{"id":2421,"date":"2017-07-06T16:58:30","date_gmt":"2017-07-06T07:58:30","guid":{"rendered":"https:\/\/www.waseda.jp\/inst\/sgu\/?p=2421"},"modified":"2017-07-06T16:58:30","modified_gmt":"2017-07-06T07:58:30","slug":"%e3%80%90tgu-positiveempirical-analyses-of-political-economy%e3%80%91special-lecture-the-role-of-community-medicine-in-the-coming-super-aging-society","status":"publish","type":"post","link":"https:\/\/www.waseda.jp\/inst\/sgu\/news-en\/2017\/07\/06\/2421\/","title":{"rendered":"\u3010TGU Positive\/Empirical Analyses of Political Economy\u3011Special Lecture: \u201cThe role of community medicine in the coming super-aging society\u201d"},"content":{"rendered":"<p>On June 27 2017, at Waseda University, Professor Toshihide Awatani from <a href=\"http:\/\/www.kochi-ms.ac.jp\/kms_e\/html\/subjects\/ff_famed.html\">the Department of Family Medicine at Kochi Medical School<\/a> lectured on community medicine, a field which he has been devoted to for many years to support local communities. This lecture was organized by Waseda\u2019s <a href=\"https:\/\/www.waseda.jp\/eape\/en\/index.php\">TGU Center for Positive\/Empirical Analyses of Political Economy<\/a>.<img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-2410 size-thumbnail\" src=\"https:\/\/www.waseda.jp\/inst\/sgu\/assets\/uploads\/2017\/07\/DSC01885-360x270.jpg\" alt=\"DSC01885\" width=\"360\" height=\"270\" srcset=\"https:\/\/www.waseda.jp\/inst\/sgu\/assets\/uploads\/2017\/07\/DSC01885-360x270.jpg 360w, https:\/\/www.waseda.jp\/inst\/sgu\/assets\/uploads\/2017\/07\/DSC01885-720x540.jpg 720w\" sizes=\"auto, (max-width: 360px) 100vw, 360px\" \/><\/p>\n<p>Professor Awatani passed the national medical licensing exam in 1990, and at the age of 27, he was appointed Director of Matsubara Clinic (now known as Yusuhara Hospital), which appeared in the famous novel \u201cThe White Tower\u201d by Toyoko Yamazaki. Since then, as a physician, an educator, and a researcher, Professor Awatani has been dedicated to building the integrated community care system (ICCS) for local communities. The ICCS, which bring public health, medical care, and social services together, are now considered the core of health care and long-term care policies in the nation today. However, Professor Awatani\u2019s efforts to construct the ICCS, which look ahead at the upcoming super-aging society, was pretty much pioneering in 1990s, since population aging in Kochi Prefecture had been progressing 20 years in advance compared to the rest of Japan. Hence, there is a lot to learn from his work.<img loading=\"lazy\" decoding=\"async\" class=\"alignright size-thumbnail wp-image-2411\" src=\"https:\/\/www.waseda.jp\/inst\/sgu\/assets\/uploads\/2017\/07\/DSC01880-360x270.jpg\" alt=\"DSC01880\" width=\"360\" height=\"270\" srcset=\"https:\/\/www.waseda.jp\/inst\/sgu\/assets\/uploads\/2017\/07\/DSC01880-360x270.jpg 360w, https:\/\/www.waseda.jp\/inst\/sgu\/assets\/uploads\/2017\/07\/DSC01880-610x458.jpg 610w, https:\/\/www.waseda.jp\/inst\/sgu\/assets\/uploads\/2017\/07\/DSC01880-768x576.jpg 768w, https:\/\/www.waseda.jp\/inst\/sgu\/assets\/uploads\/2017\/07\/DSC01880-940x705.jpg 940w, https:\/\/www.waseda.jp\/inst\/sgu\/assets\/uploads\/2017\/07\/DSC01880-720x540.jpg 720w\" sizes=\"auto, (max-width: 360px) 100vw, 360px\" \/><\/p>\n<p>In the lecture, Professor Awatani said that the ICCS should be designed together with local residents and be part of community development. Moreover, he believes that local residents should be fully aware and take advantage of the medical services available to them, which could be great lessons and training to physicians in the community. Under the beliefs, Professor Awatani has comprehensively supported the biological, the daily, and the whole lives of people. Instead of a model where medical staff intervenes only when patients are diagnosed, the kind of relationship Professor Awatani and medical staff members who are his former students are focusing on a life-support model that provides healthcare for its local residents holistically. Professor Awatani refers to this as having a lens of different magnification. A 400x lens can find the cause of the disease, but it is unable to examine the patient\u2019s entire physical and psychological status. When lowering the magnification to 40x, a patient\u2019s entire condition will become clear. For example, physicians may find that a patient is an elderly person with dementia, aspiration pneumonia, and knee osteoarthritis. By further lowering the magnification to 4x, the patient\u2019s background, including family members, communities, and cultures surrounding the patient, will become visible. Professor Awatani explained that this will help understand the medical institution\u2019s accessibility, comprehensiveness, continuity, coordination, and accountability.