UHC DAY 2018 年記念イベント「誰も取り残されない医療を目指して」のご案内

東京大学国際保健政策学教室(GHP)、国立国際医療研究センターのグローバルヘルス政策研究センター (iGHP)並びに国際協力機構(JICA)では、この度、2018 年のUHC デーに合わせた記念イベントを企画しました。
12 月 12 日は国連によって国際 UHC デーと定められています。
UHC（ユニバーサル・ヘルス・カバレッジ）は「すべての人が適切な予防、治療、リハビリ等の保健医療サービスを必要な時に支払可能な費用で受けられる状態」を指しています。これは全ての人が健康になること、「誰も残されない医療」を目指すことです。

日本では、世界最高水準の健康を享受できるようになった一方で、少子高齢化等の影響により数多くの課題にも直面しています。UHC に掲げられた「誰も取り残されない医療」を日本でも達成していくためにはどのような課題があるでしょうか。
本イベントでは日本の保健、世界の保健に関わる専門家を招いて「誰も取り残されない医療」の現在、そしてこれからについて語っていただきます。医療を取り巻く社会の変化も激しい今、日本の、そして世界の UHC はどのような姿になるのでしょうか。
是非、この貴重な機会に「取り残されない医療」について考えてみてください。
（なお、本事業は厚生労働科学研究費補助金事業の一環として開催されます）

日時

2018 年 12 月 4 日（火）18:30-20:00

会場

スクワール麹町 3F 華の間

アクセス

http://www.square.or.jp/access/

参加費無料

言語

日本語・英語（同時通訳あり）

参加定員数

100 名

申込み期日

11 月 30 日(金)UHC Day 2018 記念イベント：「誰も取り残されない医療」を目指して 開催報告

The Department of Global Health Policy of the University of Tokyo (GHP) and theInstitute for Global Health Policy Research (iGHP) of the National Center for Global
Health and Medicine, in cooperation with Japan International Cooperation Agency(JICA), had the pleasure of co-organizing an event titled “Ensuring access to health forall: locally, regionally and across borders.” This event was supported by the Ministry of
Health, Labor and Welfare of Japan and was held as an official part of Universal Health
Coverage (UHC) Day 2018.
The aim of this event was to consolidate ideas and viewpoints on how we can ensure
equitable access to health for all people locally and globally. By inviting experts on
health systems from Japan, China and Thailand, we examined the future directions ofhealth systems for these three rapidly aging societies and to find the key for “leaving noone behind.”
For the event, we were honored to have two distinguished guests, Dr. Chieko Ikeda,Senior Assistant Minister for Global Health under the Minister's Secretariat in theJapanese Ministry of Health, Labor and Welfare and Dr. Suwit Wibulpolprasert, Vice
Chair of International Health Policy Program Foundation. In her opening remark, Dr.
Ikeda emphasized the fact that the highest standard of health is a basic human right.
While Japan has been taking the leadership to ensure countries across the globe attain
UHC by 2030, Dr. Ikeda noted on Japan’s own challenges to maintain the quality andcoverage of healthcare as a rapidly aging society. With the occasion of UHC Day, she
expressed her sincere wishes for all of us to think of how we can ensure health for thosein Japan and for the world.
Following Dr. Ikeda’s opening remark, Dr. Suwit Wibulpolprasert touched uponThailand’s unique experience over the past half a century in achieving the country’s
UHC in 2002 to “leave no one behind.” Some instrumental factors were) 1) strong
political commitment, 2) transparency and ownership through a participatory
governance system, 3) promotion of Primary Health Care (PHC) services, 4) a mix ofpayment and innovative financing schemes, 5) institutional capacity building and policy
research. Dr. Suwit finished off his presentation noting that health is about thewellbeing of all people and that UHC needs to be inclusive of everyone.

