GOVERNING Super-Aging Society in Japan. Prof. Dr. Toshio OBI Waseda University

Transcription

1 GOVERNING Super-Aging Society in Japan Prof. Dr. Toshio OBI Waseda University

2 (%) 40 Rapid aging in the world Japan as No.1 G7 (%) 40 Asia and BRICs Source : Prepared by MIC based on data culled from World Population Prospects: The 2012 Revision by the United Nations. Note that data for Japan up to 2012 is based on the 2010 National Census by MIC.

3 Case of Japan from The Current Situation on Super Aging Society in Japan Source: Ministry of Internal Affairs and Communications, Population Census, Statistics and Information Department, Ministry of Health, Labour and Welfare, Life Table, National Institute of Population and Social Security Research, Population Statistics of Japan 2012

4 Interesting Facts about the Japanese seniors About 30 % of Japanese population are elderly or handicapped people Aging people (65 and beyond) spend a half of national healthcare cost. 25% of aging people lives along and their percentage is expected to increase 70 % of persons injured during big disasters such as earthquakes and typhoons and 50% of traffic accident victims are the elderly 80% of aging people would like to die at home, not at hospital, at Home Aging people keep a half of personal financial assets 80% of retired people look for jobs and 20 % can get jobs Ratio of Digital Divide among the senior people was expected to reduce from 60% to 33 % in 2012 Average annual income of 30 % of the elderly is around 2 million yen or below ( about $20000) Average of Daily Walking coverage of the seniors is limited to 500 meters around the house

5 OECD-APEC-Waseda Conference on Silver ICT in Tokyo,Sept experts attended in 3 days conference 5

6 OECD-APEC-Waseda Conference Visit Waseda Robot Research Center Senior Women singing Group with Major of Shinjuku, Tokyo 6

7 Remarks by OECD-Waseda Conference on Silver Economy initiative For developing Smarter age-friendly community, the experts recognize : Lack of both Standards and Open Platforms,and need of Interoperability Critical re-evaluation of traditional conceptions of healthcare services Need of smart connectivity and excellent security System Collaboration among Government,Business and Academia Next Steps- OECD Global Forum ICT for Aging session,tokyo October 3,2014 OECD Ministerial Conference,Mexico 2016

8 The 1 st Japan-EU Policy Forum on Silver ICT at EC, Brussels in Dec. 3, 2013 (2 nd Forum in Tokyo Autumn 2014?) Participants Japan: 20 experts Ministry of MIC,METI Waseda University, Tokyo University, Toyota, NEC, KDDI, Senior NPO EU: 25 experts European Commission Bureau for Information Society,ECH Alliance, ALL Project, Robot ERA and universities Topics: EU Horizon 2020 and collaboration between Japan EU on Silver ICT

9 On-going APEC project on ICT applications for Aging by Waseda and Singapore Government Successful APEC workshops Da Nang (Vietnam 2012),Tokyo (2012), Hawaii (2013) and Singapore (2014) ICT Accessibility + Availability(increasing Digital Inclusion) + Affordability (reducing price) + Usability (applications by innovation) Digital Divide Digital Opportunity Digital Inclusion Local national Global linkage Government-led / initiatives Citizen centric /ICT driven by Social Media Government e-government plus universal design 9

10 Ministry of Internal Affairs and Communication (MIC) Prof. Obi -Deputy Chair of Council on Silver ICT VISIONs and PROPOSALs of the Council ーーーーーーーーーーーーーーーーーーーーーーーーーーーーー Vision I Live independently and Enjoy a long and healthy life Proposal(1) Establishment of ICT Health (Prevention) Model Proposal(2) Nationwide Expansion of Medical Information Collaborative Infrastructure Proposal(3) Creation of Life Support Businesses Vision Ⅱ Work with motivation and Participation in society Proposal(4) Improvements in ICT Literacy Proposal(5) Achievement of New Work Styles -Telework Proposal(6) ICT-employed Robots for Practical Use Vision Ⅲ Create new industries & Expand into global market Proposal (7)Creation of Silver ICT Industry Proposal(8) Global Expansion and International Cooperation

