This is one of the first attempts to explore the effects of social, political, and cultural variables on the interpretation of ideas about health, illness, and medical care in a technologically rich society. In this collection of essays, five anthropologists and one political scientist demonstrate that modern medical care in Japan is not a uniform, value-free scientific endeavor, but rather a culturally shaped part of a complex pluralistic medical system that is, itself, the product of a specific historical and social tradition. The comparative study of health, illness, and medical care provides a rich source of cross-fertilization of ideas among the social sciences. This collection of essays offers new insights on and raises new questions about contemporary Japanese society, biomedicine as a cultural product, and the transformation that occurs when medical knowledge and techniques are used in a different cultural milieu.
In the latter half of the 20th century, Japan developed into a thriving economy, and the Japanese remain one of the healthiest populations in the world to this day. However, in the past 25 years, low-growth, mounting debt, and rapid ageing have complicated this image, and global interest in the longevity and social cohesion of the Japanese populace is now greater than ever. Health in Japan brings together the perspectives and research of Japan's leading social epidemiologists in English for the first time, creating an enriching reading experience for both Japanese and international readers. With chapters on key topics such as Chronic Disease, Disasters and Health, and Mental Health and Wellbeing, this textbook offers a comprehensive examination of all major health issues facing the country. Focusing on the primary, upstream causes of health and disease, as well as novel evidence on the wider determinants of well-being and illness, this is a must-read for any public health professional or researcher with an interest in Japanese society, culture, and healthcare.
This book is open access under a CC BY-NC-ND 4.0 license. This open access book is the first compilation that reviews a wide range of social determinants of health (SDHs) for non-communicable diseases (NCDs) and healthy ageing in Japan. With the highest life expectancy and the largest elderly population in the world, Japan has witnessed health inequality by region and social class becoming more prevalent since the 2000s. The first half of this volume describes in detail major NCDs, such as cancers, heart and kidney diseases, diabetes, stroke, and metabolic syndrome. The second half, on the other hand, explores various SDHs relating to healthy ageing. All chapters review and focus on SDHs, particularly health inequality associated with socio-economic status and social capital, which are widely addressed in the field of social epidemiology. The book makes the argument that “Health for All” advocated by the WHO should be implemented based on social justice and benefits for the greater society. Public health researchers and policymakers, both in Japan and other nations, will gain scientific evidence from this book to prepare for the coming era as ageing becomes a global issue.
During the last 25 years, life expectancy at age 50 in the United States has been rising, but at a slower pace than in many other high-income countries, such as Japan and Australia. This difference is particularly notable given that the United States spends more on health care than any other nation. Concerned about this divergence, the National Institute on Aging asked the National Research Council to examine evidence on its possible causes. According to Explaining Divergent Levels of Longevity in High-Income Countries, the nation's history of heavy smoking is a major reason why lifespans in the United States fall short of those in many other high-income nations. Evidence suggests that current obesity levels play a substantial part as well. The book reports that lack of universal access to health care in the U.S. also has increased mortality and reduced life expectancy, though this is a less significant factor for those over age 65 because of Medicare access. For the main causes of death at older ages-cancer and cardiovascular disease-available indicators do not suggest that the U.S. health care system is failing to prevent deaths that would be averted elsewhere. In fact, cancer detection and survival appear to be better in the U.S. than in most other high-income nations, and survival rates following a heart attack also are favorable. Explaining Divergent Levels of Longevity in High-Income Countries identifies many gaps in research. For instance, while lung cancer deaths are a reliable marker of the damage from smoking, no clear-cut marker exists for obesity, physical inactivity, social integration, or other risks considered in this book. Moreover, evaluation of these risk factors is based on observational studies, which-unlike randomized controlled trials-are subject to many biases.
