Development of Primary Care, Lifestyle Disease and New ElderlyAssociation (NEA) in Japan – Common Philosophy With Hinohara-ism

Abstract

On the funeral ceremony, more than 4,000 people and the Empress Michiko attended. Dedication flowers were from the emperor/empress, the crown prince/princess, Mikasa-, Akishino-and Takamado-Imperial branch (Figure 1). Moreover more than 10,000 people came to St. Luke's International Hospital for dedication flowers.His contribution was remarkable from several points of view. He was the father in Japan for 1) primary care, 2) life style-related disease, 3) New Elderly movement and 4) music therapy. The authors have continued various activities concerning 1-4) with him for long years. By his excellent guidance and management, these medical and cultural fields have developed to high degree in Japan.In this article, we would introduce the progress and achievement of Dr. Hinohara in each category 1)-4) with some investigation of his activities. Then his broad and deep philosophy called "Hinohara-ism" could be understood, leading to successful aging [2]. The father of primary care in JapanPrimary care (PC) covers wide fields, such as primary health care (PHC), primary medical care (PMC), general practice (GP), family medicine (FM), and so on. When Dr. Hinohara studied medicine in United States, he was impressed with PC and introduced the philosophy of PC in Japan. He was a pioneer of complete annual physical checks, "human dry-dock" and also developed preventive medicine and the education system for doctors and co-medicals.As the concept of PC had been understood and prevalent, Japanese AbstractDr. Shigeaki Hinohara, one of the most eminent physician in Japan lived up to 105, was chairman emeritus of St. Luke's International University and honorary president of St. Luke's International Hospital. He was a pioneer in several fields with remarkable contribution. He introduced and developed primary care (PC) medicine in Japan. The term "life style-related disease" was proposed by him, and decided to use widely by the Ministry of Health and Welfare, Japan. He started New Elderly Association (NEA) to make aged people significant life physically and psychologically with wide spread. He firstly founded Japan BioMusic Association/Japanese Music Therapy Association (JMTA) and developed music therapy in Japan. Thus, by his excellent leadership and management, medical and cultural fields have developed to high degree in Japan.

Philosophy of Internal Medicine – Osler and Hinohara-ism

“…In other words, this axis includes humanityoriented treatment along with the philosophy of Hinohara, which is called Hinohara-ism. 1 The third one is medical education where senior doctor gives adequate advices to junior doctor. 10 In educational hospitals such as university hospitals, three missions are research, clinical and education.…”

“…14,15 Other contribution of Dr. Hinohara has been the foundation of the New Elderly Association (NEA) in 2000 and the launch the movement in Japan and other countries. 1,16 NEA adopted four slogans, which are to love, to initiate, to endure and to promote world peace. The important point was that good models of the aged would be shown to the young generation through hearty communication at their homes or at public places.…”