Health Care Logistics

I   Health Care Reform toward Reform of System to Provide Medical Care in 2025_

• Can Medical be the driving force to escape from the stagnant economy?
• Reform of national health insurance also is attracting attention just as other reforms
• Shadows hanging over revision of fees for medical services and long-term care for FY2018
• Pressing restructuring of sick beds in hospitals
• Establishment of a system to provide seamless medical/long term care by propelling local comprehensive care
• There is no going back of separation of medical practice and drug dispensation and pharmacies

II   Medicine Distribution System in the Era of Generic Occupying 80% of Entire Medicine

• There are wholesalers who were either able to or not able to benefited from special demands of therapeutic agent for hepatitis C
• Distribution has not been improved completely
• Wholesaling after FY2016 revision of medical services fees
• Pharmaceutical business that can respond in the era of generic occupying 80% of entire medicine
• Current status of Big 4 wholesalers and futures

III   Joint Negotiations Unable to Largely Escape from Conventional Status

• Limitation in Volume Discount
• Joint Negotiation of Tokyo Metropolitan Government Office
•  Japanese Red Cross Kyoto Daini Hospital (Joint Purchase)

IV   Who to Handle Home Health Care Logistics for Future

• Home health care developed by propelling local comprehensive care
• The ways to provide medical service have been changing
• Although home health care should be provided to everyone, but who are the most appropriate service providers providing medical care at home in such situations where aged child is taking care of his/her parent(s) or where elderly living alone?
• E-commerce is to be widely accepted and expanded
• Drastic changes are expected in home health care logistics