Japanese National Plan for Promotion of Measures Against Cerebrovascular and Cardiovascular Disease

Kuwabara, Masanari; Mori, Megumu; Komoto, Shigekazu

doi:10.1161/circulationaha.120.052737

Cited by 44 publications

(29 citation statements)

References 3 publications

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“…In Japan, which has the most rapidly aging society in the world, the Japanese National Plan for the Promotion of Measures Against Cerebrovascular and Cardiovascular Disease (Japanese National Plan) was published by the Ministry of Health, Labour and Welfare on October 27, 2020, based on the Cerebrovascular and Cardiovascular Disease Control Act . 19 To advance these initiatives, a wealth of human resources is required. In addition, the COVID-19 pandemic has redirected many cardiologists to providing COVID-19 care.…”

Section: Discussionmentioning

confidence: 99%

Current Diversity Issues in Cardiovascular Workplaces in the Chugoku District　― Results From 2 Questionnaire Surveys ―

et al. 2022

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Background: Various issues, such as gender diversity and overwork, need to be considered in cardiovascular workplaces. Here, we report the results of 2 questionnaire surveys conducted among members of the Chugoku branch of the Japanese Circulation Society. Methods and Results:The first questionnaire was posted to all 194 female members in 2018. Of the 73 respondents, 61.6% reported feeling that it would be difficult to continue in cardiovascular care. The second questionnaire was completed by participants of the Chugoku Regional Meeting in 2019. Of the 133 respondents, 42.4% reported difficulties continuing in cardiovascular care. Respondents reporting difficulties had a significantly lower mean age, a higher frequency of day and night shifts, and a higher rate of working >80 h/week than respondents who did not report such difficulties. In logistic regression analysis, working >80 h/week was the only independent factor associated with difficulties continuing in cardiovascular care (odds ratio 4.16; 95% confidence interval 1.46-11.9; P=0.008). Although 47.4% of respondents worked >960 h overtime per year (considered a risk factor for death from overwork), 59.6% of these respondents reported being satisfied with their current situation. Conclusions:In the Chugoku region, the work-life balance of medical personnel engaged in cardiovascular care has not been sufficiently secured. In order to promote diverse human resources, we need to recognize the current situation and continue to take countermeasures.

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Section: Discussionmentioning

confidence: 99%

Current Diversity Issues in Cardiovascular Workplaces in the Chugoku District　― Results From 2 Questionnaire Surveys ―

et al. 2022

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“…“The Cerebrovascular and Cardiovascular Disease Control Act” was enacted in December 2019 to control national cerebrovascular diseases. “The Japanese National Plan for Promotion of Cardiovascular Disease Control” based on this law set out three goals: prevention of cerebrovascular diseases and dissemination of correct knowledge; improvement of the service delivery system for health, medical care, and welfare; and promotion of research on cerebrovascular diseases ( 31 , 32 ). By achieving these three goals, the basic plan thus aims to extend healthy life expectancy by 3 or more years and reduce the age-adjusted mortality rate for cerebrovascular diseases by 2040, which is when the elderly population in Japan will reach its peak.…”

Section: Future Perspectivementioning

confidence: 99%

Transitional and Long-Term Care System in Japan and Current Challenges for Stroke Patient Rehabilitation

et al. 2022

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In Japan, the national medical insurance system and long-term care insurance (LTCI) system cover rehabilitation therapy for patients with acute, convalescent, and chronic stroke. Medical insurance covers early and multidisciplinary rehabilitation therapy during acute phase hospitalizations. Patients requiring assistance in their activities of daily living (ADL) after hospitalization are transferred to kaifukuki (convalescent) rehabilitation wards (KRW), which the medical insurance system has also covered. In these wards, patients can receive intensive and multidisciplinary rehabilitation therapy to improve their ADL and transition to a smooth home discharge. After discharge from these hospitals, elderly patients with stroke can receive outpatient (day-care) rehabilitation and home-based rehabilitation using the LTCI system. The Japanese government has proposed building a community-based integrated care system by 2025 to provide comprehensive medical services, long-term care, preventive care, housing, and livelihood support for patients. This policy aims to promote smooth coordination between medical insurance services and LTCI providers. Accordingly, the medical insurance system allows hospitals to receive additional fees by providing patient information to rehabilitation service providers in the LTCI system. A comprehensive database on acute, convalescent, and chronic phase stroke patients and seamless cooperation between the medical care system and LTCI system is expected to be established in the future. There are only 2,613 board-certified physiatrists in Japan, and many medical schools lack a department for rehabilitation medicine; establishing such a department at each school is encouraged to teach students efficient medical care procedures, to conduct research, and to facilitate the training of personnel in comprehensive stroke rehabilitation.

