open access

Vol 81, No 5 (2013)
REVIEWS
Submitted: 2013-08-22
Accepted: 2013-08-22
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Long-term oxygen therapy in Japan: history, present status, and current problems

Kozui Kida, Takashi Motegi, Takeo Ishii, Kumiko Hattori
Pneumonol Alergol Pol 2013;81(5):468-478.

open access

Vol 81, No 5 (2013)
REVIEWS
Submitted: 2013-08-22
Accepted: 2013-08-22

Abstract

Historically, the progress of long term-oxygen therapy (LTOT) in Japan has been characterized by collaboration among academic
groups, policy makers, and industrial companies. The public health insurance program has covered the cost of LTOT since 1985.
Thomas Petty’s group in Denver enthusiastically carried out the public implementation of LTOT and conveyed the concept of pulmonary
rehabilitation for the processing with LTOT. Although the target diseases of LTOT in Japan tended to be chronic obstructive
pulmonary disease or sequelae of primary lung tuberculosis, it was soon applied for cardiac diseases as well as other pulmonary
diseases. Together with increasing medical costs for geriatric patients, the political conversion from hospital based care of
a traditional style to home care system has been performed, with two background reasons: the improvement of quality of life of
patients and the reduction of the medical expense. Presently, LTOT plays a pivotal role in the successful implementation of home
respiratory care for elderly patients. In addition, this promotes comprehensive pulmonary rehabilitation, a team approach, and
close liaisons between primary care and hospitals. Currently, the total number of patients using LTOT exceeds 150,000. In Japan,
LTOT resulted in an advancement in the medical care as well as in administrative decision to introduce it as a nationwide system
after analyzing the results of opinion polls of patients with respiratory failure. However, the recent great earthquake in East Japan
revealed that many unresolved problems remain for these patients, and these issues are of great concern.

Abstract

Historically, the progress of long term-oxygen therapy (LTOT) in Japan has been characterized by collaboration among academic
groups, policy makers, and industrial companies. The public health insurance program has covered the cost of LTOT since 1985.
Thomas Petty’s group in Denver enthusiastically carried out the public implementation of LTOT and conveyed the concept of pulmonary
rehabilitation for the processing with LTOT. Although the target diseases of LTOT in Japan tended to be chronic obstructive
pulmonary disease or sequelae of primary lung tuberculosis, it was soon applied for cardiac diseases as well as other pulmonary
diseases. Together with increasing medical costs for geriatric patients, the political conversion from hospital based care of
a traditional style to home care system has been performed, with two background reasons: the improvement of quality of life of
patients and the reduction of the medical expense. Presently, LTOT plays a pivotal role in the successful implementation of home
respiratory care for elderly patients. In addition, this promotes comprehensive pulmonary rehabilitation, a team approach, and
close liaisons between primary care and hospitals. Currently, the total number of patients using LTOT exceeds 150,000. In Japan,
LTOT resulted in an advancement in the medical care as well as in administrative decision to introduce it as a nationwide system
after analyzing the results of opinion polls of patients with respiratory failure. However, the recent great earthquake in East Japan
revealed that many unresolved problems remain for these patients, and these issues are of great concern.
Get Citation

Keywords

home respiratory care, chronic respiratory failure, home oxygen therapy, elderly patients

About this article
Title

Long-term oxygen therapy in Japan: history, present status, and current problems

Journal

Advances in Respiratory Medicine

Issue

Vol 81, No 5 (2013)

Pages

468-478

Bibliographic record

Pneumonol Alergol Pol 2013;81(5):468-478.

Keywords

home respiratory care
chronic respiratory failure
home oxygen therapy
elderly patients

Authors

Kozui Kida
Takashi Motegi
Takeo Ishii
Kumiko Hattori

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