Timeline of healthcare in Japan

This is a timeline of healthcare in Japan. Major events such as crises, policies and organizations are included, especially those focusing on modern healthcare.

Big picture

Year/period	Key developments
6th-7th Centuries	Kampō medicine, which is the study of Chinese medicine, is introduced in Japan through Korea. Based on this study, the Japanese create their own unique system of diagnosis and therapy.[1]
1200-1603	Medicine in Japan becomes more practical. Most of the physicians are Buddhist monks who continue to use the formulas, theories and practices that had been introduced from Tang China. Japanese physicians begin to achieve a more independent view on Chinese medicine.[2]
1603-1868	Edo period. Rangaku, literally "Dutch learning" is developed in Japan through its contacts with the Dutch colonists as they are the only European foreigners tolerated in Japan. Books and medical sciences are obtained from the Dutch, and then analyzed and translated into Japanese. Great debates occur between the proponents of traditional Chinese medicine and those of the new Western learning.[3]
1853-1922	Meiji Restoration. Japan opens to Western influence. Several Western hospitals start to be founded. Traditional medicine enters a period of rapid decline.[2]
1922-onward	With a pertaining law, modern health care system develops initially emulating the German system. Health insurance is established as mandatory.[4]
1950-1990	Japanese economic miracle era. Life expectancy rises rapidly as mortality rates due to communicable diseases plummet, followed by a large reduction in stroke mortality rates.[5]
1990–present	Japan achieves the highest life expectancy of any country in the world. Also, child mortality falls among the lowest levels at a global scale. Actual issues of its healthcare system are the growing senior population that has impact on government spending, and high rates of suicide among the Japanese.[6][7]

