lifestyle and DNA Stability Res. Asst. Dr. LU Y.
5. History of public health in Japan Assoc. Prof. Dr. NAKANISHI N.
6. Epidemiology of cardiovascular diseases in Japan. Assoc. Prof. Dr. NAKANISHI N.
7. Community care in Japan Lecturer Dr. TAKATORIGE T.
8. Public health system in Japan Lecturer Dr. TAKATORIGE T.
9. Drug abuse in Japan Prof. Dr. MATOBA R.
10. Insurance system and compensation medicine in Japan Assoc. Prof. Dr. KUROKI H.
11. Legal medicine in Japan Res. Assist. Dr. ISOBE I.
12. DNA analysis in Japan Res. Assist. Dr. NAKATOME M.
13. How the Japanese Doctors and Nurses are working in Japanese Hospital? Prof. Dr. OHNO Y.
14. Geriatric Medicine in Japan Prof. Dr. MIKAMI H.
15. Impact of changes in lifestyle on the mortality among Japanese Prof. Dr. MAKIMOTO M.

Field Works
In this course, visits to institutions related to health service and medical care are organized to let the students understand real aspects of these activities in a community. Institutions expected to be visited include hospitals, private clinics, public health centers, community health centers, health care homes for elderly, and welfare homes for the elderly. The participants are requested to submit a report on the institutions visited.

Grading
Evaluation will be based on a term paper and class attendance.