11 Proposal (1) Establishment of ICT Health (Disease Prevention) Model Implementing a large-scale social demonstration led by local governments and enterprises for the establishment and spread of a health (disease prevention) model that utilizes an ICT system and medical examination data while studying the ideal state of incentive measures, and promoting the model based on the results of the study. Example (1) Health promotion based on medical examination data and health insurance claims Measurement of health data Body composition meter Pedometer Rejuvenation of physical fitness age (Age) At the start Registration Visualization of health based on the accumulation and analysis of data Health information database National Health Insurance information Social insurance information Vital data * Conducting a large-scale society demonstration. Providing incentives Analysis, utilization Promoting a behavioral change to achieve the promotion and maintenance of good health (10,000 yen) (The number of the people2,132 2,132 people) 45 p<0.05 Health enforcement group A age at the time of the start 58.0 years 4.5-year-old restoration of youth 60.9 After three months Guidance provided by local governments and companies The local government, company (insurer) Reduction of health care spending 24.4 Contrast group p< Difference: 104,234 Yen 32.5 Health enforcement group 94 people Average age 70.1 years Contrast group 28.2 people Average age 70.2 years 20 At the start Two years later Four years later One year later Three years later Cases in Mitsuke, Niigata Prefecture Contents of specific measures Establishing and spreading a health model utilizing ICT. Promoting measures to encourage the entire nation s awareness and behavioral change regards to disease prevention Example (2) Health promotion of elderly people through farming work opportunities Producer Each producer harvests tsumamono (seasonal leaves and flowers that adorn traditional Japanese dishes mainly in restaurants) based on orders, and forecasted trends of the market. Collecting and transporting the harvested tsumamono to the warehousing and shipping yard. information Tsumamonodedicated PC storage) Sharing current ordering information and market conditions. Elderly people s engagement in local produce business will bring meaning into their lives, thus achieving a reduction in their health care spending and improvements in their health (a reduction of the number of bedridden elderly people). Health promotion Elderly people s annual health care pending per capita decreased to a little more than 600,000 yen (while it reaches almost one million yen in other municipalities). The population ratio of elderly people is as high as 52.4%, the number of bedridden elderly people is zero (as of April 2010) Contents of specific measures Server (Information management, Warehousing and shipping yard Understanding market conditions and providing information. Collecting tsumamono in response to demand, and shipping it throughout Japan. Establishment of economic efficiency Sales increased by approximately 1.5 times after the implementation of the project. Case example in Kamikatsucho, Tokushima Prefecture A demonstration of promoting the establishment and spread of a health model that provides people with various local work opportunities to improvement their health, along with an increase in the economic efficiency of the local area, such as in elderly people s engagement in farming.

12 Proposal(2) Nationwide Expansion of Medical Information Collaborative Infrastructure Promoting the development of medical information collaborative infrastructure that will serve as a basic infrastructure enabling patients and medical service workers, including health care professionals, to share and utilize data in the medical, nursing care, and health fields. Expanding ICT systems nationwide based on the demonstration of the efficacy of ICT systems to support the cooperation of home care and long-term care teams, with consideration to the practicability of ICT systems. Nationwide expansion of medical information collaboration platform Registering and viewing medical information on patients. Developing a medical information collaboration platform that will serve as basic infrastructure enabling patients and medical service workers including health care professionals to share and utilize data in the medical, nursing care, and health bold The local government Patients Nursing institute [Main effects expected] Provision of medical services through information sharing. Preventing serious diseases through disease management. Reducing work burdens with an increase in work efficiency with the avoidance of redundancies, such by test duplication. Promotion of the cooperation of home care and long-term care teams. Backup during disasters. Each patient uses his/her PC or mobile telephone to browse his/her own medical information and pharmacy information. Core medical institution 1 Strengthening the cooperation of home care and long-term teams. Viewing prescription information of hospitals and clinics. Contents of specific measures Making the verification of technology required for a nationwide expansion of ICT systems and a demonstration of the establishment of operational rules Verifying the ideal state of inexpensive ICT systems. Drugstore Clinic Home care support medical office Office of the care provider Specific information to be shared between medical and nursing care Standardization of data and systems in the nursing field Home of the patient Confirmation of patient information Information registration in being at home Home nursing station Visit drugstore Clarifying of the means of utilizing mobile terminals and sensors and other technologies at home. Studying mechanisms to ensure the sustainable operation of ICT systems.