Full timeline

Year/period	Type of Event	Event	Location
912–995	Development	Ishinpō, the oldest surviving Japanese medical text is written by Tamba Yasuyori.[8]
1804	Development	The first operation performed under general anesthesia by a Japanese physician, Hanaoka Seishu, using a datura.[9]
1820s	Development	Japanese ranpô medical practitioners translate Dutch medical texts, also integrating their readings with clinical diagnoses.[10]
1871	Discovery/infection	The first case of Japanese encephalitis viral disease (JE) is documented in Japan.[11]
1874	Organization (hospital)	Juzen Hospital is founded into what will later become Yokohama City University Hospital.	Yokohama
1892	Organization (private medical school)	Saitama Medical University is established.[12]	Moroyama, Saitama
1889	Organization (hospital)	Koyama Fukusei Hospital is founded.[13]	Gotemba, Shizuoka
1891	Organization (private medical school)	Kitasato Shibasaburō (disciple of Robert Koch), founds the first Institute of Infectious Diseases, thus introducing the study of bacteriology in Japan.[14]	Tokyo
1901	Organization (private medical school)	Iwate Medical University is established.[15]	Morioka, Iwate
1902	Organization (hospital)	St. Luke's International Hospital is founded as a medical mission facility by the Episcopal Church in the United States. The hospital is now one of central Tokyo's largest and most comprehensive medical care facilities.[16]	Tokyo
1905	Development	National health insurance emerges in Japan as the result of a gradual process when the Kamegafuchi Textile Company starts providing limited benefits for its employees. In the following decades, more and more corporations begin offering benefits through mutual aid societies.[4]
1909	Organization (hospital)	Oku-Komyo-En Sanatorium is founded for treating leprosy.[17]	Setouchi, Okayama
1909	Organization (hospital)	Kikuchi Keifuen Sanatorium is established as a sanatorium for leprosy patients or ex-leprosy patients.[18]	Koshi, Kumamoto
1913	Organization (hospital)	Kizawa Memorial Hospital founded.[19]	Gifu
1916	Organization (hospital)	Tokyo Medical University (TMU) is founded with the then status of Tokyo Isen. TMU is one of the old medical schools of Japan’s Taishō period. The school will not receive university status until 1946.[20]	Tokyo
1921	Organization (public medical school)	Kyoto Prefectural University of Medicine is founded.[21]	Kyoto
1922	Policy	First health insurance law enacted. Inspired by the German system established by Chancellor Bismarck in 1883.[4]
1927	Policy	The first Employee Health Insurance plan is created following the implementation of the 1922 law. Aimed at industrial employees and miners, but excluding the self-employed and employees in companies with fewer than five.[4][22]
1927	Organization (private medical school)	Osaka Medical College is established.[23]	Takatsuki, Osaka
1928	Organization (public medical school)	Tokyo Medical and Dental University is established.[24]	Bunkyō, Tokyo
1928	Organization (private medical school)	Showa Medical School is established.[25]	Tokyo
1930	Organization (hospital)	Nagashima Aiseien Sanatorium is founded for the treatment of leprosy.[26]	Setouchi, Okayama
1931	Organization (hospital)	Miyako Nanseien Sanatorium is founded.[27]	Miyakojima, Okinawa
1932	Organization (hospital)	Kuryu Rakusen-en Sanatorium is founded.[28]	Kusatsu, Gunma
1933	Organization (hospital)	Shima Hospital founded (destroyed during the atomic bomb explosion).[29]	Hiroshima
1938	Policy	Health insurance is extended to farmers, fishermen, foresters and other groups not covered by the 1922 law.[4]
1938	Organization (hospital)	Okinawa Airakuen Sanatorium is founded for leprosy patients.[30]	Nago, Okinawa
1943	Organization (hospital)	Amami Wakoen Sanatorium is founded for treating for leprosy or ex-leprosy patients.[31]	Amami, Kagoshima
1944	Organization (public medical school)	Fukushima Woman's Medical School is established.[32]	Fukushima, Fukushima
1945	Organization (public medical school)	Sapporo Medical University is founded.[33]	Sapporo
1945	Organization (hospital)	Suruga Sanatorium is founded for treating leprosy.[34]	Gotenba, Shizuoka
1945	Organization (public medical school)	Nara Medical University is founded.[35]	Nara
1947	Organization (private medical school)	Kansai Medical University is established.[36]	Moriguchi, Osaka
1948	Organization (public medical school)	Wakayama Medical University is established.[37]	Wakayama, Wakayama
