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Diagnostic error and overdiagnosis in Japan

In recent years, overuse of healthcare has been recognized as one of the major drivers of increasing healthcare costs and as an urgent priority for healthcare quality and patient safety in developed countries. There have been a number of attempts to address this issue by health care profession and the public. Notably, the Preventing Overdiagnosis Conferences, launched in 2013 and convened every year have led this awareness internationally. Similarly, “Too Much Medicine” by the BMJ, “Less Is More” by JAMA and “Right Care” by the Lown Institute/the Lancet are among the most influential in campaigns against overuse. The “Choosing Wisely” campaign, launched in 2012 by American Board of Internal Medicine Foundation, advocates for shared decision making in choosing care best-suited for each patient. Proposed by over 80 medical societies and supported by evidence, the “Top Five List” of procedures to be re-considered has been the cornerstone of the international success of this campaign. In order to implement these recommendations within the current healthcare environment which includes heightened public expectations of medical technologies, clinicians should embrace the professional ethical code outlined in the “Medical Professionalism in the New Millennium - a Physician Charter” (2002). In this session, international efforts to counter the healthcare overuse will be reviewed. <a href="https://confit-sfs.atlas.jp/customer/woncaaprjpca2019/photo/P4-C1.jpg" target="_blank"><img src="https://confit-sfs.atlas.jp/customer/woncaaprjpca2019/photo/P4-C1.jpg" alt="photo/P4-C1.jpg" width="40%"/></a> Shunzo Koizumi Graduated from Kyoto University in 1971, he served general surgical residency in U.S. from 1975 to 1980 (first year at Youngstown Hospital Association, Ohio; second through fifth years, at St. Vincent’s Medical Center, Bridgeport, Connecticut, a Yale affiliated program) and Board Certified in 1981. Since 1980, he OPrked at Tenri Hospital in Nara both as a general surgeon and co-director of residency program. In 1994, he was appointed as the Professor and Chairman of the Department of General Medicine, Saga University Hospital. In 2011, he inherited current practice. He is a Fellow of American College of Surgeons, a member of Society of General Internal Medicine (SGIM), an Affiliate Fellow of American College of Physicians, a Board Member of Japanese Society for Quality and Safety in Healthcare, Senior Advisor to Japan Primary Care Association and an Honorary Member of Japan Society for Medical Education. He represents “Choosing Wisely Japan” since 2016. <a href="https://confit-sfs.atlas.jp/customer/woncaaprjpca2019/photo/P4-C2.jpg" target="_blank"><img src="https://confit-sfs.atlas.jp/customer/woncaaprjpca2019/photo/P4-C2.jpg" alt="photo/P4-C2.jpg" width="40%"/></a> Tadao Okada Tadao Okada, MD, MPH, DABFM, FAAFP, JPCACFP, JSMECMES Diplomat, American Board of Family Medicine (DABFM) Master of Public Health (MPH) Fellow, American Academy of Family Physicians (FAAFP) Japan Primary Care Association certified family physician (JPCACFP) Japanese Society of Medical Education Certified Medical Education Specialist（JSMECMES） Director and Chief, Tessyoukai Kameda Family Clinic Tateyama Dr. Okada is a family physician devoted in clinical practice, residency teaching and research who nurtured over 40 residents for 18 years. He is also an established faculty developer who personally trained more than 120 young faculty spread throughout Japan. He holds board certification in family medicine both in Japan and the U.S. He has served as General Secretary for OPNCA Asia Pacific Regional Executive Committee. He also has several appointments as clinical/visiting professor at prestigious medical schools.

WONCA APR/一般社団法人日本プライマリ・ケア連合学会

WONCA APR Conference 2019/第10回日本プライマリ・ケア連合学会学術大会

WONCA APR Conference 2019/第10回日本プライマリ・ケア連合学会学術大会

[P4-1]Diagnostic error and overdiagnosis in Japan

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