13 Proposal (3) Creation of Life Support Businesses Constructing sustainable models based on the requirements of users, such as elderly people, to provide circulation in local economies to help resolve problems in each super-aged society. Such models will include a life support business, which will organically link the government, enterprises, local residents, and other participants, to daily life services (e.g., shopping assistance, meal delivery, care watch, and on-demand transportation services) and community-related businesses. Life support businesses to provide support to elderly people s daily lives elderly person needs Shopping, meals Watching out for Bonds with grandchildren people worried about Hearing of an elderly person s needs I'll leave it to you! Creating life support businesses to provide support to elderly people s daily lives Economic effect on a scale of 13 trillion yen in 2020 elderly person Seamless and efficient life support services. Medical treatment, care Administration I m worried about my health. Who should I contact? The life-support service that a new business Watching cooperated Seamless and efficient life support services Sharing of vital health information Sharing the needs of elderly Sharing of know-how (accessibility and usability) Coordinating life support services under cross-industry cooperation to meet elderly people s needs. Coordinator Efficiency of the service Price reduction Quality improvement Various services, trips Daycare services, etc. Shop, department store Delivery to home, food service Seamless life support to achieve a maintenance cycle of health and independent living. The life that Improvement became of the QOL independent Something to live for Life-support Health maintenance and improvement Contents of specific measures Includes a demonstration toward the construction of a model life support business that provides support seamlessly and efficiently to the independent lifestyle of elderly people under the cooperation of the private sector, and local governments, by providing various types of services using ICT.

14 Proposal(4) Proposal(5) Improvements in ICT Literacy Achievement of New Work Styles Providing support to the securing of local places, where people can learn together how to use ICT and exchange what they learn, allocation of supporters, and development of curricula in cooperation with local governments in order to construct a social environment where elderly people can use ICT and participate in community activities. Utilizing ICT applications, such as telework, and demonstrating a new employment model that will enable motivated elderly people to find work with ease, and spreading the model based on the results of the demonstration. Making friends Improvements in ICT literacy Achievement of new work styles Volunteer activity Participation in local action Senior volunteer Interchange in SNS Life study center Use of text Elementary school, Junior high school and Senior high school With the use of ICT, motivated elderly people will start working. Securing employment opportunities through telework for people who had to leave Contents of specific measures work to take care of elderly family members. Promoting telework, cloud sourcing, and other ICT applicationsi Achieving the best mix model of elderly people and working generations by utilizing ICT. college Re-learning and exchange Higher self-development Contents of specific measures Supporter Place of learning Integrated promotion of measures for ICT literacy improvements leading to the activation of communication. Securing places (i.e., community centers, schools, vacant facilities) where people can exchange what they learn, and constructing a mechanism to understand users needs. Allocating activity supporters in cooperation with senior volunteers Developing curricula and textbooks, and setting evaluation guidelines for the target attainment level of ICT learning

15 Proposal (6) Development of ICT-employed Robots for Practical Use Demonstrating ICT system services, such as a communication robot that supplements the physical and cognitive functions of elderly people, leveraging the experience and knowledge of elderly people, and solving labor shortages in the nursing care field. In addition, setting guidelines with regards to the ICT system services. Shopping assistance robot Example (1) Communication robot A robot that expresses emotions in response to the behavior of humans. Example (2) Care watch service utilizing sensor technology pleasure Discourageme nt Expressing emotions and behaving like a human according to the behavior of the person the sensor detects. Utilized for interaction with elderly people with dementia. Example (3) Independence and life support system Wearable camera and microphone Earphone Linking devices, cloud technology, and networks together to complement the cognitive and behavioral abilities of elderly people. Providing support to the selection of safe walking routes, face and voice recognition, and communication. The sensor understands the condition of elderly people and informs their families of their condition or gives emergency reports. Example (4) Development and provision of ICT systems with consideration given to accessibility and other conditions Handwriting recognition Easy-to-use smartphones Contents of specific measures Includes technical verification of ICT systems to be put into practical use in society, and a demonstration project to solve institutional issues Setting guidelines to develop and provide systems that elderly people will feel free to utilize.

