GOVERNING Super-Aging Society in Japan

Prof. Dr. Toshio OBI

Waseda University

Rapid aging in the world Japan as No.1

G7(%)

0

10

20

30

40

1950 1960 1970 1980 1990 2000 2010 2020 2030 2040 2050

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.

(%) Asia and BRICs

0

10

20

30

40

1950 1960 1970 1980 1990 2000 2010 2020 2030 2040 2050

Case of Japan from 1960-2030

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

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

OECD-APEC-Waseda Conference onSilver ICT in Tokyo ,Sept. 2012

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400 experts attended in 3 days conference

OECD-APEC-WasedaConference

Visit Waseda RobotResearch Center

Senior Women ｓｉｎｇｉｎｇ

Group with Major of Shinjuku, Tokyo

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Remarks by OECD-Waseda Conferenceon 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

The 1st Japan-EU Policy Forum on Silver ICTat EC, Brussels in Dec. 3, 2013

(2nd Forum in Tokyo Autumn 2014 ?)

ParticipantsJapan: 20 experts• Ministry of MIC,METI• Waseda University,

Tokyo University,• Toyota, NEC, KDDI,

Senior NPOEU: 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

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

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Ministry of Internal Affairs and Communication (MIC)

Prof. Obi -Deputy Chair of Council on Silver ICTVISIONs 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

Proposal (1) Establishment of ICT Health (Disease Prevention) Model

Example (2) Health promotion of elderly people through farming work opportunities

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.

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).

◆ 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)

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.

Warehousing and shipping yard

Understanding market conditions and providing information.

Collecting tsumamono in response to demand, and shipping it throughout Japan.

Tsumamono-dedicated PCSharing current ordering information and market conditions.

Sales increased by approximately 1.5 times after the implementation of the project.

Case example in Kamikatsucho, Tokushima Prefecture

■ Health promotion ■ Establishment of economic efficiency

■ 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.

Visualization of health based on the

accumulation and analysis of data

Guidance provided by

local governments

and companies

Promoting a behavioral change to achieve the promotion and maintenance of good health

Measurement of health data

■Rejuvenation of physical fitness age ■ Reduction of health care spending

Cases in Mitsuke, Niigata Prefecture

* Conducting a large-scale society demonstration.

• Providing incentives

Example (1) Health promotion based on medical examination data and health insurance claims

Pedometer

Body composition meter

Health information database

Vital dataVital data

National Health Insurance information

National Health Insurance information

Social insurance information

Social insurance information

Analysis, utilization

The local government,

company (insurer)

Server

（Information

management,

information

storage）

Contents of specific measures

Registration

65.4

60.9

50

55

60

65

70

At the start After three months

4.5-year-old restoration of youth

（The number of the people 2,132 people)2,132（Age）

A age at the time of the start58.0 years

p<0.05

（10,000 yen）

■Contrast group 28.2 peopleAverage age 70.2 years

◆Health enforcement group 94 peopleAverage age 70.1 years

ｐ＜0.05

35.6

22.9

32.5

24.4

22.4

27.0

27.3

42.9

22.8

37.4

45Health enforcement group

Contrast group

Difference：104,234 Yen

40

35

30

25

20

（10,000 yen）

At the startOne year later

Two years laterThree years later

Four years later

Establishing and spreading a health model utilizing ICT.Promoting measures to encourage the entire nation’s awareness

and behavioral change regards to disease prevention.

Contents of specific measures

■ 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.

Proposal(2) Nationwide Expansion of Medical Information Collaborative Infrastructure

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

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.

Viewing prescription information of hospitals and clinics.

Nationwide expansion of medical information collaboration platform

Specific information to be shared between medical and nursing care

Standardization of data and systems in the nursing field

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Patients

The local government

Drugstore Clinic

Core medical institution

Nursing institute

Home of the

patient

Home care support medical office

Office of the care provider

Visit drugstore

Information registration in being at home

[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.

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.

Contents of specific measures

Strengthening the cooperation of home care and long-term teams.

Confirmation of patient information

Home nursing station

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 resolveproblems in each super-aged society. Such models will include a life support business, which will organically link the government, enterprises, localresidents, and other participants, to daily life services (e.g., shopping assistance, meal delivery, care watch, and on-demand transportation services) andcommunity-related businesses.

Life support businesses to provide support to elderly people’s daily lives

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.

Creating life support businesses to provide

support to elderly people’s daily lives

Economic effect on a scale of 13 trillion yen in 2020

Coordinating life support services under cross-industry cooperation to meet elderly people’s needs.

Shopping, meals

Bonds with grandchildrenWatching out forpeople worried about…

elderly person

elderly person needs

I’m worried about my health. Who should I contact? Daycare services, etc.

