This document discusses aging trends in Japan and proposals to promote healthy aging through information and communication technologies (ICT). It provides the following key points: 1) About 32% of Japan's population is elderly or disabled, and aging people account for half of healthcare costs and a growing percentage live alone. 2) Conferences were held to discuss ICT applications to support independent living and health for seniors, including expanding digital access and inclusion. 3) Proposals included establishing ICT-enabled health models using medical data to promote prevention, expanding medical data sharing infrastructure to improve care coordination, and creating "life support businesses" using technologies like sensors and robots.

1. Governing for Super-Aging・Knowledge
economy Society by ICT in Japan
Prof. Dr. Toshio OBI
Waseda University

2. Big data
Interesting Facts about the Japanese seniors
• About 32 % of Japanese population are elderly or handicapped people
• Aging people (65 and beyond) spend a half of national healthcare cost.
• 25% of aging people lives along and their percentage is expected to increase
• 70 % of persons injured during big disasters such as earthquakes and typhoons
and 50% of traffic accident victims are the elderly
• 80% of aging people would like to die at home, not at hospital, at Home
• Aging people keep a half of personal financial assets in Japan
• 80% of retired people look for jobs and 20 % can get jobs
• Ratio of Digital Divide among the senior people was expected to reduce from
60% to 33 % in 2012
• Average annual income of 30 % of the elderly is around 2 million yen or below
(about $20000)
• Average of Daily Walking coverage of the seniors is limited to 500 meters
around the house

3. OECD-APEC-Waseda Conference on
Silver ICT in Tokyo ,Sept. 2012
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400 experts attended in 3 days conference

4. The 1st Japan-EU Policy Forum on Silver ICT
at EC, Brussels in Dec. 3, 2013
Participants
Japan: 20 experts
• Ministry of MIC,METI
• Waseda University,
Tokyo University,
• Toyota, NEC, KDDI,
Senior NPO
EU: 25 experts
• European Commission
Bureau for Information
Society ,ECH Alliance,
ALL Project, Robot
ERA and universities
Topics: EU Horizon 2020
and collaboration between
Japan EU on Silver ICT

5. On-going APEC project on 「ICT applications for
Aging Society」Co-chair by Prof. Obi
• C0-sponsoring Economies-Japan and Singapore, USA,
Russia, Thailand, Philippines, Chinese Taipei,Indonesia
• Successful APEC workshops –Da Nang (Vietnam
2012),Tokyo (2012), Hawaii (2013) and Singapore (2014)
• ICT Accessibility + Availability（increasing Digital Inclusion)
+ Affordability (reducing price) + Usability (applications by
innovation)
• Digital Divide ⇒ Digital Opportunity ⇒Digital Inclusion
• Local – national – Global linkage
• Government-led / initiatives ⇒ Citizen centric /ICT driven by
Social Media
• Government ⇒e-Government plus universal design
• Resilient health community by ICT in APEC region
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6. Prof. Obi -Deputy Chair of MIC Council on Silver ICT
[Smart Platinum]VISIONs and PROPOSALs of the Council
Official report published in June 2014
Vision I Live independently and Enjoy a long and healthy life
• Proposal(1) Establishment of ICT Health (Prevention) Model
• Proposal(2) Nationwide Expansion of Medical Information Collaborative
Infrastructure
• Proposal(3) Creation of Life Support Businesses
Vision Ⅱ Work with motivation and Participation in society
• Proposal(4) Improvements in ICT Literacy
• Proposal(5) Achievement of New Work Styles -Telework
• Proposal(6) ICT-employed Robots for Practical Use
Vision Ⅲ Create new industries ＆ Expand into global market
• Proposal (7) Creation of Silver ICT Industry
• Proposal(8) Global Expansion and International Cooperation

7. Proposal (1) Establishment of ICT Health (Disease Prevention) Model
■ Implementing a large-scale social demonstration led by local governments and enterprises for the
establishment and spread of a health (disease prevention) model that utilizes an ICT system and medical
examination data while studying the ideal state of incentive measures, and promoting the model based on the
results of the study.
Example (2) Health promotion of elderly people through farming work opportunities
Producer
Each producer harvests
tsumamono (seasonal leaves and
flowers that adorn traditional
Japanese dishes mainly in
restaurants) based on orders,
and forecasted trends of the
market.
Collecting and transporting
the harvested tsumamono
to the warehousing and
shipping yard.
Warehousing and shipping yard
Understanding
market
conditions and
providing
information.
Collecting tsumamono in
response to demand, and
shipping it throughout
Japan.
Tsumamono-dedicated
PC
Sharing current
ordering
information and
market conditions.
Elderly people’s engagement in local produce business will bring meaning into their lives,
thus achieving a reduction in their health care spending and improvements in their health
(a reduction of the number of bedridden elderly people).
■ Health promotion ■ Establishment of economic efficiency
◆ Elderly people’s annual health care
pending per capita decreased to a little
more than 600,000 yen (while it reaches
almost one million yen in other
municipalities).
◆ The population ratio of elderly people is
as high as 52.4%, the number of
bedridden elderly people is zero (as of
April 2010)
 Sales increased by approximately 1.5 times
after the implementation of the project.
Case example in Kamikatsucho,
Tokushima Prefecture
 A demonstration of promoting the establishment and spread of a health model
that provides people with various local work opportunities to improvement their
health, along with an increase in the economic efficiency of the local area, such
as in elderly people’s engagement in farming.
Example (1) Health promotion based on medical examination data and
health insurance claims
Visualization of health
based on the
accumulation and
analysis of data
Guidance
provided by
local
governments
and
companies
Measurement of
Body composition
National Health
Insurance information
Social insurance
information
* Conducting a large-scale
society demonstration.
• Providing incentives
meter
Promoting a behavioral change to achieve the
promotion and maintenance of good health
health data
■Rejuvenation of physical fitness age ■ Reduction of health care spending
（The number of the people2,123,1232 people)
ｐ＜0.05
◆Health enforcement
group 94 people
Average age 70.1 years
（10,000 yen）
Two years later
Four years later
Cases in Mitsuke, Niigata Prefecture
Pedometer
Health information
database
Vital data
Analysis,
utilization
The local
government,
company
(insurer)
Server
（Information
management,
information
storage）
Contents of specific measures
Registration
65.4
60.9
70
65
60
55
50
p<0.05
4.5-year-old
restoration of
youth
At the start After three months
（Age）
A age at the time of
the start
58.0 years
（10,000 yen）
■Contrast group 28.2 people
Average age 70.2 years
35.6
22.9
32.5
24.4
22.4
27.0
27.3
42.9
22.8
37.4
45
Health enforcement group
Contrast group
Difference：
104,234 Yen
40
35
30
25
20
At the start
One year later
Three years later
Contents of specific measures
Establishing and spreading a health model utilizing ICT.
Promoting measures to encourage the entire nation’s awareness
and behavioral change regards to disease prevention.