16 Proposal (7) Creation of Silver ICT Industry Proposal(8) Global Expansion and International Cooperation ー EU Internationally standardizing an ICT system for the construction of a model to be introduced worldwide from Japan as a country advanced in the solution of issues regarding a super-aged society, demonstrating the efficacy of the ICT system jointly with Asian countries, and providing support to preliminary inspections in the destination countries of ICT services. Proactively cooperating with international organizations and other countries through the ITU and bilateral consultations. Construction of a Japanese model to be introduced worldwide Cooperation with international organizations and other countries Overseas development such as ICT systems Asia Africa Creating the smart platinum industry to provide support to the super-aged society. Example: Efforts in ITU-T International standardization in the medical ICT (e-health) field is making progress in the ITU-T (Telecommunication Standardization Sector). Image of e- health Medical cloud Contents of specific measures Economic growth Creation of employment Constructing a Japanese model. Surveying each country s institutions and needs. Setting operational requirements for local sites. Making a demonstration jointly with Asian countries. Picturephone Pedometer Mobile kit, data Tablet registration terminalsmartphone Pulse oximeter Electrostethograph Body composition meter Blood sugar meter Sphygmomanometer Data registration Gateway Bluetooth, NFC, Zigbee, etc. A Japanese enterprise exhibited a mobile health system of an event in Dubai last October. Other countries (especially developing countries) have been counting on the system. Contents of specific measures Internationally standardizing the ICT system. Cooperating with other countries and international organizations.

17 Robot astop priority by PM intends to make the necessary preparations to materialize what it calls a robotic revolution and calls robots a massive economic growth Minister Abe said in June 2014, We would like to set up a council on making a robotic revolution a reality in order to aid Japan s We want to make robots a major pillar of our economic growth strategy, he voiced interest in the country s hosting Robot Olympics in In 2020 I would like to gather all of the world s robots and aim to hold an Olympics where they compete in technical revealed plans for a taskforce to develop Japan s robot industry and to triple the size of the market to USD 24 billion.

18 Successful offerings Home System Center Recipient i-pot boils water and records the times a user pushes a button and dispenses the water. A wireless communication device at the bottom of the i-pot sends a signal to a server. Members of the service can see recent records of i-pot usage on a Web site. In addition, twice a day the server s the most recent three usage times to a designated recipient. ( My Spoon is a meal assistance robot (

19 Silver ICT Community development Project by OTSUKI City(Mt Fuji CITY), NTT & Waseda financed by MIC GOAL To promote Inclusive/empowered communities on silver aging society in local area by utilizing ICT applications on E-Agriculture 1. the role of Sensor Network and New Technology 2. To expand the opportunity of work for aging People 3. Revitalization of the economy by increasing elderly people's job opportunity E-Health 1. To manage and support aging people 2. Health enhancement of the elderly people by working E-Tourism 1. Convergence between young generation and aging generation 2. Multi-generational harmonization by e-participation

20 UNESCO WASEDA PROJECT ON DISASTER MANAGEMENT -70% OF INJURED VICTIMS IS THE ELDERLY CRISIS MANAGEMENT AND DISASTER EDUCATION/ TRAINING ARE ESSENTIAL - CIO for Crisis, Disaster and Environment management

21 Criteria of SILVER ICT applications HOME ELECTRONICS HEALTHCARE LIFE INNOVATION Smart home (supportive housing) Sensors by bed occupancy and nightlight Home safety alerts and GPS OASIS (open architecture for sensor) Remote for single living sensors Environmental controls Cooker safety Home treatment Telehealth (e-health) Health information management Telecare Just checking Robot care (Robot) Service innovation in hospital Dreaming (nursing home) E-carte Client monitoring system E-inclusion Ambient assisted living Online shopping Net reservations with touch panel E-banking & e-payment ICT ethics for ageing TV-seniority and programs for the elderly Social alarms Social communication technologies Senior net talking Easy call, easy mobile and easy PC

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23 Thank you!! Information Prof. Dr. Toshio Obi 23