Current status of rehabilitation, especially in patients with stroke, in Japan

Meigen Liu, N. Chino, H. Takahashi

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

The current status of stroke rehabilitation in Japan was reviewed from the perspectives of epidemiology, structures, outcomes and research. Japan is the fastest aging society in the world, facing a rapid increase in its disabled population and ensuing healthcare costs. Although its mortality is decreasing, stroke is the most frequent cause of disability. Traditionally, stroke patients acutely admitted to general hospitals remained bed-ridden for months, hindering maximal functional gain. With more attention to the importance of rehabilitation, improved outcomes such as shorter length of stay, more functional gain and increased community discharge have resulted. Japan's healthcare system, characterized by universal coverage, equity and a mandatory fee schedule, has contributed to the world's longest life expectancy and the lowest infant mortality rate, but it has also lacked quality assurance. Under stringent economic conditions, drastic healthcare and welfare reform plans are being debated and pressure is mounting for more efficient stroke rehabilitation.

Original languageEnglish
Pages (from-to)148-158
Number of pages11
JournalScandinavian Journal of Rehabilitation Medicine
Volume32
Issue number4
DOIs
Publication statusPublished - 2000

Fingerprint

Japan
Rehabilitation
Stroke
Fee Schedules
Universal Coverage
Health Care Reform
Mortality
Infant Mortality
Life Expectancy
General Hospitals
Health Care Costs
Length of Stay
Epidemiology
Economics
Outcome Assessment (Health Care)
Delivery of Health Care
Pressure
Population
Stroke Rehabilitation

Keywords

  • Cerebrovascular disease
  • Disability
  • Epidemiology
  • Healthcare
  • Insurance
  • Outcome

ASJC Scopus subject areas

  • Rehabilitation

Cite this

Current status of rehabilitation, especially in patients with stroke, in Japan. / Liu, Meigen; Chino, N.; Takahashi, H.

In: Scandinavian Journal of Rehabilitation Medicine, Vol. 32, No. 4, 2000, p. 148-158.

Research output: Contribution to journalArticle

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