8. Proposal(2) Nationwide Expansion of Medical Information Collaborative Infrastructure
■ Promoting the development of medical information collaborative infrastructure that will serve as a basic infrastructure enabling patients and medical
service workers, including health care professionals, to share and utilize data in the medical, nursing care, and health fields.
■ Expanding ICT systems nationwide based on the demonstration of the efficacy of ICT systems to support the cooperation of home care and long-term
care teams, with consideration to the practicability of ICT systems.
Nationwide expansion of medical information
collaboration platform
Developing a medical information
collaboration platform that will serve as
basic infrastructure enabling patients and
medical service workers including health
care professionals to share and utilize
data in the medical, nursing care, and
Registering and
viewing medical
information on
patients.
health bold
Viewing prescription information
of hospitals and clinics.
 Making the verification of technology
required for a nationwide expansion of
ICT systems and a demonstration of the
establishment of operational rules
 Verifying the ideal state of inexpensive
ICT systems.
1
Patients
[Main effects expected]
Provision of medical services through information sharing.
Preventing serious diseases through disease management.
Reducing work burdens with an increase in work efficiency with
the avoidance of redundancies, such by test duplication.
Promotion of the cooperation of home care and long-term care
teams.
Backup during disasters.
 Specific information to be shared
between medical and nursing care
 Standardization of data and systems in
the nursing field
The local
government
Drugstore Clinic
Core medical
institution
Nursing institute
Home
of the
patient
Home care support
medical office
Office of the care provider
Each patient uses his/her PC or mobile
telephone to browse his/her own medical
information and pharmacy information.
Visit drugstore
Information registration in
being at home
 Clarifying of the means of utilizing mobile
terminals and sensors and other technologies
at home.
 Studying mechanisms to ensure the
sustainable operation of ICT systems.
Contents of specific measures
Strengthening the cooperation of home care and long-term teams.
Confirmation of
patient
information
Home nursing station

9. Criteria of SILVER ICT applications
HOME ELECTRONICS HEALTHCARE LIFE INNOVATION
Smart home
(supportive housing)
Sensors by bed
occupancy and nightlight
Home safety alerts and
GPS
OASIS (open architecture
for sensor)
Remote for single living
sensors
Environmental controls
Cooker safety
Home treatment
Telehealth (e-health)
Health information
management
Telecare
Just checking
Robot care (Robot)
Service innovation in
hospital
Dreaming (nursing
home)
E-carte
Client monitoring
system
E-inclusion
Ambient assisted living
Online shopping
Net reservations with touch
panel
E-banking & e-payment
ICT ethics for ageing
TV-seniority and programs
for the elderly
Social alarms
Social communication
technologies
Senior net talking
Easy call, easy mobile and
easy PC

10. Globalization
Three Key Paradigms
Ageing Informatization
Advent of the Ageing Society and
Development of a New Growth Industry
Social
Lifelong
Education Participation
E-Government
New Traffic
System
The ICT Application/ Solution
Adapted for
Ageing Society
E-Municipality
Elderly
Housing
Safe and
Secure System
Disaster
Prevention
Global
Environment
Pension
System
Pro-elderly
Employment
Healthcare
Nursing
Care

11. Recommendation
1. Strengthening Comprehensive Approach to ICT Applications
for Aging society
2. Innovative Public Digital Welfare Service Delivery for Health
and Elder care as e-government
3. Network of Hospitals and Ｍedical institutions for promoting
Disease prevention
4. Establishment of Global Standard for Senior business which
will grow by $10 Trillion in 2045
5. Smart Digital cities friendly for Aging society
6. IOT applications for resilient, and safe communities
7. Japanese contribution on the global Aging societies as the
only Super-Aging nation in the world
8. Plan for the 2nd OECD / APEC Forum on Silver Economy /
Innovation

12. Thank you !!
Information
Prof. Dr. Toshio Obi
obi.waseda@gmail.com
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