1949	Program launch	Several volunteer organizations are formed to combat parasitic worms. Biannual school-based mass screening and treatment are implemented.[38]
1952	Organization (hospital)	NTT Medical Center Tokyo is founded.[39]	Shinagawa, Tokyo
1955	Program launch	The Japan Association of Parasite Control (JAPC) is formed, aimed especially at targeting Ascaris lumbricoides infection.[38]
1957	Organization (research institute)	National Institute of Radiological Sciences founded.[40]	Inage-ku (Chiba)
1958	Policy	the 1938 law is revised to include the remaining 30 percent of the population not previously covered.[4]
1961	Policy/achievement	Japan achieves universal health insurance coverage and almost everyone becomes insured.[4][41]
1964	Organization (private medical school)	Fujita Health University is founded.[42]	Toyoake, Aichi
1967	Policy	The Ministry of Health, Labour and Welfare approves four Kampō medicines for reimbursement under the National Health Insurance (NHI) program.[43]
1970	Organization (private medical school)	Kawasaki Medical School is established.[44]	Kurashiki, Japan
1970	Organization (hospital)	Kanagawa Children's Medical Center founded.[45]	Yokohama
1970	Organization (hospital)	Soma General Hospital is founded.[46]	Soma, Fukushima
1971	Organization (private medical school)	St. Marianna University School of Medicine is founded.[47]	Miyamae-ku, Kawasaki
1971	Organization (private medical school)	Aichi Medical University is founded.[48]	Nagakute, Aichi
1971	Organization (hospital)	Fujisawa City Hospital founded.[49]	Fujisawa
1972	Organization (private medical school)	Jichi Medical University is established.[50]	Shimotsuke, Tochigi
1972	Organization (private medical school)	Hyogo College of Medicine is established.[51]	Nishinomiya, Hyōgo
1972	Organization (private medical school)	Kanazawa Medical University is established.[52]	Uchinada, Ishikawa
1973	Organization (public medical school)	Asahikawa Medical University is established.[53]	Asahikawa, Hokkaido
1973	Organization (public medical school)	National Defense Medical College is founded.[54]	Tokorozawa, Saitama
1974	Organization (public medical school)	Shiga University of Medical Science is founded.[55]	Ōtsu, Shiga
1974	Organization (public medical school)	Hamamatsu University School of Medicine is founded.[56]	Hamamatsu
1973	Policy	Catastrophic Coverage Act is enacted. Once a patient's monthly copayment reaches a cap, no further copayment is required.[57]
1976	Policy	82 kampo medicines are approved by the Ministry of Health, Labour and Welfare. This number increases to 148 Kampo formulation extracts, 241 crude drugs, and 5 crude drug preparations.[43]
1978	Organization (private medical school)	University of Occupational and Environmental Health Japan is founded.[58]	Kitakyushu City
1983	Policy	Health and Medical Service Law for the Aged enacted. All elderly persons are covered by government-sponsored insurance.[4][59]
1986	Organization (research center-hospital)	Kanagawa Cancer Center founded.[60]	Kanagawa
2000	Study	Nationwide study reports that 72% of registered physicians prescribe Kampō medicines.[61]
2005	Organization (hospital)	National Hospital Organization Nagara Medical Center founded.[62]	Gifu
2009	Report	John Creighton Campbell, professor at the University of Michigan and Tokyo University, tells the New York Times that Japanese people are "the healthiest" group on the planet.[63]
2009	Achievement	People in Japan reaches the longest life expectancy at birth of any country in the world at 83 years (male 79.6 years, female 86.4 years).[64]
2011	Policy	The Government of Japan begins issuing six-month medical visas to allow visitors that much time to receive medical treatment in Japan. The government also plans to set up a special office that will promote medical tourism.[9]
2011	Study	A study of 13 industrialized countries (Australia, United Kingdom, Canada, Denmark, France, Germany, Japan, the Netherlands, New Zealand, Norway, Sweden, Switzerland and United States) released shows Japan spending the least on health care.[9]
2011	Organization (hospital)	Nagoya City West Medical Center is founded.[65]	Kita-ku, Nagoya
2011	Crisis	Medical records at many hospitals along the Tohoku coast are lost in the tsunami.[9]
2014	Report	Statistics show for the first time that suicide is the most common cause of death among those aged 10 to 19.[66][67]
2014	Achievement	Japan reaches the lowest rate of heart disease in the OECD, and the lowest level of dementia in the developed world.[68]