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“…A recent paper published by the Ministry of Health, Labour and Welfare in Japan stated a basic plan for measures against CVD to extend healthy life expectancy and listed 10 points for “enhancing service provision systems related to health, medical care, and welfare services”. 31 CTR has the potential to increase the uptake of core components of CR, it can be more reasonable than building CR centers across the entire country, and it can reduce recurrent CVD events and mortality. These effects address some of the 10 points in the paper from the Ministry of Health, Labour and Welfare.…”

Section: Why Could Ctr Be the Future Approach For Japan?mentioning

confidence: 99%

“…These effects address some of the 10 points in the paper from the Ministry of Health, Labour and Welfare. 31 CTR needs to be expanded because otherwise many patients would not participate in CR. Furthermore, accumulated CTR data in digital devices can be used to optimize secondary prevention in Japan.…”

Section: Why Could Ctr Be the Future Approach For Japan?mentioning

confidence: 99%

Cardiac Telerehabilitation　― A Solution for Cardiovascular Care in Japan ―

et al. 2021

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Cardiac rehabilitation (CR) is a well-known intervention for the secondary prevention of cardiovascular diseases. However, in Japan, the outpatient CR participation rate is estimated to be very low. Cardiac telerehabilitation (CTR) can be defined as a remote CR program using digital health technology to support it. Evidence regarding the use of CTR has been accumulated, and the COVID-19 pandemic has accelerated the need for CTR. Japan has sufficient potential to benefit from CTR because, nationally, digital literacy is high and the infrastructure for telemedicine is developed. To overcome several barriers, evidence of CTR in Japan, well-educated multidisciplinary CTR teams, a good combination of center-based CR and CTR, and sophisticated systems including social insurance and adequate legislation need to be developed immediately. CTR has the potential to increase the low CR participation rate in Japan. CTR also has many different effects that not only cardiologists, but also paramedics who engage in CTR, have to be aware of.

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Japanese National Plan for Promotion of Measures Against Cerebrovascular and Cardiovascular Disease

Cited by 44 publications

References 3 publications

Current Diversity Issues in Cardiovascular Workplaces in the Chugoku District　― Results From 2 Questionnaire Surveys ―

Current Diversity Issues in Cardiovascular Workplaces in the Chugoku District　― Results From 2 Questionnaire Surveys ―

Transitional and Long-Term Care System in Japan and Current Challenges for Stroke Patient Rehabilitation

Cardiac Telerehabilitation　― A Solution for Cardiovascular Care in Japan ―

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Japanese National Plan for Promotion of Measures Against Cerebrovascular and Cardiovascular Disease

Cited by 44 publications

References 3 publications

Current Diversity Issues in Cardiovascular Workplaces in the Chugoku District ― Results From 2 Questionnaire Surveys ―

Current Diversity Issues in Cardiovascular Workplaces in the Chugoku District ― Results From 2 Questionnaire Surveys ―

Transitional and Long-Term Care System in Japan and Current Challenges for Stroke Patient Rehabilitation

Cardiac Telerehabilitation ― A Solution for Cardiovascular Care in Japan ―

Contact Info

Product

Resources

About

Current Diversity Issues in Cardiovascular Workplaces in the Chugoku District　― Results From 2 Questionnaire Surveys ―

Current Diversity Issues in Cardiovascular Workplaces in the Chugoku District　― Results From 2 Questionnaire Surveys ―

Cardiac Telerehabilitation　― A Solution for Cardiovascular Care in Japan ―