“Five-Year Geriatrics Promotion Plan to Support Healthy Longevity”

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“Five-Year Geriatrics Promotion Plan to Support Healthy Longevity”

by the Japan Geriatrics Society

The Japan Geriatrics Society

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“Five-Year Plan to Promote Geriatrics in Support of Achieving Healthy Longevity” by the Japan Geriatrics Society

Introduction

䠖

To members of the Japan Geriatrics Society

The public health insurance crisis, the drastic increase in poverty-stricken older people, and many complicated social issues, together with the problems in medical care, in the acute and chronic phases in the field of medical care for older people with low scientific evidence, are being exhibited in Japan, which is now the country with the highest life expectancy. The Japan Geriatrics Society is being asked regarding the sort of blueprints we draw upon to combat these challenges, and this time, we have formed a working group to establish a "Five-Year Plan to Promote Geriatrics in Support of Achieving Healthy Longevity," in order to clarify how our Geriatrics Society would specifically respond to these challenges.

We established the following five themes: "Ⅰ. Dissemination and education of geriatrics and medical care for older people"; "Ⅱ. Achievement of healthy longevity through prevention of frailty"; "Ⅲ. Effective early intervention and promotion of social strategies for dementia"; "Ⅳ. Promotion of research on definition of older people and call for national debate"; and "V. Fostering and support of basic aging research." The first theme is an approach to proactively show, in a visible manner, how geriatrics should be treated in society by acknowledging the situation in which the concept of geriatrics that responds to older people in a comprehensive and scientific manner currently in Japan is not well recognized in society. Frailty in the second theme and dementia in the third theme are the fields with the most characteristic research and medical treatment in the geriatrics field, so we put together the activities that the Geriatrics Society should incorporate, as academia, while nationwide efforts are carried out. While the content concerning the definition of older people in the fourth theme relates to the recommendation jointly announced with The Japan Gerontological Society in January 2017, stating the definition of older people as 75 years old or older, we regard this recommendation as an opportunity to connect academic society and the nation. The reason why we have chosen this topic as a theme is to express that the academic society feels the need to act jointly with the people with a single purpose, in order to solve various problems in our super aged society, and try to show, from the standpoint of the academic society, the measures to consider, together with the people, in terms of how to specifically implement the issues from 1 to 3 in society. The fifth theme involves revitalizing basic research to support such activities of the academic

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society, in addition to presenting measures to better solve the current problems.

Academic efforts are also the original mission of the academic society.

Although the root of these five themes is the concept of aiming for a society in which Japanese citizens can pursue healthy longevity, we are also aware that the results will provide great guidance on how to deal with the wave of rapid aging in the world, because Japan is the country that has achieved the longest life expectancy. Of course, it is a fact that Japanese geriatrics is not only on the cutting edge of the world. We will establish an activity plan keeping in mind internationalization in each of the five themes, with the aim of contributing to the world, over the long term, via healthcare systems including geriatrics in Japan.

In this 5-year plan, we analyze the <present situation> from various angles in these five themes, to specifically show the <action plan> for each. The plan is not meant to solve all the issues in five years, but rather to clarify the goal of achievement status in 5 years within the academic society, by setting specific annual targets in line with individual activity plans, and we will take steps to divide them into those to promote the achievement of the goal and those that require modification in setting the goal. We hope that all members of the Japan Geriatrics Society will share this program so we can work together to achieve the plan.

Although this plan is an activity plan as the Japan Geriatrics Society, there are also many that aim for cooperation with related organizations and we need your support and cooperation. Furthermore, the plan contains a lot of content on the government's health and longevity policy and individual health problems. We would like the administration, mass media, everyone in educational circles, from primary to higher education, and even every citizen to understand the content of the 5-year plan that the Japan Geriatrics Society has set as a goal, with certain measures possibly being required to obtain support from the relevant parties in achieving this plan, depending on the opinions and content thereof. We will indicate concrete milestones for achieving the plan as soon as possible this time, while sharing this 5-year plan with all of our members to receive specific opinions. After going through this process, we will announce the 5-year plan for the government, related organizations, the media and the people, and strive to lead in the proactive awareness of geriatrics.

February 1, 2018

The Japan Geriatrics Society Executive Director: Hiromi Rakugi

Vice Executive Directors: Masahiro Akishita, Hidenori Arai

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Working Group “Five-Year Plan to Promote Geriatrics in Support to Achieve Healthy Longevity“

Representative: Hidenori Arai

Committee Members: Kaoruko Aita, Katsuya Iijima, Masato Eto, Satoru Ebihara, Takao Suzuki, Hajime Takechi㻌

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“Five-Year Plan to Promote Geriatrics in Support of Achieving Healthy Longevity“

by the Japan Geriatrics Society

䠘Table of contents䠚

Ⅰ䠊Dissemination and education on geriatrics and medical care for older people

1) Promotion of medical treatment and care to realize the final stages of a rich life A. Dissemination and education of the importance of geriatrics

B. Promotion of comprehensive medical care for older people C. Promotion of home medical care

D. Formation of social consensus, its education and promotion of educational activities, concerning end-of-life care, advance care planning, and education on life and death

2) Formation of the bases for medical care, research and education of geriatrics, including personnel training for this purpose

A. Training geriatric specialists who will be responsible for future geriatrics and medical care for older people

B. Establishment of a geriatric education system, connecting universities across the country, based on the medical education models and core curriculums C. Standardization of medical training for older people on a national scale along

with activities based thereon

D. Establishment of a base for translational infrastructure, including "education, research, and clinical practice" in each local branch unit (establishment of a geriatrics center)

E. Training and utilization of female members (doctors, nurses, medical staff, and researchers)

3) Preparation of guidelines on geriatrics and strengthening collaborations with other academic societies and organizations across fields

A. Dissemination and education of the guidelines of safe drug therapy B. Collaborative planning and co-hosting of other academic societies and

organizations and symposiums at academic meetings

C. Preparation of clinical guidelines and treatment guidelines for older people, in collaboration with other academic societies and organizations

D. Establishment of a qualification and certification system, in collaboration with societies of medical staff members related to the Japan Geriatrics Society 4) Strengthen international leadership in the field of geriatrics

A. Training young geriatricians focusing on Asia

B. Strengthening research networks with Asia and the West

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C. Prepare guidelines for sarcopenia, frailty, etc. in Asia

D. Establishment of English sessions at academic meetings and promotion of overseas presentations

E. Invite the International Association of Gerontology and Geriatrics (IAGG) and the Asian and Oceania IAGG

Ⅱ䠊Achievement of healthy longevity through prevention of frailty

1) Establishment of evidence construction and guidelines on frailty & independent nursing care support

2) Dissemination of concept of frailty to actual clinical practice 3) Implementation of prevention and countermeasures against frailty

Ⅲ䠊Effective early intervention and promotion of social strategies for dementia 1) Contribution to efforts on dementia prevention

2) Deepen the societal understanding, as a whole, of dementia and contribute to participating in society among people and families with dementia

3) Promotion of research on dementia support, using ICT, IoT, robot technology, AI, etc.

Ⅳ䠊Promotion of research on the definition of older people and call for national debate 1) Revitalization of dialogue with citizens on the definition of older people

2) Implementation of questionnaire surveys for citizens, in cooperation with the Cabinet Office

Ⅴ.㻌 Fostering and support of basic aging research

1) Establishment of locations to exchange information with various research institutions, in order to develop basic aging research

2) Strengthen cooperation with the Japan Society for Biomedical Gerontology 3) Lobbying activities for expansion of research areas

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“Five-Year Geriatrics Promotion Plan to Support Healthy Longevity”