I'll leave it to you！

Hearing of an elderly person’s needs

Watching

Medical treatment, care

AdministrationVarious services, trips

Delivery to home, food service

Shop, department store

Coordinator

Efficiency of the service✓Price reduction✓Quality improvement

Sharing of vital health information

Sharing the needs of elderly

Sharing of know-how (accessibility and usability)

Seamless and efficient life support services

The life-support service that a new

business cooperated

Improvement of the QOL

Something to live for

Health maintenance and improvement

The life that became independent

Seamless life support to achieve a maintenance cycle of health and independent living.

Life-support

Contents of specific measures

Seamless and efficient life support services.

Proposal(4) Improvements in ICT LiteracyProposal(5) 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 socialenvironment 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 elderlypeople to find work with ease, and spreading the model based on the results of the demonstration.

Re-learning and exchange Higher self-development

Participation in local action

Volunteer activity

Making friends

Interchange in SNS

Improvements in ICT literacy

Use of text Promoting telework, cloud sourcing, and other ICT applicationsＩ

Achieving the best mix model of elderly people and working generations by utilizing ICT.

・ With the use of ICT, motivated elderly people will start working.

・ Securing employment opportunities through telework for people who had to leave work to take care of elderly family members.

Achievement of new work styles

Contents of specific measures

Life study center collegeElementary school,Junior high schooland Senior high school

Place of learning

Senior volunteer

Supporter

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

Contents of specific measures

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.

Linking devices, cloud technology, andnetworks together to complementthe cognitive and behavioral abilitiesof elderly people.

Providing support to the selection ofsafe walking routes, face and voicerecognition, and communication.

Example (1) Communication robot Example (2) Care watch service utilizing sensor technology

Example (4) Development and provision of ICT systems with consideration given to accessibility and other conditions

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.

Handwriting recognition Easy-to-use smartphones

Shopping assistance robot

A robot that expresses emotions in response to the behavior of humans.

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.

The sensor understands the condition of elderlypeople and informs their families of theircondition or gives emergency reports.

Discouragement

pleasure

Example (3) Independence and life support system

Wearablecamera andmicrophone

Earphone

Contents of specific measures

Proposal (7) Creation of Silver ICT IndustryProposal(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 countryadvanced in the solution of issues regarding a super-aged society, demonstrating the efficacy of the ICT system jointly with Asiancountries, 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

Constructing a Japanese model. Surveying each country’s institutions and needs. Setting operational requirements for local sites. Making a demonstration jointly with Asian

countries.

Internationally standardizing the ICT system.

Cooperating with other countries and international organizations.

Cooperation with international organizations and other countries

International standardization in the medical ICT (e-health) field ismaking progress in the ITU-T (Telecommunication StandardizationSector).

Example: Efforts in ITU-T

A Japanese enterprise exhibited a mobile health system of an eventin Dubai last October. Other countries (especially developingcountries) have been counting on the system.

AsiaAfrica

Overseas development such as ICT systems

・Economic growth・Creation of employment

Creating the smart platinum industry to

provide support to the super-aged society.

SphygmomanometerBlood sugar meterBody composition meter

Pedometer

Tablet terminalSmartphone

Mobile kit, data registration

Pulse oximeter

Electrostethograph

PicturephoneData registrationGateway

Bluetooth,NFC, Zigbee, etc.

Medical cloudImage of e-health

Contents of specific measuresContents of specific measures

Robot aｓTop priority by PM Abe@Japan intends to make the necessary preparations to materialize what it calls a robotic revolution and calls robots a massive economic growth factor.@Prime 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 growth.” @“We want to make robots a major pillar of our economic growth strategy,” he noted.@he voiced interest in the country’s hosting Robot Olympics in 2020. “In 2020 I would like to gather all of the world’s robots and aim to hold an Olympics where they compete in technical skills.”@Abe revealed plans for a taskforce to develop Japan’s robot industry and to triple the size of the market to USD 24 billion.

Successful offerings

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 e-mails the most recent three usage times to a designated recipient. (http://www.mimamori.net)

My Spoon is a meal assistance robot (http://www.secom.co.jp)

Home System Center Recipient

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

- CIO for Crisis, Disaster and Environment management

UNESCO –WASEDA PROJECT ON DISASTER MANAGEMENT -70% OF INJURED VICTIMS IS THE ELDERLYCRISIS MANAGEMENT AND DISASTER EDUCATION/TRAINING ARE ESSENTIAL

Criteria of SILVER ICT applications

Smart home(supportive housing)Sensors by bedoccupancy and nightlightHome safety alerts and GPSOASIS (open architecture for sensor)Remote for single living sensorsEnvironmental controlsCooker safetyHome treatment

Telehealth (e-health) Health information managementTelecare Just checkingRobot care (Robot) Service innovation in hospitalDreaming (nursing home)E-carteClient 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

HOME ELECTRONICS HEALTHCARE LIFE INNOVATION

Thank you !!InformationProf. Dr. Toshio Obi

obi.waseda@gmail.com

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