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KMID : 1138720200460010033
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Korean Public Health Research
2020 Volume.46 No. 1 p.33 ~ p.43
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Lessons from Japanese Kampo services for older people in the community-based integrated care systems
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Jeon Bo-Young
Park Ji-Eun
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Abstract
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Objectives: With dramatic increase in order population, there is a growing interest in community care. The purpose of this study is to introduce the Kampo services for older people in the context of Japanese community-based integrated care systems.
Methods: We reviewed literature on Kampo services for older people by searching academic databases, Japanese government documents, and Kampo related web sites.
Results: In Japan, acupuncture, moxibustion, and cupping services are provided by acupuncturists, and they have been employed in nursing homes or they are managing their own clinics. On the other hand, Kampo medicines are prescribed by medical doctors, and they have prescribed the Kampo medicines for older people in rehabilitative setting, nursing care beds, as well as who need home care services. The Kampo medicines have shown to have effects on alleviating clinical symptoms and reducing the burden of caregiving and the medical expenses of older people. Recently, acupuncturists have provided home visiting services through multi-disciplinary cooperation or they can be a training instructor for older people, as the service coverage has been widened under the public long-term care insurance.
Conclusions: In Japan, Kampo is working as one part of the community-based integrated care systems. Evidence-based policies will be needed to establish the role of traditional Korean medicine services in community care for the upcoming super-aged society in Korea.
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KEYWORD
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Japan, Kampo, Older people, Community-based integrated care systems, Community care
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