Association for Japanese Migrants Descendants in the World  http://www.jadesas.or.jp/es/files/nikkeijinsuu.gif
<ul><ul><li>1985 immigration visa for Japanese descendants from South America initiated the process of the “ethnicity-base...
The Ministry of Justice, Immigration Bureau, Japan http://www.moj.go.jp/content/000037427.jpg
<ul><ul><li>Social Welfare Law and Work Law not changed with the Immigration Law </li></ul></ul><ul><ul><li>Up to 3years o...
<ul><ul><li>40 % health care insurance provided by the Japanese government (Tamura, 2005) </li></ul></ul><ul><ul><li>Unaff...
Japanese Peruvian 2nd Generation <ul><li>  </li></ul><ul><li>  </li></ul>
 
<ul><ul><li>1991 a regulation of the Ministry of Health and Welfare denied them the National Health Insurance. </li></ul><...
 
4 th  Unemployment and Poverty
Nationality (Peruvian %) 82 Age(years)  38 Type of visa(Permanent resident%) 44 Living years in Japan(years)  11 Health In...
 
Had visited a traditional healer in Japan(%) 3 Use of traditional medicine in Japan (%) 55 Experience of hospitalization i...
 
 
 
 
Item Response (%) Communication Difficulties 9 Worries About Not Getting Treatment for Health Problems 9 Poor Access to Em...
<ul><ul><li>Health insurance :  </li></ul></ul><ul><ul><ul><ul><li>Long time of residence and permanent status. </li></ul>...
 
 
Fieldwork 2010-2011 Tokyo surrounding area (Gunma, Tochigi, Kanagawa)
 
<ul><ul><li>Cold logic, doctors give scarce explanation. Moreover, if they keep going to see the doctor, doctors may say, ...
 
Meticulous
 
 
 
 
 
 
<ul><ul><li>Misunderstandings  in prescription, or unilateral decision to suspend certain medicines as the ones for gastri...
 
 
 
 
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Medical Anthropology Research in Latin American Immigrants in Saitama and Gunma Prefectures - Dr. Marisa Tsuchida

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The presentation discusses anthropological issues in the context of afforded by Latin American immigrants in the Japanese Health Care System.

Background:
1985 immigration visa for Japanese descendants from South America initiated the process of the “ethnicity-based immigration”( Takenaka,2003 )

14% of the total amount of foreigners in Japan.

This research was presented during the II Workshop on Medical Athropology in Rome, on October 14th - 15th 2011.

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Medical Anthropology Research in Latin American Immigrants in Saitama and Gunma Prefectures - Dr. Marisa Tsuchida

  1. 2. Association for Japanese Migrants Descendants in the World  http://www.jadesas.or.jp/es/files/nikkeijinsuu.gif
  2. 3. <ul><ul><li>1985 immigration visa for Japanese descendants from South America initiated the process of the “ethnicity-based immigration”( Takenaka,2003 ) </li></ul></ul><ul><ul><li>14% of the total amount of foreigners in Japan </li></ul></ul>
  3. 4. The Ministry of Justice, Immigration Bureau, Japan http://www.moj.go.jp/content/000037427.jpg
  4. 5. <ul><ul><li>Social Welfare Law and Work Law not changed with the Immigration Law </li></ul></ul><ul><ul><li>Up to 3years of reimbursement. </li></ul></ul><ul><ul><li>25-years payment for pension </li></ul></ul>Foreign Workers and Health Insurance in Japan:  The Case of Japanese Brazilians.  The Japanese Journal of Population, Vol.4, N 1.
  5. 6. <ul><ul><li>40 % health care insurance provided by the Japanese government (Tamura, 2005) </li></ul></ul><ul><ul><li>Unaffordable price </li></ul></ul><ul><ul><li>Reluctant to pay </li></ul></ul><ul><ul><li>Not being granted </li></ul></ul><ul><ul><li>Tegtmeyer Pak K, 1998 </li></ul></ul>
  6. 7. Japanese Peruvian 2nd Generation <ul><li>  </li></ul><ul><li>  </li></ul>
  7. 9. <ul><ul><li>1991 a regulation of the Ministry of Health and Welfare denied them the National Health Insurance. </li></ul></ul><ul><ul><li>“ Treatment of Travelers Law”  </li></ul></ul>Undocumented Migrant Maternal and Child Health Care in Yokohama Japanese Studies, Vol.20, N 1,2000.
  8. 11. 4 th Unemployment and Poverty
  9. 12. Nationality (Peruvian %) 82 Age(years) 38 Type of visa(Permanent resident%) 44 Living years in Japan(years) 11 Health Insurance in Japan(%) 81 First time after arrival medical services were needed(years) 2
  10. 14. Had visited a traditional healer in Japan(%) 3 Use of traditional medicine in Japan (%) 55 Experience of hospitalization in Japan(%) 45
  11. 19. Item Response (%) Communication Difficulties 9 Worries About Not Getting Treatment for Health Problems 9 Poor Access to Emergency Medical Care 8 Poor Access to Long Term Medical Care 5 Poor Access to Dentistry Care 8 Poor Access to Counseling Services 12
  12. 20. <ul><ul><li>Health insurance : </li></ul></ul><ul><ul><ul><ul><li>Long time of residence and permanent status. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>High cost, insufficient information and cultural and languages difficulties. </li></ul></ul></ul></ul><ul><ul><li>Language difficulties cultural differences in medical patient relationship </li></ul></ul><ul><ul><li>Mental health in a preventive approach </li></ul></ul>
  13. 23. Fieldwork 2010-2011 Tokyo surrounding area (Gunma, Tochigi, Kanagawa)
  14. 25. <ul><ul><li>Cold logic, doctors give scarce explanation. Moreover, if they keep going to see the doctor, doctors may say, you are coming again, you don`t have anything. For Japanese doctors, Latin American patients speak too much. </li></ul></ul><ul><ul><li>“ I didn’t have any eye contact with the doctor through all the consultation”. </li></ul></ul><ul><ul><li>Peruvians are not patient, even if they would go to the doctor once, if they don`t feel an improvement in one or two visits, they will request medicine from Peru, and made mistakes in the use of that medicine. For example, they would order medicine for productive cough and use it for dry cough. At the end, they will continue with the health problem. 我慢できない。 </li></ul></ul>
  15. 27. Meticulous
  16. 34. <ul><ul><li>Misunderstandings in prescription, or unilateral decision to suspend certain medicines as the ones for gastric protection and then they get symptoms for that. </li></ul></ul><ul><ul><li>Cultural attitude but also to extended habit of self medication in Peru . Before going to the doctor, many times patients would take some medication available without prescription in drugstores, following previous own experiences or family or friends experiences. </li></ul></ul>

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