Objectives

  This study investigated the use of In-home services of the Public Long-Term Care (LTC) Insurance System by foreign residents in Osaka city to serve this population better.

Methods

  Using information from the WAMNET database, questionnaires were sent to 1,800 care managers (CMs) affiliated with 1,106 In-home Care Support Office and Community General Support Centers in Osaka city (1-4 CMs/site), and collected between February and early March 2011. The data collected were analyzed quantitatively, focusing on descriptive statistics. And fisher’s exact tests were used to evaluate the relationship between the Japanese communication skills and age, sex, and family structure.

Results

  We obtained answers from 460 CMs (collection rate 25.6%). The total number of foreign residents covered under the service by CMs was 590, and we analyzed the valid data of 312 foreign user’s information.

  Home-Visit LTC and Day Care for LTC were most frequently used. 34.3% of CMs had difficulty communicating in Japanese, there was a higher proportion of people who had difficulty in communication with older age group (p<0.05), and noticed that nearly 60% faced economic hardship.

Conclusion

  Our results suggest that careful communication is required with older age groups. This indicates that there may be difficulties in communication and understanding the clients’ needs, which are necessary to create care plan and to ensure optimal utilization of the services. And it is possible to reduce the service required user charge due to the insufficient economic status. The support system should be strengthened to address communication and economic difficulties faced by foreign users of In-home services, from the standpoint of the service fairness.

Introduction

  The large-scale international events of the 2015 World Scout Organization Movement (WOSM) were held in Yamaguchi, Japan. Thirty-three thousand participants from 155 nations gathered for 12 days and held an exchange program. We provided health care service facilities and a staff of 200 multinational medical professionals to address various health concerns. The health issues as well as the strategies on how to organize multinational medical staff in the event are described in the study.

Methods

  The author analyzed the contents of the conference/meeting documents, operation manual, daily reports, memorandum, and other various reports, and evaluated the system and activities of the medical services. There was one medical facility (JH) and four first aid points (FAP) on site. Two hundred medical professionals from 20 different countries volunteered to participate in WOSM, and comprised the international service team (IST). We divided IST members into several groups according to their specialties, professional experience, gender, and nationality.

Results

  During the event, there were 3,247 patients at the JH. The major illnesses were heat stroke, dehydration, common colds, pharyngitis, upper respiratory tract inflammations, contusions, cut, sunburn, and sunlight dermatitis. There were 2,291 visitors to the FAPs, and the most frequent ailments were shoe sores, contusions, cuts, heat stroke, dehydration, sunburn, and sunlight dermatitis. While there were differences in medical culture, there were no problems with administering medical treatment or communicating within the teams.

Conclusions

  Individuals who visit Japan during the summer need to be educated on preventative measures for sunburn, sunlight dermatitis, and heat stroke. There were two reasons why multinational medical professionals collaborated in this difficult environment. First, even though there were different cultural backgrounds, medical professionals could still share cultural values. Second, there was good communication and therefore less stress within the work environment.

Objectives

  Recently, a Public Private Partnership (PPP) has drawn attention as an efficient strategy to response toward increasing different needs for health in low-income and middle-income countries under tremendously growing private sectors and restricted public finance. Neveretheless, in the society of international health development, there is no commonly acceptable definition of PPP. To make the targets and purpose of the PPP clear, the study attempted to define the PPP, reconsidering the relationship among five concepts, which have been recently used to solve social issues, such as BOP business, social business, Corporate Social Responsibility (CSR), and Creating Shared Values (CSV) as well as PPP.

Methods

  We conducted scrutiny of definitions of PPP in other literatures using bibliographic retrieval and associated PPP with the other four concepts in order to attempt to define PPP.

Results and conclusion

  We analysed the contents and relationship of the five concepts. Thus, the PPP can be defined as a process in which public and private sectors collaborate to aim to solve a social issue, not only to reply to societal expectation but also to achieve company growth.