Following the keynote address, two speakers each gave a presentation on their country’s
progress on UHC; Dr. Kun Tang of Peking University’s Department of Global Health on
how health agenda is driven in a socialist country like China, and Dr. Yoshihiro
Takayama of Okinawa Chubu Hospital on how Japan is shifting to a localized care forchronic illnesses based on PHC.
Dr. Tang illustrated the progress of on health measures in China in the recent years,
which has benefitted much from the country’s promotion of UHC. In 2015, Chinareached 97.8% population coverage using a mix of insurance schemes for civil servants,
urban employees, rural and urban residents. Despite such achievements, financial
protection coverage remains to be an issue, which is being addressed through China’s
next set of actions, which include a PHC focused reform to promote UHC.
Dr. Tang also touched upon how China is in the position to drive global UHC promotion
with the Silk Road and Belt Initiative, which promotes trade and provides infrastructure
in over 80 countries and 70% of world population. Together with its ODA for health,which invests heavily on health system strengthening, China will ensure strengtheningof health service delivery and their systems in all these countries.
Following Dr. Tang’s talk, Dr. Takayama spoke from the caregiver’s perfective on
whether we are really able to provide an inclusive care even in a country where UHC
has supposedly been achieved. Japan currently faces an era where medicine has shiftedfrom acute care to chronic care where localized care system has been the core healthpolicy. He illustrated how individual’s needs are cared for and taken into consideration
at the medical care provision level, but that we should be careful about systemizing all
good practices and rather should pay careful attention to providing the flexibility tomeet the localized and individualized needs.
In the panel discussion, the panelists discussed on further challenges that each country
or the global community faces, and the key to achieving medical care where no one isleft behind.
The first issue discussed was on migrants. Dr. Supatik Sirilak of Thailand introduced
various coverage schemes that Thailand offers to its migrants, while Dr. Tangmentioned that internal migration poses to be an issue in China and can also be seen as awindow of opportunity for the private sector to step in. Dr. Takayama, on the otherhand, discussed about the need for the younger generation to be involved in communitybuilding and to promote diversity and inclusiveness in welcoming in migrants.
Dr. Makoto Tobe of JICA went on to discuss how we can address global issues, towhich he stressed the importance of raising the awareness and involvement of decision
makers. In particular, Dr. Tobe touched upon how the involvement of those from thefinance ministry is a key in order to secure the necessary budget. In addition, hementioned about the importance of PHC and highlighted Thailand as a prime example ofhow they drove a hospital based to a PHC-based health care system to achieve UHC.
Ms. Mihoko Kashiwakura of the Bill and Melinda Gates Foundation highlighted that
Sustainable Develop Goals are goals for every citizen of the globe, and in order for us
to change the world and achieve these goals, each one of us needs to be involved in theprocess.
This event was well-received by more than one hundred participants that consisted ofgovernment officials, developing partners, academia, medical professionals, private
sector, and civil societies from various countries.

Speakers:•Dr. Chieko Ikeda, Senior Assistant Minister for Global Health, Minister'sSecretariat, Ministry of Health, Labor and Welfare, Japan•

Dr. Suwit Wibulpolprasert, Vice Chair, International Health Policy Program
Foundation; Vice Chair, Health Intervention and Technology Assessment
Foundation, Thailand•

Dr. Kun Tang, Assistant Professor, Department of Global Health, Peking University
School of Public Health, China•

Dr. Yoshihiro Takayama, Chief Physician, Regional healthcare Department,
Okinawa Chubu Hospital, Japan

Panelists:•Dr. Supakit Sirilak, Deputy Permanent Secretary, Ministry of Public Health,Thailand

•

Dr. Kun Tang, Assistant Professor, Department of Global Health, Peking University
School of Public Health•Dr. Yoshihiro Takayama, Chief physician, Regional Healthcare Department,
Okinawa Chubu Hospital•Dr. Makoto Tobe, Senior Advisor, Human Development Department, JapanInternational Cooperation Agency (JICA)•Ms. Mihoko Kashiwakura, Head of Japan, Bill & Melinda Gates Foundation