This is the presentation I did at the 1st Japan-Singapore Inter-professional Collaboration Seminar (26th Oct 2013).

1. Consultant, Instructor of Japan Primary Care Association
Kenichi Sato

2. Acute
Subacute
Chronic
Outpatient
Home visit
Resident
(1 4yrs)
Okinawa
(5 8yrs)
Hokkaido
(9 10yrs)
Osaka
(11 14yrs)
HJMC
!2
Designed by Kenichi Sato

3. Singapore
1week
2months
acute
Community
discharge
onset
3 4weeks
Japan
HJMC
2 3months
(Max 6 Months)
!3
Designed by Kenichi Sato

4. Why Japan ?

5. Singapore：3,771,721
6,578,000
Japan：128,055,800
2010
average 44.6 yrs
9%
HJMC
6
3
0-4
5-9
10-14
15-19
20-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70-74
75-79
80-84
85
unknown
0
!5
2030
2010
average 37.4 yrs
average 43.6 yrs
0
3
6
9%
Designed by Kenichi Sato

6. 40 %
Japan
30
22.7%
Singapore
(2010)
23.3%
20
(2030)
World
9%
10
0
1950
HJMC
(2010)
1960
1970
1980
1990
2000
!6
2010
2020
2030
2040
2050
2060
Designed by Kenichi Sato

7. 15%
(No of 20-64)/(No of >65)
12
Singapore
9
6
3
0
7.4
(2010)
2.6
(2030)
Japan
2.6
(2010)
1970 1975 1980 1985 1990 1995 2000 2005 2010 2015 2020 2025 2030 2035 2040
HJMC
!7
Designed by Kenichi Sato

8. Current situation in Japan
(2010)
Future situation in Singapore
(2030)
HJMC
!8
Designed by Kenichi Sato

9. Image courtesy of Mercure Tokyo Ginza
HJMC
!9
Designed by Kenichi Sato

11. Bedridden... ?
HJMC
!11
Designed by Kenichi Sato

12. Internal Factor
change
Equipment
Technology
Ingenuity
External Factor
HJMC
Fall
Environment
Deduction
Adaptation
Human
Training
Prediction
!12
Designed by Kenichi Sato

13. Internal
Factors

14. Elderly have tendencies to:
・Having difficulty to adapt themselves to
sudden environmental changes.
・Need to practice repeatedly.
(Hard
HJMC
to remember and learn)
!14
Designed by Kenichi Sato

15. 1week
2months
discharge
onset
Days
①
②
The risk of fall will increase.
HJMC
!15
Designed by Kenichi Sato

16.
90
acute Hospital
NUM
Community Hospital
NUM
30
n=163
20
10
5
-1
2
-1
9
Days
7-
13
Designed by Kenichi Sato
10
!16
0
6
5-
10
05
91
-1
0
76
-9
5
61
-7
0
46
-6
5
31
-4
0
-3
HJMC
16
1-
15
Days
4-
0
3
30
1-
60

17. Adapting well ?
HJMC
!17
Designed by Kenichi Sato

18. External
Factors

19. Technology
+
Ingenuity

20. Not convenient
(space and price).
Patients must fit their
body to the machine.
HJMC
Just one of many options
for improvement.
!21
Designed by Kenichi Sato

21. HJMC
!23
Designed by Kenichi Sato

22. Training

23. HJMC
!26
Designed by Kenichi Sato

24. Deduction
+
Prediction

25. Present
Deduce from
the past
HJMC
Predict
the future
!29
Designed by Kenichi Sato

26. scuff on the wall
HJMC
Designed by Kenichi Sato

27. HJMC
!31
Designed by Kenichi Sato

28. HJMC
!32
Designed by Kenichi Sato

29. for left hemiplegia
HJMC
!33
for right hemiplegia
Designed by Kenichi Sato

30. HJMC
!34
Designed by Kenichi Sato

31. Bedridden
Rising and Fall Prevention
Standardization
HJMC
!35
Designed by Kenichi Sato

32. Focusing on renovation alone
is not enough.
Patient s living environment
must be improved as well.
HJMC
!36
Designed by Kenichi Sato

33. left paresis＋right hemiplegia
Window
①
②
Window
③
④
Door
HJMC
Door
!38
Designed by Kenichi Sato

34. Window
④
Door
HJMC
!39
Designed by Kenichi Sato

35. I m ready.
HJMC
!41
Designed by Kenichi Sato

36. Thank you very much
for your kind attention.
Kenichi Sato