See also

• Health care system in Japan
• Health in Japan
• Timeline of healthcare in China
• Timeline of healthcare in India
• Timeline of global health

References

1. Dharmananda, Subhuti. "Kampo Medicine: The Practice of Chinese Herbal Medicine in Japan". Institute for Traditional Medicine. Retrieved December 12, 2010.
2. Y. Motoo; T. Seki; K. Tsutani (February 2011). "Traditional Japanese medicine, Kampo: its history and current status". 17 (2). Chinese Journal of Integrative Medicine: 85–87. doi:10.1007/s11655-011-0653-y. PMID 21390572.
3. W Michel, Medicine and Allied Sciences in the Cultural Exchange between Japan and Europe in the Seventeenth Century. In: Hans Dieter Ölschleger (Hrsg.): Theories and Methods in Japanese Studies. Current State & Future Developments. Papers in Honor of Josef Kreiner. Vandenhoeck & Ruprecht Unipress, Göttingen 2007, ISBN 978-3-89971-355-8, S. 285–302 pdf.
4. "History of healthcare in Japan".
5. Ikeda, Nayu (17 September 2011). "What has made the population of Japan healthy?". The Lancet. 378 (9796): 1094–105. doi:10.1016/S0140-6736(11)61055-6. PMID 21885105.
6. Faiola, Anthony (28 July 2006). "The Face of Poverty Ages In Rapidly Graying Japan". The Washington Post. Retrieved 21 February 2016.
7. Strom, Stephanie (15 July 1999). "In Japan, Mired in Recession, Suicides Soar". The New York Times. Retrieved 2008-09-20.
8. "Prescriptions from the Heart of Medicine (Ishinpō)". National Institutes for Cultural Heritage. Retrieved August 25, 2014.
9. "HEALTH CARE IN JAPAN: HISTORY, DOCTORS AND HEALTH INSURANCE".
10. Ann Jannetta, The Vaccinators: Smallpox, Medical Knowledge and the "Opening" of Japan (2007)
11. "Japanese encephalitis".
12. "Saitama Medical University". Retrieved 8 August 2016.
13. "Koyama Fukusei Hospital". Retrieved 8 August 2016.
14. Joseph Patrick Byrne (2008). Encyclopedia of Pestilence, Pandemics, and Plagues. ABC-CLIO. p. 339.
15. "Iwate Medical University". Retrieved 8 August 2016.
16. Hobart, Margaret (1912). Institutions Connected with the Japan Mission of the American Church. New York: The Domestic and Foreign Missionary Society. Retrieved 13 October 2014.
17. "Oku-Komyo-En Sanatorium". Retrieved 8 August 2016.
18. "Kikuchi Keifuen Sanatorium". Retrieved 8 August 2016.
19. "kizawa memorial".
20. "Tokyo Medical University". Retrieved 8 August 2016.
21. "Kyoto Prefectural University of Medicine". Retrieved 8 August 2016.
22. Kōdansha 1993, p. 338.
23. "Osaka Medical College". Retrieved 8 August 2016.
24. "Tokyo Medical and Dental University". Retrieved 8 August 2016.
25. "Showa University". Retrieved 8 August 2016.
26. "Nagashima Aiseien Sanatorium" (PDF). Retrieved 8 August 2016.
27. "Miyako Nanseien Sanatorium". Retrieved 8 August 2016.
28. "Kuryu Rakusen-en Sanatorium". Retrieved 8 August 2016.
29. http://www.shimagekanaika.jp/ Shima geka naika homepage (Japanese)
30. "Okinawa Airakuen Sanatorium". Retrieved 8 August 2016.
31. "Amami Wakoen Sanatorium". Retrieved 8 August 2016.
32. "Fukushima Woman's Medical School". Retrieved 8 August 2016.
33. "Sapporo Medical University". Retrieved 8 August 2016.
34. "Suruga Sanatorium" (PDF). Retrieved 8 August 2016.
35. "Nara Medical University". Retrieved 8 August 2016.
36. "Kansai Medical University". Retrieved 8 August 2016.
37. "Wakayama Medical University". Retrieved 8 August 2016.
38. "STH Elimination Strategy Support - Objective 1: Past STH Elimination Programs" (PDF). University of Washington Global Health START Program. February 17, 2015.
39. "NTT Medical Center Tokyo". Retrieved 8 August 2016.
40. Charged Particle Therapy Research Center Hospital, National Institute of Radiological Sciences
41. Ikegami, Naoki (17 September 2011). "Japanese universal health coverage: evolution, achievements, and challenges". The Lancet. 378 (9796): 1108. doi:10.1016/S0140-6736(11)60828-3. PMID 21885107.
42. "Fujita Health University". Retrieved 8 August 2016.
43. Kotoe Katayama, et. al. (2013). "Prescription of Kampo Drugs in the Japanese Health Care Insurance Program" (PDF). Evidence-Based Complementary and Alternative Medicine. Hindawi Publishing Corporation. 2013: 576973. doi:10.1155/2013/576973. Retrieved August 25, 2014.
44. "Kawasaki Medical School". Retrieved 8 August 2016.
45. "Kanagawa Prefectural Hospital Organization". Retrieved May 28, 2016.
46. "Soma General Hospital". Retrieved 8 August 2016.
47. "St. Marianna University School of Medicine". Retrieved 8 August 2016.
48. "Aichi Medical University". Retrieved 8 August 2016.
49. "Fujisawa City Hospital". Fujisawa City Hospital. Retrieved 8 August 2016.
50. "Jichi Medical University". Retrieved 8 August 2016.
51. "Hyogo College of Medicine". Retrieved 8 August 2016.
52. "Kanazawa Medical University". Retrieved 8 August 2016.
53. "Asahikawa Medical University". Retrieved 8 August 2016.
54. "National Defense Medical College". Retrieved 8 August 2016.
55. "Shiga University of Medical Science". Retrieved 8 August 2016.
56. "Hamamatsu University School of Medicine". Retrieved 8 August 2016.
57. Ito, Masanori (December 2004). "Health insurance systems in Japan: a neurosurgeon's view.". Neurologia medico-chirurgica. 44 (12): 624. doi:10.2176/nmc.44.617. PMID 15684593.
58. "University of Occupational and Environmental Health Japan". Retrieved 8 August 2016.
59. 講談社インターナショナル 2003, p. 183
60. "Kanagawa Cancer Center".
61. "Legal Status of Traditional Medicine and Complementary/Alternative Medicine:A Worldwide Review" (PDF). 2001. pp. 155–159. Retrieved August 25, 2014.
62. organization website
63. Arnquist, Sarah (25 August 2009). "Health Care Abroad: Japan". The New York Times.
64. OECD. "OECD Health Data". OECD. Retrieved 2 February 2012.
65. "Nagoya City West Medical Center". Retrieved 8 August 2016.
66. mhlw.go.jp 第７表死因順位 Accessed 9/1/2015
67. Mariko Oi Tackling the deadliest day for Japanese teenagers BBC News 9/1/2015
68. Britnell, Mark (2015). In Search of the Perfect Health System. London: Palgrave. p. 18. ISBN 978-1-137-49661-4.