During the past three decades, health care systems in the East Asian regions of China, Japan, South Korea, and Taiwan have undergone major changes. Each system has its unique achievements and challenges. Global health care policymakers are increasingly interested in understanding the changes that have taken place in these four systems. This four-volume reference set is designed to help health care professionals, academics, policymakers, and general readers gain a good grasp of the background and latest developments in the health care systems of China, Japan, South Korea, and Taiwan. This reference set provides an in-depth comparative health policy analysis and discussion of health care reform strategies in each of these systems. One unique feature of this set is that each volume has been edited by a leading scholar who has been deeply involved in the development of the health care system in that particular region. Each of these editors also has invited both scholars and practitioners to provide a first-hand description and analysis of key health care reform issues in that system. The many examples provided in each volume demonstrate how findings of evidence-based policy research can be implemented into policy practice.Volume 1 describes and discusses China's ambitious and complex journey of health care reform since 2009. The Chinese government has achieved universal health insurance coverage and has embarked on reforms of the service delivery system and provider payment methods that are aimed at controlling health expenditure growth and improving efficiency. This volume includes pilot and social experiments initiated by the government and researchers and their evaluations that have guided the formulation of health reform policies. It provides information on how to make reforms work at the local and provincial levels. The findings detailed in this volume will contribute to a global knowledge base in health care reforms.Volume 2 provides a comprehensive review and evaluation of the Japanese health care system. Japan has a long history of health care system development and provision of universal health coverage, with a mature and well-developed health care system among East Asian countries. However, due to increases in health care costs, economic stagnation and the country's rapidly aging population, Japan has undergone significant health care reform during the last two decades, both in the delivery as well as financing of health services in its hospital sector, medical technology sector and long-term care insurance. Despite these challenges and reforms, health outcomes among the Japanese population have been progressively among the best in the world. This volume shows how policy research can lead to policy analysis, implementation and assessment. It also provides valuable lessons learnt for mutual learning among other health care systems.Volume 3 offers a comprehensive review of the developments in South Korea's national health insurance system since 1989 in terms of financing, delivery systems, and outcomes. The volume analyzes the efficiency of cost and service delivery by public sectors versus private sectors. It points out areas of challenge to future Korean health care reform. Chapter authors in this volume are leading experts involved in Korean health care policy implementation.Volume 4 reviews the development and achievements of Taiwan Health Insurance since 1995. Because of its continuous reform in payment, services delivery, and pharmaceutical technology, Taiwan has been considered a model example of universal health insurance among global health systems. This volume shows the processes used to translate policy research findings into policy changes. While the health care reform in Taiwan is ongoing, the Taiwan example provides a real-world and practical understanding of health care system changes.In summary, this four-volume set makes an outstanding contribution to health care system reform and policy research, based on solid scholarly work. It also introduces policy researchers and academic communities to current debates about health systems, health financing, and universal health coverage. This reference volume is a must for anyone keen on East Asia's health care system reform dynamics and changing scene.
"An excellent description and analysis of East Asian medicine ... Based on fieldwork conducted in Japan during 1973 and 1974, which involved the use of a variecy of participant-observer techniques, as well as extensive reading in primary and secondary sources in Japanese and English, Lock's study makes a significant contribution to our understanding of an important dimension of life in Japan. . . In well-written chapters dealing with the philosophical foundations and historical development of East Asian medicine, Japanese attitudes regarding health, illness, and the human body, detailed description of kanpo clinics, herbal pharmacies, acupuncture and moxibustion clinics, shiatsu and anma clinics, East Asian medical schools as well as the interactions between various providers and patients (customers), Lock develops the cultural thesis ... In the process, she provides information on things most visitors to Japan have seen, heard, felt, and smelled but rarely understood."-Journal of Asian Studies "Breaks important new ground . . Lock discusses concrete medical practice and its cultural significance in general. ... rich in comparisons, engrossing to read, and analytically penetrating .... an important and absorbing book. It is an engaging account of how at least some Japanese people respond to universal problems. Most readers will obtain from it their first clear impression of what East Asian medicine actually is and does."-Journal of Japanese Studies "Of considerable significance for comparative cross-cultural studies of medicine, of which this is the best account for a Japanese setting that we now possess." --Monumenta Nipponica "Both Japan specialists and medical anthropologists will be stimulated, challenged, and engaged by this book.' --Medical Anthropology Newsletter