Korean J Fam Pract.  2025 Mar;15(1):22-26. 10.21215/kjfp.2025.15.1.22.

Current Status and Future Directions of Primary Care in the World: Insights from Japan

Affiliations
  • 1Department of Family Medicine, Seoul National University Hospital, Seoul, Korea
  • 2Department of Family Medicine, Seoul National University College of Medicine, Seoul, Korea
  • 3SNU Institute on Aging, Seoul National University, Seoul, Korea

Abstract

Japan has the highest proportion of older adults worldwide and has consistently strengthened its healthcare system to mitigate the medical and welfare burden associated with population aging. Primary care has been positioned as a key strategy for establishing a sustainable healthcare system within a super-aged society. Japan has pursued this goal through the implementation of community-based integrated care systems, the operation of a long-term care insurance system, the specialized training of primary care physicians, and the establishment of the “Comprehensive Medical Specialist” program. These initiatives aim to optimize the utilization of healthcare resources and ensure the long-term sustainability of the healthcare system. Japan’s experience offers critical insights for Korea, which requires effective strategies to strengthen its primary care system.

Keyword

Primary Health Care; Long-Term Care Insurance; Community Health Services; Japan
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