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Emergency medicine in Japan: past, present, and future

Authors
  • Shimizu, Kentaro1
  • Hibino, Seikei2
  • Biros, Michelle H.2
  • Irisawa, Taro1
  • Shimazu, Takeshi1
  • 1 Osaka University Graduate School of Medicine, 2-15 Yamadaoka, Suita-shi, Osaka, 565-0871, Japan , Osaka (Japan)
  • 2 University of Minnesota, 717 Delaware Street SE, Minneapolis, MN, 55455, USA , Minneapolis (United States)
Type
Published Article
Journal
International Journal of Emergency Medicine
Publisher
Springer Berlin Heidelberg
Publication Date
Jan 07, 2021
Volume
14
Issue
1
Identifiers
DOI: 10.1186/s12245-020-00316-7
Source
Springer Nature
Keywords
License
Green

Abstract

Quite a few changes and challenges have arisen in society in general as technology has advanced and the aging population has increased. These can lead to the recognition of the shortcomings of a society’s traditional systems and the various changes that are needed, especially in providing emergency medical care. A super-aged society has been developing in Japan, and the emergency care system needs to change according to these new demographics and society’s needs. The focus has been shifting from critical care and trauma to medical and surgical conditions involving the elderly. Challenges in triage, ambulance diversion, and staffing are discussed in this review. Possible solutions currently underway, such as a public helpline, smartphone app system, coordination by designated hospitals, and universal coverage/government support, are discussed as future directions. Emergency medicine in Japan needs to develop in a more flexible way to meet the upcoming robust challenges of the changing demographics.

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