YUSHOUKAI MEDICAL corporation

We are the largest home medical care provider in Tokyo.
We have 11 clinics in Tokyo Metropolitan Area, and provide comprehensive medical care for 24 hours for the patients who have difficulties to go to hospital by themselves.

We started running the first home care clinic at the center of Tokyo in 2006 and we open the new clinic almost every year.
Now, 76 doctors and 100 co-medicals work together and always support about 4 thousands elderly, patients at their terminal stage or patients with special medical needs.
 

All of our clinics are specialized in Home Medical Care and certified by the government as "High Performance Home Medical Care Clinic" and "Home Palliative Care Enhancement Clinic". That means we have enough power to support patients for 24 hours and satisfactory track records of emergency visits and end-of-life care at home.

We support 5.550 Patients at homes through 125.040 visits by doctors /year. 2.420 Patients newly started home care/year and 1.040 Patients passed away/year.

(from 01/01/2017 to 31/12/2017)

It is difficult for a doctor alone to make patients happy.
To keep living well with disease and disorders, medical care is necessary, but it is not enough to support their live.

 
We cooperate with multi-occupations to reliably respond not only to apparent needs but also to potential needs.
Thereby helping to improve the life of patients and their families,
we support to make the life of patients and their families better as a team.

The biggest risk factor for the elderly is "malnutrition". We will improve nutritional status through team support, maintain good oral function, prevent aspiration pneumonia. Through the prevention of sarcopenia and flailty, we contricbute to the extension of healthy life.

With age, the prevalence of dementia increases exponentially. Most elderly people live with dementia. We think Dementia is not just a disease but an aspect of aging. We propose a better life for patients and families by environmental adjustment and care rather than treatment by medications.

The biggest cause of death among Japanese is cancer. At the final stage of cancer, various symptoms such as pain and malaise appear. Pain also occurs mentally, socially, spiritually. We certainly relax them and promise them a calm days. Also, dysfunction of heart or lung needs special support by the palliative care.

With the deterioration of the general condition, elderly people have high risks of skin troubles and pressure ulcers. It also becomes difficult to cure them. We are sure to treat with multi-occupational team.

We are hosting “HOME MEDICAL CARE COLLEGE” for multi-occupations who engage in home medical care.

This project was started eight years ago as a corporate social responsibility. 14,200 students are registered, and a total of 58,000 people were receiving a lecture.

In this college , 30 courses have been held at the 6 campuses.

The lectures from the top runners stimulate our intellectual curiosity, and "Circle of Learning" spread to areas and occupations.

Through the leanings, we can share the issues, concepts, knowledge and skills of the home medical care.

We are now beginning to involve residents in this 'circle of learning'.

(above) Medical & Care Cafe ADACHI, one of the professionals community in Tokyo Metropolitan Area. We gather monthly and discuss about the issue of their neighbors.

(below) Shimbashi Campus, the main campus of Home medical care college. We open the lecture almost monthly and about 200 students attend the each lecture.

1. We realize the Growth and Happiness of all of our members.
2. We pursue the Ideal of Home Medical Care.
3. We will contribute to the Creation of a Fruitful Future.

YUSHOUKAI is a "Human Group to Make People Happy".

We continue to make efforts to be the most advanced home medical care provider and to pursue the ideals of it.
At the same time, we provide a stage for all members that they can grow up and achieve the purpose of their lives.

And to "Deliver Happiness to Everyone Involved", we create a rich future with our own hands.

1. We respect values of patients and their families.
2. We support decision making as they will not regret it.

3. We will fulfill accountability to society.

1. Regardless of the medical condition or social situation, we will accept any patients with a strong and stable support.
2. We share our ability to the stakeholders in the same community, and contribute to expand the capacity of home medical care.

1. We think sincerely about the happiness of the patient.
2. We work diligently on what we should do.
3. We continue to grow as a medical person and as a human.
4. We pursue the ideal of quality of the services, not profit.
5. We respond flexibly to the changing needs of society.

What do you imagine when you hear the word "Super-Aged Society"?
How many people can confidently say that it is a bright future?
 

Japan has already become "a Super Aged Society" and is becoming "a Ultra Aged Society".
 

Currently, Japan's population aging ratio (population over 65 years old) is around 28%, but in the future it reaches equilibrium with 47% and the total population is expected to decrease to about two-thirds in 2060.
It will be such an era that one in two people will become elderly.
 

We have conventional medical system centered on acute hospitals and social security system premised on inter generational support. They are functioning now, but we are concerned about sustainability.
 

There is absolutely a shortage of nursing resources supporting the elderly people, and many elderly can not fully finish the satisfying life.

Everyone has wished to be healthy and to live longer.

Longevity means a pleasant achievement that many people can realize it.
It is very sad that it is not welcomed.

We are not pessimistic about the future.
We are actively working to make it a better society. I think this is the responsibility for our future generations.

The answer for this issue is not on the extension line so far.
 

Why not throw away the existing values ​​with economic growth?

And let's pursue the real "richness of life" by creating a new community that all the people can live with with peace of mind and satisfaction until the last moment.

Through provision of high quality home medical care, we will actively work on creating a mechanism optimized for the new society of the 22nd century.

Born in Kyoto on 24/09/1973.
Graduated from Tsukuba University (1998)
General Practitioner and Gastroenterologist in Mitsui Memorial Hospital (1998-2003)
Certified physician of the Japanese Society of Internal Medicine (2003)
Researcher of Doctoral course at the University of Tokyo graduate school of medicine(2003-2006)

The executive director of Institute of Next Generation Home Medical Care Platform.
The director of education of Japan Home Medical Society.
A board member of the Association of Japan Home Healthcare Support Clinics.
A board member of the advisory committee of SOMPO Care.
A board member of the Home Medical and Emergency Collaboration Society
A board member of WAVES Japan Institute.

The winner of 4th & 5th Asia Pacific Eldercare Innovation Awards 2016,2017 (“the Best Home Care Provider”)

The winner of Forbes Wellness Award 2016 (Public Service Sector)
Global Ageing Influencer 2018 (elected by Ageing Asia Innovation Forum)

PHOTO BY HIROSHI HATANO 幡野広志
 

Medical expenses are increased by 1 trillion yen and Nursing care expenses by 500 billion yen, every year.

And 50% of medical expenses �are used by elderly people.

Most of the elderly medical expenses are due to hospitalization.

Elderly people aged 75 and older use an average medical cost of 7000$y.
-Increase in chronic disease
-Hospital bed as evacuation destination for elderly
-Life extension treatment
-Death in the hospital

Emergency transport of elderly people seven times in 10 years
 

In Japan, 1.3 million people died annually, and 80% die in hospitals despite 70% of Japanese want to spend the last at home.

Hospital death can not be increased any further.
There will be a shortage of 400,000 deaths in 2040.