<img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-thumbnail wp-image-2413\" src=\"https:\/\/www.waseda.jp\/inst\/sgu\/assets\/uploads\/2017\/07\/DSC01888-360x270.jpg\" alt=\"DSC01888\" width=\"360\" height=\"270\" srcset=\"https:\/\/www.waseda.jp\/inst\/sgu\/assets\/uploads\/2017\/07\/DSC01888-360x270.jpg 360w, https:\/\/www.waseda.jp\/inst\/sgu\/assets\/uploads\/2017\/07\/DSC01888-610x458.jpg 610w, https:\/\/www.waseda.jp\/inst\/sgu\/assets\/uploads\/2017\/07\/DSC01888-768x576.jpg 768w, https:\/\/www.waseda.jp\/inst\/sgu\/assets\/uploads\/2017\/07\/DSC01888-940x705.jpg 940w, https:\/\/www.waseda.jp\/inst\/sgu\/assets\/uploads\/2017\/07\/DSC01888-720x540.jpg 720w\" sizes=\"auto, (max-width: 360px) 100vw, 360px\" \/><\/p>\n<p>Lastly, Professor Awatani mentioned specific examples of his interactions with local residents, sometimes smiling and sometimes tearing up. Although he expressed his resentment towards not being able to make significant changes in the medical field at present, Professor Awatani\u2019s lecture provided scientific evidence on how to support Japan\u2019s super-aging society.<img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-2412 size-medium\" src=\"https:\/\/www.waseda.jp\/inst\/sgu\/assets\/uploads\/2017\/07\/DSC01881-610x458.jpg\" alt=\"DSC01881\" width=\"610\" height=\"458\" srcset=\"https:\/\/www.waseda.jp\/inst\/sgu\/assets\/uploads\/2017\/07\/DSC01881-610x458.jpg 610w, https:\/\/www.waseda.jp\/inst\/sgu\/assets\/uploads\/2017\/07\/DSC01881-360x270.jpg 360w, https:\/\/www.waseda.jp\/inst\/sgu\/assets\/uploads\/2017\/07\/DSC01881-768x576.jpg 768w, https:\/\/www.waseda.jp\/inst\/sgu\/assets\/uploads\/2017\/07\/DSC01881-940x705.jpg 940w, https:\/\/www.waseda.jp\/inst\/sgu\/assets\/uploads\/2017\/07\/DSC01881-720x540.jpg 720w\" sizes=\"auto, (max-width: 610px) 100vw, 610px\" \/><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-2414 size-medium\" src=\"https:\/\/www.waseda.jp\/inst\/sgu\/assets\/uploads\/2017\/07\/DSC01893-610x376.jpg\" alt=\"DSC01893\" width=\"610\" height=\"376\" srcset=\"https:\/\/www.waseda.jp\/inst\/sgu\/assets\/uploads\/2017\/07\/DSC01893-610x376.jpg 610w, https:\/\/www.waseda.jp\/inst\/sgu\/assets\/uploads\/2017\/07\/DSC01893-768x474.jpg 768w, https:\/\/www.waseda.jp\/inst\/sgu\/assets\/uploads\/2017\/07\/DSC01893-940x580.jpg 940w\" sizes=\"auto, (max-width: 610px) 100vw, 610px\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>On June 27 2017, at Waseda University, Professor Toshihide Awatani from the Department of Family Medicine at K [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":2409,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[18],"tags":[99],"class_list":["post-2421","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news-en","tag-en-eape"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.waseda.jp\/inst\/sgu\/wp-json\/wp\/v2\/posts\/2421","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.waseda.jp\/inst\/sgu\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.waseda.jp\/inst\/sgu\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.waseda.jp\/inst\/sgu\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.waseda.jp\/inst\/sgu\/wp-json\/wp\/v2\/comments?post=2421"}],"version-history":[{"count":0,"href":"https:\/\/www.waseda.jp\/inst\/sgu\/wp-json\/wp\/v2\/posts\/2421\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.waseda.jp\/inst\/sgu\/wp-json\/wp\/v2\/media\/2409"}],"wp:attachment":[{"href":"https:\/\/www.waseda.jp\/inst\/sgu\/wp-json\/wp\/v2\/media?parent=2421"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.waseda.jp\/inst\/sgu\/wp-json\/wp\/v2\/categories?post=2421"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.waseda.jp\/inst\/sgu\/wp-json\/wp\/v2\/tags?post=2421"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}